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Aetna Florida Insurance Coverage for Drug and Alcohol Rehab Treatment

On this page, you will learn about Aetna Florida health insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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AETNA Florida COVERAGE FOR DRUG AND ALCOHOL REHAB PROGRAMS

Provider Overview

Aetna Florida: Rehab & Detox Centers in FL That Take Aetna Insurance

Florida is known for beaches and fun in the sun, and for good reason—the state is almost entirely surrounded by water. The Sunshine State joined the U.S. in 1845, and the state animal is the Florida Panther.1, History, I never knew Florida even has a state drink—orange juice—and a state reptile, which is the American alligator.1, I never knew

However, in this state of over 21 million people, there’s more than just sunbathing and boating to consider.1, population The truth is that many people in Florida also struggle with substance use. Of those who are 12 and older, 14.6% of Floridians admitted to using marijuana in the last year and 51,000 people admitted to using heroin in the last year.2, p. 25 and 27, second paragraph on each In addition, 4.1% admitted to using misusing prescription pain medications in the last year.2, p 30, second paragraph

If you struggle with substance use, you’re far from alone. The good news is that you can get help. If you’re wondering whether your Aetna health insurance coverage can pay for some or all of your rehab treatment, we have good news for you. Your health insurance coverage can make a big difference in how much you pay out-of-pocket for rehab treatment.

This guide will help you understand what kind of coverage Aetna may offer for addiction treatment, along with how to make the most of your insurance plan.

Does Aetna Better Health of Florida insurance cover Inpatient Alcohol and Drug Rehab Centers?

Aetna has several types of insurance plans in the state of Florida. Aetna Better Health of Florida is the company’s Medicaid insurance plan.3, first paragraph Aetna offers Medicare Advantage plans under their Aetna Medicare Solutions company.4, first paragraph. Finally, Aetna now offers health insurance plans on the Florida Affordable Care Act (ACA) Marketplace under the name Aetna CVS Health.5, Which States Will See Aetna CVS Health

All of these insurance plans are subject to the rules in the ACA that require long-term health plans to cover 10 essential health benefits, which include substance use and mental health treatment.6, fifth bullet That means that your Aetna plan, no matter what type it is, will offer at least some coverage of substance use rehab.

The exact amount of coverage you receive will depend on your specific plan, so be sure to verify your coverage before you commit to a rehab facility. You can do this by calling the number on the back of your insurance card, or you can reach out to an organization like American Addiction Centers (AAC) directly.

For example, we have a form that you can fill out to get verification of your insurance coverage in just a few minutes. Once you know what assistance your insurance will provide, you can take the first steps to a healthier, happier life.

What is Aetna Better Health of Florida?

Aetna is a large insurance company that offers a variety of health insurance plans across the United States. The company provides coverage to around 39 million members using a variety of plans, such as medical, behavioral health, pharmacy, dental, and more.7, Helping people live healthier lives

Aetna was founded in 1853 as a life insurance company and began to offer health insurance in 1899.8, Timeline, 1853-1873 and 1895-1915 The company continued to expand into new types of coverage and survived the insurance liability created by the San Francisco earthquake in 1906.8, Timeline 1895-1915 In 2018, Aetna was acquired by CVS and the combined company focuses on helping customers simplify and improve their healthcare.8, Timeline, 2000-present

What Substance Addiction Does Aetna FL Rehab Treatment Centers Cover?

There are a lot of substances that people struggle with, and you can get rehab to help you overcome almost all of them. Some of the common substances that Floridians misuse include cocaine, alcohol, crystal meth, heroin, marijuana, prescription drugs, and opioids.9, bulleted list

If you struggle with any of these substances, it’s important to get help as soon as possible. Using your Aetna insurance coverage to get rehab treatment will turn out to be one of the best decisions you could make. When you’re living free of substances, you’ll be so glad you did it.

How Much Does Aetna Better Health of Florida Cover (Addiction Treatment)?

Every person’s situation is unique, which means that there are different treatment options available. The right solution for your needs will be determined by working with your doctor and will depend on factors such as what substances you use, how long you’ve been using them, and what your home environment is like.

Some of the common substance use treatments include:10.11

  • Inpatient/Residential Rehab. When attending inpatient rehab, you’ll live at the treatment center 24/7 and participate in individual counseling as well as group sessions. This time spent focusing on your health will help you live a healthier, substance-free life going forward.
  • Outpatient Rehab/Therapy. With outpatient treatment, you can attend treatment and return home at night. It’s available on an individual or group basis and often takes place at clinics throughout your community.
  • Intensive Outpatient Programs (IOP). IOP is a more focused form of outpatient treatment that requires patients to attend sessions more often than they would in standard outpatient programs. In this case, therapy will typically include group and individual courses as well medication management if necessary. The goal is to help you create new habits so you can successfully live substance-free.
  • Partial Hospitalization Programs (PHP). Partial hospitalization programs give people who need extra support the chance to get it without living full-time at a rehab facility. You’ll go five or six days per week, and evenings are left open so you can enjoy time to yourself substance-free.

