Aetna Massachusetts Drug and Alcohol Rehab Coverage

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If you’re looking for Aetna rehab in Massachusetts, your insurance plan may be able to cover some or all of the costs of detoxification, inpatient or outpatient care, or longer-term residential programs. Continue reading to learn more about your Aetna health insurance coverage, including how to verify insurance benefits.

Addiction and Mental Health Statistics in Massachusetts

Massachusetts grapples with significant substance abuse challenges. The state witnesses over 62,000 enrollees in outpatient drug rehab services, with an annual cost of $106 million. Notably, in 2019, it had the highest rate of underage drinking in the U.S. Alcohol contributes to 1 in 20 deaths in the state, and binge drinking is a widespread issue.

The Bay State also ranked fourth in fentanyl reports in 2019. In 2022, the state ranked second in teenage illicit drug use and recorded 2,357 opioid-related deaths.

Exploring Massachusetts and its Famous Cities

In the northeastern part of the United States, Massachusetts is home to several key cities. Boston, the state’s capital, and nearby Cambridge are known for their historical significance and prestigious universities like Harvard and MIT. As you venture west, you’ll come across cities like Worcester and Springfield, each contributing to the state’s exciting history and cultural diversity.

Haverhill, Lowell, and Quincy offer their own distinct characteristics. Haverhill is a close-knit community with a charming historic downtown. With its industrial heritage, Lowell has transformed into a cultural and arts hub. Quincy, the birthplace of two U.S. presidents, offers a blend of history, coastal beauty, and suburban appeal. These cities collectively showcase the multifaceted nature of Massachusetts, making it a state with a rich history, culture, and lifestyle.

Who is Aetna?

Aetna started as a life insurance provider in 1853 and became a leading health insurance company offering a wide range of healthcare products and services. Its offerings cater to individuals, employers, and government entities, encompassing health insurance, dental insurance, pharmacy benefit management, disability insurance, care management programs, and a wide array of healthcare-related solutions.1

Aetna is one of the top health insurance providers in the nation and operates in all 50 states. The company is headquartered in Hartford, Connecticut, and its mission is supported by a vast network of over 1.2 million healthcare professionals, comprising 690,000 primary care doctors and specialists.2 CVS Health acquired Aetna in 2018.3

Some Aetna Brands, Products and Services

Aetna offers various health and wellness products, brands, and services, including health insurance plans, mental health services, pharmacy benefits, and advanced digital healthcare solutions. With an extensive network of providers and dedication to improving healthcare, Aetna serves diverse needs. Some of the brands, products, and services they provide include:

  • Aetna Health Insurance: Individuals, employers, and government entities can choose from various health insurance plans, including medical, dental, and vision coverage.
  • Aetna Medicare Plans: Seniors can get comprehensive coverage through Medicare Advantage, Medicare Prescription Drug Plans, and Medicare Supplement plans.
  • Aetna Behavioral Health: Services providing support and resources for mental health and substance abuse.4
  • Aetna Guardian Angel Program: A personalized support initiative for those impacted by the opioid overdose crisis.5
  • Aetna Pharmacy Benefits: Ensures access to prescription drug benefits and cost-effective medication solutions.
  • Aetna International: Access to global health insurance and services that cater to the needs of international travelers and expatriates.6
  • Aetna Care Management: Resources and services to help those with complex medical conditions navigate healthcare and receive support.7
  • Aetna Health Connections: Wellness and prevention programs promote a healthy lifestyle among members.8
  • Aetna Provider Network: Healthcare providers, hospitals, clinics, and others ensure access to diverse medical services.
  • Aetna Digital Health Solutions: Digital health solutions, like the Aetna Health app℠ and online patient portals, improve healthcare delivery and engagement.9

What is Aetna Rehab Coverage?

Aetna provides vital support for insured members in need of rehabilitation services to address substance abuse, addiction, and mental health. The extent of coverage may vary depending on factors such as your plan, location, and other considerations. Aetna’s rehab insurance typically encompasses various services, including in-network inpatient care, outpatient care, detoxification services, medication-assisted treatment (MAT), dual diagnosis, and more.

