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Aetna Georgia Insurance Coverage for Drug and Alcohol Rehab Treatment

On this page, you will learn about Aetna of Georgia insurance coverage for substance abuse treatment and how to confirm what benefits are available under your specific plan.
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Aetna of Georgia Insurance Coverage For Drug And Alcohol Rehab Programs

Provider Overview

Aetna Georgia: Rehab & Detox Centers in GA That Take Aetna Insurance

Georgia, which is also known as the Peach State, is the largest state east of the Mississippi River.1 Approximately 10,799,566 people call the Peach State home, as do about 350 species of birds.1, 2 Though it’s the 8th-largest state in terms of population, Georgia’s 159 counties put it second in the country based on the number of counties per state, behind Texas.3 In the top 15-largest counties by population for the state of Georgia falls Fulton County (the state’s largest), which is also home to the state’s capital of Atlanta; about 1,066,710 people live within the county lines.4 Other large counties by size include Cobb (home to the city of Marietta), DeKalb (home to the city of Decatur), Chatham (home to the city of Savannah), and Richmond (home to the city of Augusta).4

Of the total population in Georgia, approximately 2,117 Georgians lost their lives to a drug-related overdose between June 2020 and June 2021.5, Figure 1b What’s more, of the Georgia adults over the age of 18, 21.1% reported binge drinking in the past month and 10.4% reported illicit drug use in the past month.6, Table 14 and Table 1 respectively From 2017 to 2019, about 5.8% of the state’s total population aged 12 or older (approximately 501,000 people), reported past-year substance use disorder, which is lower than the national average of 7.4% in the same age group.7, pg 26 Specifically, 4.2% of the same age group reported past-year alcohol use disorder, 2.4% reported past-year illicit drug use disorder, and 3.4% reported past-year misuse of prescription pain relievers.7, pg 25, 24, 22

What these statistics show is that if you are struggling with addiction, you’re not alone. Getting treatment at GA rehab facilities is a popular method for overcoming addiction. In a single-day count in March 2019 for people enrolled in treatment in Georgia, 23,465 were enrolled in a substance use treatment program.7, pg 27 This number is less than the number of people enrolled in a single-day count in 2015, which was 25,379 people.7, pg 27

Finding rehab that takes insurance could help you get the care you need at an affordable cost. This is particularly true if you have an Aetna of Georgia health plan. Aetna of Georgia insurance plans can vary in coverage, so it’s important to verify your benefits and coverage before seeking care whenever possible. But you may be able to use your Aetna of Georgia coverage to fully or partially cover your rehab stay. Click here to find a rehab and detox center in Georgia that accepts Aetna insurance.

Does Aetna of Georgia Insurance Cover Inpatient Alcohol and Drug Rehab Centers?

If you have an Aetna of Georgia insurance plan, you may be wondering what your Aetna mental health coverage is. Every plan is different, but most Aetna of Georgia plans provide at least some type of coverage for GA detox and GA rehab facilities, including inpatient alcohol and drug rehab centers. Aetna of Georgia alcohol and drug coverage will vary by plan, which is why it’s important to check your insurance before seeking care whenever possible.

To check your benefits and coverage, you can call the number on the back of your Aetna of Georgia card and speak to a representative. You may also be able to verify your benefits by logging on to your Aetna of Georgia plan portal. Some rehab centers may also help you verify your benefits and coverage over the phone by calling their confidential helpline. American Addiction Centers (AAC), a national company that provides high-quality addiction care services and facilities, is one of those companies that can help you learn more about your plan and coverage networks. Call our confidential helpline or a local AAC facility today to discuss your insurance details. You can also enter your information in the form below to instantly check your benefits and coverage.

What Is Aetna of Georgia?

Aetna of Georgia isn’t one type of plan, per se, but refers to the plans that Aetna, a multinational insurance company, offers in the state of Georgia. Since 1853, Aetna has been providing insurance coverage to people; in 1899, it began offering health insurance products.8, “1853-1873” and “1895-1915” Currently, Aetna is one of the most well-known insurance companies in the United States, providing health insurance coverage and products to 39 million people nationwide.9

Aetna provides a variety of health insurance products to many different markets, including the private individual and family market, employer-sponsored plan market, Medicaid plans and services, Medicare plans and services, behavioral health programs, medical management plans, and pharmacy and dental plans.9 Given its reach, it’s unknown how many different types of plans may be available in Georgia. Similarly, because every plan is different, it’s not possible to cite the number of rehab centers in the state of Georgia that are in-network with Aetna of GA plans.