Does Aetna Better Health of Florida Insurance Cover Mental Health Care?

The ACA represented a big step forward in the treatment of substance use, in part because it also includes mental health treatment in the 10 essential benefits.6, fifth bullet That’s important because 50% of those who struggle with substance use also have a mental health diagnosis at the same time.12, second paragraph

Common mental health struggles that are co-occurring with substance use disorder include anxiety, post-traumatic stress disorder (PTSD), depression, trauma, ADHD, and bipolar disorder.12, second paragraph When you get treatment, it’s essential to treat both your mental health and substance use together. Studies show that integrated treatment is far more effective than treating one or the other alone.13, first paragraph

When you get the treatment you need for both mental health and substance use, you’re setting yourself up for success and long-term change.

How Long Does Aetna Better Health of Florida Insurance Cover Inpatient Alcohol and Drug Rehab program?

The specific treatment program that’s right for your needs will vary, and your coverage details will be based on your individual health insurance plan. However, studies show that longer rehab programs are better.14, point 5 In fact, it takes most people at least three months of treatment to make significant long-term changes in their substance use.14, point 5.

Because all plans are different, be sure to verify your insurance coverage before you commit to a program. However, don’t let partial coverage stop you from getting the help you need. Getting the treatment you need is vital if you want to enjoy a more productive and successful life. That means choosing an appropriate rehab program and staying with it all the way until you graduate—and you’ll be so proud you did it!

What if my Aetna Better Health of Florida policy does not cover an Inpatient drug rehab program?

If your Aetna insurance plan doesn’t cover the full cost of the treatment you need, don’t give up on getting help. There are other ways to afford treatment. You might be able to pay it yourself, for example, or borrow money from family and friends. You can also talk to the rehab program about setting up a payment plan or perhaps giving you a scholarship so that you can afford to attend treatment.

What you truly can’t afford is ending up in significant legal trouble due to your substance use, or having severe health challenges due to the substances. It’s important to get out of danger as soon as you can, so don’t put off rehab treatment. Instead, reach out and ask questions and see what you can do to afford the help you need.

Aetna Better Health of Florida In-Network vs. Out of Network Inpatient Drug Rehab Centers

Each health insurance plan has a network of providers that have contracted to give health services to members at a set price. This allows the members to pay less out-of-pocket when they use the provider network.15, p.1 What is a provider network

Many insurance plans don’t provide non-emergency coverage outside of the provider network, so it’s important to carefully research rehab programs to find out what your insurance will cover.15. P.2, Why do some plans cover benefits…

By talking to the insurance provider directly, or contacting the rehab program you’re considering, you can verify your coverage and avoid any unexpected surprises when it comes to costs.

How to find Aetna Better Health of Florida covered Inpatient drug treatment centers in CA?

If you’d like to use your Aetna insurance coverage to get treatment for substance use, we’re here to help. At AAC, we’re proud of the impact we can make by helping people access the treatment and care they need.

AAC has two rehab centers in Florida that offer high-quality care. River Oaks Treatment Center is in the Tampa area and provides a customized care plan to give you the best chance of long-term success. There are mindfulness activities and expressive therapy to help you treat your whole person, not just your substance use. Recovery First Treatment Center also provides a customized plan of recovery and is located near Ft. Lauderdale. You’ll participate in social activities as well as individual and group therapy programs.

Contact one of our Admissions Navigators today to take the first steps toward a happier, healthier life. Our Navigators can answer your questions, verify your insurance, and help you understand what to expect from a rehab program. We can even check your benefits while you’re on the phone with us.

How to Read Your Insurance Provider Card
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  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
Sources
  1. United States Census Bureau. (n.d.). State facts for students.
  2. Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer, Florida.
  3. Aetna Better Health of Florida. (2022). About us.
  4. Aetna Medicare Solutions. (2022, January 6). Florida Medicare Advantage plans.
  5. (2022). Provider FAQs: Individual health plans.
  6. gov. (n.d.). What Marketplace health insurance plans cover.
  7. (2022). Aetna facts.
  8. (2022). Aetna history.
  9. National Institute on Drug Abuse. (2020, August 20). Commonly used drugs charts.
  10. gov (2019, October). Treatment options.
  11. National Institute on Drug Abuse. (2014). Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide: Treatment settings.
  12. National Institute of Mental Health. (n.d.). Substance use and co-occurring mental disorders.
  13. National Institute on Drug Abuse. (2020, April). What are the treatments for comorbid substance use disorder and mental health conditions?
  14. National Institute on Drug Abuse. (2018, January). Principles of effective treatment.
  15. gov (2021, May). What you should know about provider networks.

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