Moreover, Aetna is dedicated to helping individuals along their path to recovery. They offer valuable resources such as managed care, behavioral health services, and 24/7 support hotlines. The company collaborates closely with a network of healthcare professionals and facilities to ensure those struggling with drug abuse or alcoholism have access to top-tier, evidence-based treatment options.

Does Aetna Cover Rehab?

Aetna extends coverage for substance abuse and addiction treatment, encompassing both Aetna alcohol rehab and Aetna drug rehab services. This comprehensive coverage includes detoxification, inpatient and outpatient care, as well as medication-assisted treatment. Members may also benefit from therapeutic approaches like cognitive-behavioral therapy (CBT), motivational interviewing, counseling, and aftercare support for relapse prevention.

The specific rehabilitation services and program details may vary from one plan to another, influenced by factors such as policy terms and the treatment provider. For the most accurate and up-to-date information, call (844) 326-4514.

Check Your Insurance Coverage

Does Aetna Cover Medical Detox Treatment?

Aetna often includes medical detox treatment within services for substance abuse treatment. However, coverage details fluctuate based on the specifics of your Aetna policy and other factors. Review your summary of benefits documentation or check your insurance now to gain a more comprehensive understanding of your coverage, including information on co-pays, deductibles, and any requirements.

Does Aetna Cover Residential Treatment?

Aetna usually includes residential treatment within its scope of coverage in Massachusetts. However, coverage details can vary based on a multitude of factors. We recommend contacting Aetna directly to understand whether your plan includes residential treatment and to gain insight into the specifics, including details like co-pays, deductibles, and network requirements.

You may also call (844) 326-4514 for further assistance. We are well-equipped to provide the most accurate and current information about your coverage options and guide you in accessing the most suitable care.

Does Aetna Cover Mental Health Therapy Treatment?

Aetna consistently offers coverage for mental health therapy treatment as an integral component of its health insurance plans. Coverage details may vary depending on the terms and conditions of your policy and other factors. To ensure you thoroughly understand your mental health therapy coverage, it’s imperative to carefully review your policy documents or reach out to Aetna directly.

Aetna’s commitment to mental health advocacy and the overall well-being of its members is unwavering. For additional assistance and information regarding mental health therapy treatment with Aetna Insurance in Massachusetts, call (844) 326-4514.

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Call Now: (844) 326-4514

Other Rehab Treatment Programs Covered by Aetna in Massachusetts

Aetna provides an array of rehabilitation treatment programs designed to address a wide range of health needs, extending beyond drug and alcohol rehab. However, it’s important to note that the specific coverage details can vary depending on your policy and other influencing factors. The following will explore several rehabilitation treatment programs typically covered by Aetna.

Coverage for Partial Hospitalization Programs

Aetna insurance plans typically cover Partial Hospitalization Programs (PHPs), which offer intensive outpatient treatment for individuals with mental health conditions or substance abuse issues. These programs are designed to provide comprehensive treatment during the day while allowing individuals to return home in the evening. PHPs serve as a transitional step between inpatient care and standard outpatient services.

Aetna’s coverage for PHPs often includes services such as therapy, medication management, group counseling, individualized treatment plans, and aftercare. Access to PHPs can be a crucial step toward managing and recovering from mental health or substance use disorders and achieving sobriety.

Coverage for Intensive Outpatient Program

Aetna insurance plans usually cover Intensive Outpatient Programs (IOPs), which can be a valuable option for individuals seeking treatment for mental health or substance abuse issues. IOPs offer structured, intensive therapy and counseling sessions, allowing patients to maintain their daily routines and responsibilities.

Aetna’s coverage for IOPs often includes a range of services, such as one-on-one counseling, psychoeducational sessions, support groups, and comprehensive mental health assessments. Engaging in an IOP can be a crucial step in relapse prevention, and Aetna is typically committed to supporting individuals requiring this level of care.

Coverage for Acute Treatment Programs

Aetna often includes coverage for acute treatment programs designed for individuals requiring urgent, intensive psychiatric, or behavioral health care. These programs are typically conducted within hospital settings, offering 24/7 support to stabilize those facing acute mental health crises. Such coverage includes services like inpatient care, psychiatric assessments, medication management, and therapeutic interventions, all essential for addressing severe mental health disorders.

