Aetna Insurance Coverage for Drug Treatment in Illinois

Aetna Illinois: Rehab & Detox Centers in IL That Take Aetna Insurance

Illinois is known as the home of the Windy City, as well as the birthplace of Abraham Lincoln. In fact, the Abraham Lincoln Presidential Library and Museum is located in Springfield and houses thousands of letters, books, and artifacts related to the 16th U.S. president.^{1, first bulleted list}

Of course, there’s a lot more to the 12.6 million people who live in Illinois than the historical past.^{2, population} Unfortunately, part of that story involves the misuse of drugs. Recent studies show that among Illinois residents over age 12, 15.9% admitted to using marijuana in the past year and 292,000 admitted to misusing prescription pain relievers in the last year.^{3, p. 25 and 28, second paragraph on both}

If you’re someone who struggles with substance use and have health coverage through Aetna Better Health of Illinois, you might wonder if your insurance plan can help you get the help you need to break free of substance use. The answer is yes, it can./ This guide will help you understand how to verify your insurance coverage and get the rehab treatment you need.

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

Aetna Better Health of Illinois is the Medicaid coverage offered in Illinois by Aetna.^{4, Medicaid made better} Aetna also offers Medicare coverage in Illinois through Aetna Medicare Solutions.^{5, zip code plan finder}

Both Medicare and Medicaid are insurance plans that have to abide by the Affordable Care Act (ACA), which means they have to cover 10 essential health benefits.^{6, top line} One of these 10 required benefits is substance use and mental health care.^{6, fifth bullet} That means that whether you have Aetna Better Health of Illinois insurance or a Medicare Advantage plan, your insurance plan will cover at least some of the cost of rehab treatment.

The specific coverage you receive will depend on your individual plan, which is why it’s important to verify your insurance coverage. You can do this by calling the phone number on the back of your insurance card or by contacting a rehab facility directly.

You can also reach out to American Addiction Centers (AAC) online or by calling our helpline anytime. We have high-quality treatment centers across the country, and our Admissions Navigators can verify your insurance coverage and help you know what to expect from rehab.

What is Aetna Better Health of Illinois?

Aetna Better Health of Illinois is Aetna’s Medicaid program in Illinois.^{4, Medicaid made better} The program was previously called IlliniCare Health but was changed when Aetna began providing the services.^{4, About us} Aetna has over 30 years of experience providing Medicaid in states across the country and focuses on helping Medicaid recipients get care close to home in their local communities.^{4, About us}

As a company, Aetna was founded as a life insurer in 1853 and added health insurance in 1899.^{7, Timeline, 1853-1873 and 1895-1915} The company continued to expand into additional insurance services and managed to survive the San Francisco earthquake in 1906, which wiped out many insurance companies.^{7, Timeline 1895-1915} Today, Aetna is owned by CVS and focuses on helping members simplify their healthcare and improve health outcomes.^{7, Timeline, 2000-present}

What Substance Addiction Does Aetna IL Rehab Treatment Centers Cover?

Illinois residents, along with citizens across the country, struggle with a variety of substances. No matter what substance you misuse, you can find a rehab program that addresses the underlying causes and helps you create new habits for a substance-free life.

Some of the most common substances people misuse include cocaine, alcohol, crystal meth, heroin, opioids, marijuana, and prescription drugs.^{8, bulleted list} If you struggle with these substances, getting help from a treatment center can help you live a happier, healthier life.

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

The substance use treatment Aetna covers focuses on providing medically necessary care to get you on a path of substance-free living. The specifics of what treatment works best for you will be determined by working with your doctor, and different insurance plans will cover different amounts of the treatment cost.

