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Aetna Pennsylvania Insurance Coverage for Drug and Alcohol Rehab

Aetna Pennsylvania: Rehab & Detox Centers in PA That Take Aetna Insurance

Pennsylvania was one of the very first states to join the union, and it occupied a central location geographically, which earned it the nickname “The Keystone State.”1, The Keystone State Over time, Pennsylvania was the place inventors created everything from the first hospital to bubble gum and slinkies.2, State Inventions

This state of 13 million people contains more than 200+ years of national history.2, population Like many states in the nation, Pennsylvania also has many residents who struggle with substance use. During 2017-2019, 14.9% of Pennsylvania residents age 12 and older admitted to using marijuana in the past year.3, p. 25 second paragraph In addition, 3.5% admitted to misusing prescription painkillers in the past year between 2017-2019.3, p. 28 second paragraph

If you’re a Pennsylvania resident who struggles with substance use and has Medicaid through Aetna of Pennsylvania, you might wonder if your health insurance can help you get the treatment you need to break free. Fortunately, your coverage can help you pay for rehab treatment.

This guide will help you understand how to use your Aetna Better Health of Pennsylvania coverage to access the rehab treatment you need. You’ll also learn how to verify your insurance coverage and maximize the help you get from your Aetna Better Health of Pennsylvania coverage.

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

Aetna Better Health of Pennsylvania insurance is part of the state’s Medicaid plan.4, About us Medicaid plans, along with other long-term health insurance, are covered under the requirements of the Affordable Care Act (ACA).5, bulleted list

The ACA requires plans to cover 10 essential health benefits, which include mental health and substance use treatment.6, fifth bullet That means you can count on your Aetna Better Health of Pennsylvania addiction treatment coverage to pay for some or all of the cost of drug rehab treatment.

Different Aetna Better Health of Pennsylvania health and rehab plans will offer different levels of coverage, so it’s important to verify your insurance before you commit to a program. You can call the phone number on the back of your insurance card, or contact an organization like American Addiction Centers (AAC) to review your coverage.

You can reach AAC in a variety of ways, including calling the PA addiction hotline, using online chat, or filling out the verification form on our website. We can review your insurance and give you the information you need in just a few minutes.

What is Aetna Better Health of Pennsylvania?

Aetna was founded as a life insurance company in 1853 and was named after Mt. Etna, the most active volcano in Europe.7. 1853-1873 In 1899, Aetna began offering health insurance plans and survived the 1906 San Francisco earthquake, which wiped out all the profit fire insurers had made in the past 47 years.7, 1895-1915

Today, Aetna is owned by CVS and provides health coverage and localized care to its 39 million members through a wide variety of health plans, including partnering with states to provide Medicaid coverage.8, first paragraph and list

What Substance Addiction Does Aetna PA Rehab Treatment Centers Cover?

People misuse substances for a variety of reasons, including financial problems, family issues, problems with school, abuse, and crime.9, Overview & Impact, second paragraph There are a variety of substances that people use to cope, including alcohol, marijuana, heroin, crystal meth, opioids, and prescription drugs.10, bulleted list

Rehab helps treat the substance use and the reasons behind it. You can find Aetna Better Health of Pennsylvania rehabilitation centers that treat all of the commonly misused substances and help you get on the path to a happier, healthier life.

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

Insurance focuses on covering the care you medically need to get better. The PA drug rehabilitation plan that is best for your needs will be decided by working with your doctor, who will ask about your substance use history, what you use, and what your home environment is like.

Some of the most common treatment options include:11,12

  • Inpatient/Residential Rehab. When people think of rehab, they usually think immediately of inpatient care. This type of treatment requires you to live at a facility for a specific period of time to get intensive treatment to reset your life. You can learn the habits and mindsets you need to make different choices once you return home to your daily life.
  • Outpatient Rehab/Therapy. Outpatient treatment allows you to live at home and continue to work or attend school even as you get therapy to overcome substance use. Outpatient therapy is helpful for those with a strong support system at home and for people who are transitioning out of a residential treatment program. Treatment may involve individual, group, and family therapy.
  • Intensive Outpatient Programs (IOP). An intensive outpatient program can give you a structured treatment program that’s more rigorous than a regular outpatient program but allows you to live at home instead of at a treatment center. These programs use individual and group therapy to help patients overcome substance use and live a healthy, substance-free life.
  • Partial Hospitalization Programs (PHPs). Partial hospitalization programs are an effective tool for the treatment of substance abuse. Patients benefit from living at home while receiving daily care and supervision, especially in early recovery when it is difficult to maintain sobriety without proper support systems. Partial hospitalization programs can help patients build the habits they need to stay substance-free for the long term.