Coverage for Inpatient Rehab

Aetna typically covers inpatient rehabilitation programs that provide comprehensive care for those struggling with mental health and substance use disorders. These residential programs offer round-the-clock care, including medical assessments, therapy, and medication management. Access to inpatient rehabilitation is crucial for targeted care, and Aetna is dedicated to supporting these needs.

Rehab Centers in Massachusetts That Take Aetna

At Serenity at Summit, we’re committed to assisting you through every step of your journey toward recovery. Our advanced facility provides a cozy, private environment for healing, using a holistic approach that blends innovative clinical techniques and evidence-based methods. Our nationally recognized treatment center accepts Aetna insurance. To know more about our services, call (844) 326-4514 or visit us:

Check Your Insurance Coverage

How Much is Rehab with Aetna Insurance?

Outpatient therapy costs typically vary between $1,400 and $10,000 for 30 days.10 However, these are estimates that fluctuate according to many different factors. The expenses associated with rehab in Massachusetts under Aetna insurance can significantly differ from one plan to the next. Aetna insurance usually contributes to some of the rehab costs.

Prioritizing essential care is of utmost importance. Whether you or a family member is considering mental health or addiction rehabilitation, we are here to support you in gaining access to the required care. We strongly encourage you to call (844) 326-4514 for a more precise estimate of rehabilitation costs specific to your plan.

How To Check Aetna Coverage Levels for Rehab Treatment

You can verify your insurance coverage effortlessly by completing our non-binding, confidential online form. Our team of experts will promptly contact your health insurance provider to confirm your eligibility for rehabilitation treatment. We’ll then contact you at your earliest convenience to review your policy particulars and the next steps.

Comprehending coverage details and locating rehab centers that take Aetna is crucial. To get started, you can also contact us directly at (844) 326-4514.

How To Get Aetna to Pay for Rehab Treatment

Begin by thoroughly reviewing your benefits summary to understand your coverage. Select an in-network rehab facility that suits your needs and, if necessary, secure a referral from your primary care physician. For treatments requiring pre-authorization, provide Aetna with your diagnosis and treatment plan details. Ensure the rehab center submits claims to Aetna on your behalf.

After treatment completion, contact Aetna to verify claim processing and obtain any owed reimbursements or covered benefits. Staying in-network with approved providers and adhering to your treatment plan can maximize the likelihood of coverage for Aetna rehab in Massachusetts.

Check Your Insurance by Phone

Call Now: (844) 326-4514

How Many Times Will Aetna Massachusetts Pay for Rehab?

Various factors, including the type of rehab program, policy terms, and your medical needs, determine Aetna’s coverage for rehabilitation. Typically, Aetna covers rehab when it is considered medically necessary, meaning addressing a specific condition or illness is essential.

Aetna may require periodic assessments to determine ongoing medical necessity and may have exclusions or limitations on the duration of covered rehab programs, depending on the policy’s terms, the nature of the rehab program, and your medical requirements. In many instances, Aetna may offer coverage for rehab on multiple occasions. Contact us for more information.

Addiction Statistics in Massachusetts

  • Annually, around 62,250 patients get enrolled in outpatient drug rehab services in Massachusetts.11
  • Outpatient services in Massachusetts cost $106 million annually, which accounts for 4.59% of the total U.S. public spending.
  • In 2019, Massachusetts ranked highest for underage drinking (ages 12-20) in the United States.12
  • In 2022, Massachusetts had the second-highest percentage of teenage illicit drug users.13
  • Data for 2022 shows that there were 2,357 confirmed and estimated opioid‐related deaths in Massachusetts.14
  • According to the 2020 National Drug Threat Assessment, Massachusetts ranked fourth in the U.S. for the number of fentanyl reports in 2019.15
  • 1 in 20 deaths in Massachusetts are caused by alcohol.16
  • Binge drinking is a common issue in Massachusetts, affecting both the general population and underage drinkers. 44% of individuals aged 12 and above who have consumed alcohol in the past 30 days reported binge drinking, while 63% of current underage drinkers (ages 12-20) reported the same behavior in the past month.

Related Aetna Pages

Related Massachusetts Insurance Pages

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