What Substance Addiction Does Aetna GA Rehab Treatment Centers Cover?

Most plans provide coverage in some capacity for Aetna GA rehab treatment centers. Typically, substance addiction treatment for substances like alcohol, cocaine, heroin, crystal meth, opioid, marijuana, and prescription drugs may be covered under your plan. To learn of any potential exclusions in coverage, call the number on the back of your insurance card.

How Much Does Aetna of Georgia Cover (Addiction Treatment)?

Aetna of GA may cover some or all of the cost of the following treatments:

  • Inpatient/residential rehab—An inpatient program or residential rehab program involves a patient staying at a facility 24/7 for the length of their treatment, whether it be days, weeks, or months, so they can receive round-the-clock supervision and medical care.10, Pg 8, “What types of treatment programs are available?” Para 2, 11, pg 8, para 1
  • Outpatient rehab/therapy—An outpatient rehab or therapy program generally involves a patient visiting a facility once or twice per week to receive care (e.g., therapy or counseling) without requiring an overnight stay.10, Pg 10, Para 2
  • Intensive outpatient programs (IOP)—With an IOP, a patient attends a minimum number of hours of outpatient care or visits each week to receive more structured outpatient care than a standard outpatient program offers.10, Pg 10, Para 3
  • Partial hospitalization programs (PHP)—With a PHP, also known as a day program, a patient attends the program for 4-8 hours per day multiple days a week, without staying overnight.10, Pg 10, Para 1

Does Aetna of Georgia Insurance Cover Mental Health Care?

Under the Affordable Care Act (ACA), almost all U.S. health plans, including Aetna of GA plans, must provide some level of coverage for mental health and substance abuse services.12 Specifically, your Aetna mental health coverage must include coverage in some capacity for behavioral health treatment, mental and behavioral health inpatient services, and substance use disorder treatment (e.g., GA drug rehabilitation and GA detox).12 This mandate helps ensure that coverage for stand-alone heroin rehab and co-occurring disorder treatment is provided in some capacity.

A co-occurring disorder refers to when a patient has both a substance use disorder and mental health condition at the same time, which is relatively common.13, para 2 Researchers believe that about 50% of those with a substance use disorder or mental health condition will experience the other at some point in their lifetime.13 Because each condition could exacerbate the other, it’s recommended to treat each condition separately, yet simultaneously.13 The ACA’s mandate can help ensure at least some level of coverage for such treatment.

How Long Does Aetna of Georgia Insurance Cover Inpatient Alcohol and Drug Rehab program?

How long your Aetna of GA insurance plan covers inpatient alcohol and drug rehab treatment will vary based on your specific plan type. You can find out what your plan coverage details include by calling the number on the back of your insurance card. Despite what is covered by your plan, it’s important to note that remaining in treatment for the amount of time suggested by your provider is crucial to your journey to recovery. Many experts believe that remaining in treatment for longer periods is critical to successful outcomes and cite that most treatments should last at least 3 months to help the patient reduce or stop drug use and improve outcomes.14, bullet 5

What if My Aetna of Georgia Policy Does Not Cover an Inpatient Drug Rehab Program?

Your Aetna of Georgia policy may not fully or partially cover an inpatient drug rehab program based on the plan you have. If this is the case, depending on the rehab center you choose to attend, you may have alternative payment options. For example, some rehab facilities provide special financing opportunities, and others may even provide scholarship opportunities. If your Aetna of GA plan does not fully cover the cost of receiving treatment, be sure to ask whether any of the aforementioned payment options may be available to you. Remember, getting the care you need is more important than worrying about paying for that treatment, and it’s critical to get that care today rather than pushing it down the road.

Aetna of Georgia In-Network vs. Out-of-Network Inpatient Drug Rehab Centers

Understanding the difference between in- and out-of-network providers could mean the difference between having your rehab stay covered and having to pay for the cost of your care privately or out-of-pocket. An in-network provider is a provider that is included in a group of providers (e.g., facilities, hospitals, clinics, doctors, specialists, etc.) that are contracted with Aetna to provide services to covered members at a pre-negotiated rate.15 These rates are generally lower than what they’d charge non-covered members. You typically have to pay a copay or coinsurance, plus costs incurred up to your deductible if you visit an in-network provider.15 Some Aetna plans do not cover costs incurred by visiting out-of-network providers, which means that you’d be responsible for covering these costs on your own.15 As such, it’s usually more cost-effective to obtain care through in-network providers.