Does Aetna Better Health of Pennsylvania Insurance Cover Inpatient Mental Health Care Facilities?

Mental health diagnoses are very common among those who struggle with substance use. In fact, around 50% of those who misuse substances also have mental health issues such as depression, post-traumatic stress disorder (PTSD), attention deficit hyperactivity disorder (ADHD), bipolar disorder, or other disorders.13, second paragraph

If you’re someone who struggles with your mental health and substance issues, you’re not alone. You might wonder, can an Aetna Better Health of Pennsylvania treatment center help you with both?

Yes, they certainly can—remember, part of the 10 essential health benefits that Aetna Better Health of Pennsylvania has to cover includes mental health, not just substance use.6, fifth bullet

Rehabs in PA frequently have programs specifically designed for co-occurring disorders. Part of the reason for this is that treating both mental health and substance use concerns at the same time, using integrated treatment, has been shown to be far more effective than treating only one or the other.14, first paragraph

If you have a mental health diagnosis alongside your substance use concerns, don’t be afraid to use your Aetna mental health coverage as well as get help paying for substance use treatment. Your insurance plan can help with both.

How Long Does Aetna Better Health of Pennsylvania Insurance Cover Inpatient Alcohol and Drug Rehab Program?

The amount of time that’s best for your treatment program will be determined by your doctor based on your substance use history and environment. Every person has unique needs, but there are studies that show that longer treatment programs are better. For example, research shows that most people need treatment for at least 90 days to make a substantial change or stop using substances over the long term.15, point 5

That’s why it’s so important to complete your treatment program—the fact that you’re feeling better does not mean that you’re ready to face difficult choices on your own without support. Your future is worth the effort of completing the entire treatment program.

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

As you look at Aetna Better Health of Pennsylvania drug rehab options, it’s best to focus on PA rehab facilities that accept your insurance plan. That will help you save money on costs and come out of the treatment program in good shape, both physically and financially.

However, it’s not always possible to find an Aetna Better Health of Pennsylvania rehab center that you’re interested in. What can you do if your insurance plan will not pay the entire cost of rehab—or if you find out there’s no coverage at all for the treatment center you’re interested in?

The good news is that there are a variety of ways to pay for rehab. Insurance certainly helps, but you might also be able to find a program that has scholarships available or offers lower fees for those in financial need. You can also pay for the treatment yourself, set up a payment plan, or borrow money from friends and family for treatment.

When you finish treatment, you’ll be in a far better position to earn money and repay the people who helped you get through recovery. What’s important is that you don’t put off rehab treatment—there are too many things that can happen that will affect your long-term future.

You are worth investing in, and your future is important. Get the treatment you need today.

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

Insurance plans, including Aetna Better Health of Pennsylvania, have agreements with specific providers to give care to members at a certain price.16, p.1 What is a provider network When you go to those in-network providers, you can get more coverage from your insurance plan and pay less of the rehab cost yourself.

Many insurance plans don’t cover non-emergency care outside the network, which means that if you choose a rehab not covered by Aetna Better Health of Pennsylvania, you might have to pay the total cost yourself.16, p.2, Why do some plans cover benefits…

Verifying your insurance coverage can help ensure that you choose an in-network substance use treatment provider. You can call the phone number on the back of your insurance card or contact AAC directly. When you call AAC, our admissions navigators can verify your insurance while you’re on the phone and also answer your questions about what to expect from rehab.

How to find Aetna Better Health of Pennsylvania covered Inpatient drug treatment centers in PA?

If you’re ready to get your life back from substance use, you can get the help you need. When you find the right treatment center for your needs, you’ll get the support and counseling you need to create a new life. Your insurance can help you pay for some or all of the costs as you get on the path to a better life.

One example of a high-quality treatment center is Sunrise House Treatment Center, which offers gender-specific treatment programs, an LGBTQ+ track, and a serene environment in the mountains. It’s a great place to make significant changes in your life and then return home invigorated and ready to start fresh.

If you struggle with substances, don’t delay getting the treatment you need to break free. You’re worth it, and you’re not alone. Contact us today to take the first steps.

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