Some of the most common treatment options include:^9,10

• Inpatient/Residential Rehab. Inpatient rehab This type of care is designed to provide 24-hour support and supervision in a structured setting. During inpatient rehab treatment, you will receive care from a team of professionals who can provide individualized support. This type of care can be an important step in the recovery process, as it can help you to stabilize your health and begin to rebuild your life.
• Outpatient Rehab/Therapy. With outpatient treatment, you can receive the help you need while still maintaining your everyday responsibilities. This type of treatment typically includes individual and group therapy, as well as medication-assisted treatment if necessary. This type of care can be flexible and affordable, and it can provide you with the support you need to make a lasting recovery.
• Intensive Outpatient Programs (IOP). Intensive outpatient program (IOP) rehab treatment is a type of treatment that allows people to live at home and continue working or going to school while receiving intensive daily therapy. IOP usually consists of group therapy sessions and individual counseling sessions. The length of time someone spends in IOP varies depending on their individual needs, but most programs last several months.
• Partial Hospitalization Programs (PHP). A PHP, or partial hospitalization program, is a type of rehab treatment that offers a higher level of care than traditional outpatient programs. PHPs typically offer a variety of services, including individual and group therapy, medication management, and recreational activities. By offering a higher level of care, PHPs can help patients successfully transition back to everyday life following rehab.

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

It’s very common to wonder if your health insurance will cover mental health as well as substance use. Without proper treatment for both substance use and mental health, people can be at risk of experiencing significant long-term consequences, and it’s been shown that 50% of those who struggle with substance use also have a mental health diagnosis.^{11, second paragraph}

Some of the common mental health issues that can co-occur with substance use include PTSD, depression, anxiety, ADHD, trauma, and bipolar disorder.^{11, second paragraph} If you have a dual diagnosis, or a mental health diagnosis along with substance use disorder, it’s important to treat both issues at the same time in order to get the best outcome.^{12, first paragraph}

Fortunately, since the ACA includes both mental health care and substance use treatment in the list of essential health benefits, your Aetna health insurance plan will cover at least some of the cost of both treatment needs.^{6, fifth bullet}

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

If you go to rehab treatment, how long will you be there? The answer to that question depends on your specific needs, including what substances you use and how long you’ve been using them. However, studies show that effective treatment needs to last at least three months to make a significant change in substance use.^{13, point 5}

You’ll want to work with your doctor to get the right treatment plan for your situation and make sure you verify your insurance coverage before you commit to a program. You can call the phone number on the back of your insurance card or contact a treatment center directly. Our Admissions Navigators at AAC are also available to confirm your insurance coverage and answer your questions about rehab.

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

What if your insurance coverage doesn’t cover the entire cost of treatment, or similarly, the specific treatment center you’re interested in isn’t covered by Aetna?

You still have options, as you can look for ways to pay without using insurance. Maybe you can take out a personal loan or borrow money from family and friends to cover your portion of the treatment costs.

You might also be able to talk to the treatment center to see if they offer a scholarship or payment plan. The key is to get the help you need—you’ll be better off not only physically after treatment, but also financially. Don’t let the cost of treatment hold you back.

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

Like many insurance plans, Aetna Better Health of Illinois coverage has a provider network wherein certain providers have agreed to treat Aetna members for a set price.^{14, p.1 What is a provider network} However, if you get treatment outside the network, there’s often no insurance coverage unless it’s an emergency situation.^{14, P.2, Why do some plans cover benefits…} That’s why it’s important to research which treatment centers are within the Aetna Better Health of Illinois health and rehab network before you commit to a program. By contacting the rehab center or talking to your insurance provider, you can know what to expect and not have any surprise bills after your treatment.

How to find Aetna Better Health of Illinois covered Inpatient drug treatment centers in IL?

Whether you’re interested in getting treatment near Illinois or finding a completely new environment, American Addiction Centers can help. We can verify your insurance coverage and answer questions you have about rehab centers near Illinois.

For example, AAC has a high-quality treatment center called Sunrise House in New Jersey that can give you the treatment you need in a refreshingly different environment. You can trade the plains of Illinois for the mountains of Northern New Jersey. You’ll enjoy family and individual therapy, a gym, and food created by a registered dietician. The team at Sunrise House can help you create a new happier, healthier life.

Getting treatment for substance use today is one of the best decisions you can make. If you’re ready to take the first step, contact us today.