To check whether a provider is in-network with your Aetna of Georgia plan, you can call the number on the back of your insurance card, log in to your Aetna portal and use their directory, or work with a rehab center directly to check whether they accept your plan. For help verifying your benefits and coverage, call the AAC confidential helpline or your Aetna of Georgia plan number today.

What Rehab Centers That Take Aetna Insurance?

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have an Aetna insurance plan, the following AAC facilities accept Aetna for drug and alcohol addiction rehab.

  • AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment. Its integrated system of care offers an inpatient treatment center in North Kingstown and a network of outpatient offices throughout Rhode Island. AdCare’s continuum of care includes detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, inpatient and outpatient services, and telehealth.
  • Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth, all in a luxurious setting with high-end amenities.
  • Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and telehealth, all with individualized treatment programs.
  • Recovery First Treatment Center: Located in Hollywood, Florida, Recovery First treats substance use disorders by combining evidence-based therapeutic modalities with top-level care. Recovery First provides a personalized continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, outpatient services, and telehealth.
  • River Oaks Treatment Center: Located in Riverview, Florida, River Oaks treats substance use disorders through combining evidence-based therapies with world-class amenities. Provided care includes detox, residential treatment, behavioral disorder treatment, dual-diagnosis treatment, outpatient services, and telehealth, all with individualized treatment programs.
  • Sunrise House Treatment Center: Located in Lafayette Township, New Jersey, Sunrise House provides treatment for people suffering from substance abuse from a medical and holistic standpoint. With various evidence-based therapeutic interventions, personalized care is provided through detox, residential treatment, dual-diagnosis treatment, and outpatient services.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Aetna insurance.

How to Find Aetna of Georgia-Covered Inpatient Drug Treatment Centers in GA?

If you’re ready to take the next step in your journey to recovery, you may be wondering how you can find an Aetna of Georgia-covered inpatient drug treatment center in GA. This may seem like a daunting task, but know that you’re not alone. The admissions navigators and team at AAC are here to help you every step of the way. AAC staff members can help you verify your insurance coverage via the helpline right while you’re on the phone. They may also be able to help you find a covered luxury rehab facility near you, which may include the nearby AAC rehab centers located in Mississippi (Oxford Treatment Center) and Florida (River Oaks Treatment Center and the Recovery First Treatment Center), as well as locations that may have same-day admissions available.

With 39 million people being covered under Aetna health plans nationwide, it’s safe to assume that thousands use their health coverage every year to enter rehab financed through their Aetna plans, including those who have Aetna of Georgia plans. While specific numbers are not available, know that financing rehab through an Aetna of Georgia plan is a common occurrence. If you’re ready to take the next step and want to learn more about AAC’s leading treatment centers available nationwide, call our helpline today or click here to find a treatment center near you.

How to Read Your Insurance Provider Card
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  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
Local Alcohol Rehab Near Me
Local Opioid Rehab Near Me
Sources
  1. Georgia Public Broadcasting. (n.d.). Fun facts.
  2. United States Census Bureau. (2021, July 1). QuickFacts, Georgia.
  3. Carl Vinson Institute of Government, University of Georgia. (2019, June 10). Why does Georgia have so many counties?
  4. Governor’s Office of Planning and Budget. (2021, August 12). 2020 Census count by Georgia county population.
  5. Centers for Disease Control and Prevention, National Center for Health Statistics. (2022, January 12). Provisional drug overdose death counts.
  6. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2021). 2019-2020 National survey on drug use and health: Model-based prevalence estimates (50 states and the District of Columbia).
  7. Substance Abuse and Mental Health Services Administration. (2020). Behavioral Health Barometer: Georgia, Volume 6: Indicators as measured through the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
  8. (n.d.). Our history.
  9. (n.d.). Aetna facts.
  10. Substance Abuse and Mental Health Services Administration. (2015). TIP 45: Detoxification and substance abuse treatment. (Original work published 2006).
  11. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment? (Original work published 2004).
  12. gov. (n.d.). Mental health & substance abuse coverage.
  13. Substance Abuse and Mental Health Services Administration. (2020, April 30). Mental health and substance use disorders.
  14. National Institute on Drug Abuse. (2018 January). Principles of drug addiction treatment: A research-based guide (third edition), principles of effective treatment.
  15. (n.d.). Network and out-of-network care.

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