For those struggling with an addiction to drugs or alcohol, the expenses involved in detox and addiction treatment can be overwhelming. This leads many to postpone or completely forgo the care they may desperately need. At Brentwood Springs Detox, we strive to ensure all those who need care can get it without having to worry about the associated expenses.
Knowing exactly what one’s Aetna plan covers allows for peace of mind in one area. This helps them or their loved ones begin the recovery journey without worrying about bills coming in. That is why we have partnered with Aetna to provide detox services to Aetna plan members as an in-network healthcare provider. We are proud to provide Aetna-covered detox in Nashville, Tennessee.
What is Aetna Insurance?
Aetna Inc. is a Hartford, Conn.-based managed healthcare company selling health insurance and related services. Its plans cover medical, pharmaceutical, dental, and behavioral health, including detox and addiction treatment, as well as long-term care and disability plans.
Aetna’s plans are made available most often through Medicare and employer insurance programs. Aetna’s network includes more than 22 million medical practitioners and 12.7 million dental members. To add, it includes 13 million pharmacy benefit management services members, 1.2 million healthcare professionals, and nearly 700,000 primary care physicians and specialists. Aetna is a subsidiary of CVS Health Corporation.
Does Aetna Cover Addiction Treatment?
For those Aetna plan members who are wondering, Does Aetna cover detox in Nashville? The short answer is yes. This is of course consistent with the requirements of the Affordable Care Act (ACA), which calls for all insurance providers to provide full or partial coverage for substance use disorder treatment.
However, the amount of coverage for detox one might have depends on one’s state of residence, whether the detox facility they are considering is the in-network or out-of-network level of one’s insurance plan, and their deductible. One bright spot to keep in mind is that any limits applied to substance use or mental health treatment services cannot, legally speaking, be more restrictive than limits placed on any other medical service.
Furthermore, Aetna not only covers detox in Nashville the organization also covers mental health treatment for most mental health disorders that have been found to occur simultaneously with a substance use disorder. These common mental health disorders include but are not limited to anxiety, depression, bipolar, and post-traumatic stress disorder (PTSD).
For those with Aetna insurance who need detox treatment, contacting an Aetna representative and asking for an explanation of the benefits is a good idea. These representatives can also let someone know what their out-of-pocket expenses might be.
What Aetna Covers
Aetna covers many addiction-specific services, including:
- Medical detox and withdrawal management
- Medication-Assisted Treatment (MAT)
- Residential inpatient rehab
- Outpatient (OP) and Intensive Outpatient (IOP) rehab programs
- Partial-Hospitalization Programs (PHP)
- Psychotherapy and behavioral counseling
The exact scope of coverage depends on the individual insurance plan. However, most Aetna plans offer decreased out-of-pocket costs for care.
Will I Have to Pay a Deductible on My Aetna Coverage?
With most Aetna plans, there is likely to be a deductible linked to one’s coverage. Before coverage kicks in, the Aetna member is responsible for meeting their deductible.
A deductible is the amount of money that a plan member must pay out-of-pocket for medical services before the plan kicks in to cover services, either partly or in full. Plans with high deductibles tend to work well for those who are young and healthy, without dependents. For those who see themselves accruing a high number of medical expenses each year, low-deductible plans are a good idea.
It should not be difficult for Aetna policyholders to review their specific plan to see what their deductible is. Still, for those wondering how much is covered under their plan, an Aetna representative can provide answers.
Aetna-Covered Detox in Nashville, TN
Detox is the process where all traces of the addictive substance or substances are removed from the body. The typical stay in detox is five to 10 days. To help limit people’s sometimes uncomfortable withdrawal symptoms, a clinically-supervised detox by Brentwood Springs Detox is ideal.
Under this supervision, clients grow used to the absence of the substance in a safe and comfortable environment. Aetna covers virtually all types of detox treatments, once the member’s deductible has been met. However, in some cases, a specific treatment program might require authorization.
Medication-Assisted Treatment
Aetna also covers medications that can sometimes be necessary during a detox program, especially for programs involving detox from alcohol and opioids. Such a dynamic is known as medication-assisted treatment (MAT). Medications such as buprenorphine, Naltrexone, and clonidine help prevent relapse and lessen the severity of withdrawal symptoms.
Will Aetna Cover More Than One Detox Stay?
At Brentwood Springs Detox, we know recovery from drug or alcohol addiction is no walk in the park. Therefore, we work with Aetna to ensure the necessary healthcare coverage will not be “cut off†from additional detox treatments. After all, it is unlawful for insurance providers to raise member premiums once a member has undergone just one treatment.
Find Aetna-Covered Detox in Nashville, TN at Brentwood Springs
If you or a loved one are in need of an effective detox program, Brentwood Springs can help. Offering a safe, comfortable space to begin your journey to a new life. Plus, we are proud to partner with Aetna to offer a high-quality and affordable healthcare solution. Our team of compassionate professionals can help you begin this important journey. When it comes to the health and well-being of you or your loved one, time is of the essence.
Contact us today to learn more about payment options and how to begin your new life.