Aetna Opiates Rehab and Opiod Detox Coverage


Aetna Opiates Rehab and Opiod Detox Coverage


When you have a problem with substance abuse, it may seem like everyone else is on a different path. However, there are millions of Americans having a similar struggle as you with opiate or opioid addiction. While everyone has a different experience with addiction, there are certain common features. First, most people benefit from an rehab program as they detox. Second, many patients need their insurance, such as Aetna, to provide some coverage for treatment.

Considering Detox

Like many other Americans, you may notice that your dependence on opioids or opiates is far beyond what you ever thought it might become. Ending the addiction starts with the recognition that you have a problem and that you need detox. Withdrawal symptoms for these substances can be intense, with feelings of sickness and intense cravings. As such, your doctor may recommend inpatient rehab to help you stay on the right track. Fortunately, your Aetna insurance may cover some of this treatment on the road to recovery.

Aetna Rehab Coverage

Aetna insurance presents addiction recovery coverage under the heading of behavior health. While the company offers many different types of coverage to treat opioid and opiate addiction, you must look at the terms of your specific plan to learn how much the program will cover, and how much you will need to pay out-of-pocket. This coverage may be affected by the limits you have on the providers you can choose in your area. If you select doctors or clinics that are considered out-of-network, you will likely need to pay more for these services.

Precertification for Inpatient Treatment

Many different types of inpatient treatment for opiate or opioid addiction require precertification for coverage by Aetna insurance. Outpatient therapy may not call for precertification, but treatment including participation in:

  • outpatient detox
  • residential treatment centers (rehab centers)
  • partial hospitalization programs
  • intensive outpatient programs

must be precertified by Aetna before the services are rendered. This means that your doctor or clinic must indicate to Aetna representatives that you are a good candidate for these treatment programs before you receive rehab or other inpatient or outpatient assistance.

Your addiction to opioids and opiates can be resolved with the right help. When you use your Aetna insurance to detox and get into therapy, you can finally put your life back into your own hands.


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