If you have a AETNA PPO coverage, and wonder if they have a substance abuse and mental health disorder coverage, then you can read the info provided by the carrier in regards to this type of benefits.
Aetna PPO Health Plan often cover benefits for substance abuse and mental health disorders.
Many people question, if the insurance is obligated to cover any of the above listed behavioral health disorders. The great thing with Aetna PPO and CIGNA Health PPO plans is that they both provide benefits for substance abuse and mental health problems.
In addition to the offered coverage, the employees often want to understand if the health insurance is required to cover these benefits.
This information is received from Aetna Health website, pertaining to substance abuse and mental health disorder coverage:
“Does the Federal Mental Health Parity require plan sponsors to cover mental health or substance abuse benefits?
No. Federal Mental Health Parity does not require plan sponsors to cover mental health or substance abuse benefits. However, if a plan sponsor chooses to offer mental health or substance abuse benefits, the law prohibits imposing more restrictive financial requirements (such as co-pays or deductibles) or treatment limitations (including quantitative treatment limitations, such as day or visit limits, and non-quantitative treatment limitations described below) on mental health or substance abuse benefits than those applied to medical or surgical benefits.”
Another words, if your employer provides the coverage for mental health disorder and substance abuse coverage, that means that insurance carrier can not make you pay more then you would normally pay for your other regular health care coverage benefits. This is a very good news for someone with Aetna Health Care PPO coverage.
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Many employers opt for additional “behavioral health services” coverage, that includes: substance abuse treatment coverage and mental health disorder coverage. Your Aetna PPO Health Plan or CIGNA PPO Health Plan will identify specific overage, and what is required prior to receiving treatment for your substance abuse or mental health problems.
Depending on a specific plan that is offered through your employer, who selected a particular benefit level, you may have the coverage for:
- Individual and family counseling
- Individual psychotherapy for more serious issues
- Psychiatric evaluation/assessment
- Case management to help coordinate care
Some of your treatment will require pre-certification, and some individual therapy counseling may not need the authorization.
- In-patient services;
- Residential Serivces
- Intensive Outpatient Services
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One of our Substance Abuse Professionals will conduct an initial assessment process, to identify an addiction problem, and develop a comprehensive treatment plan, that is most suitable to each patient. A comprehensive drug rehab … Aetna-covered rug rehab may be cost effective to you and your family, since the benefits are covered through your health plan, that provides coverage for substance abuse counseling and substance abuse treatment.
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Many companies will pay for a portion of the associated fees. Some may even cover all of the expenses, including traveling to and from the rehab facility, treatment services and after-care expenses.
Do Drug Rehab Centers Accept Aetna Insurance?
As most of us know, there is a huge variety of health care plans; it can seem downright confusing when you start to try to figure out what your specific Aetna plan covers – especially as it pertains to drug rehab. If you have an Aetna insurance plan that you want to use for … Most people who get health care plans do not think about the fact that it may have to one day be used to cover the cost of addiction treatment.
If we can’t help, we’ll do our very best to point you in the direction of someone who can. Don’t spend another minute wondering if Aetna can cover your rehab costs. Call us at 877-451-5406 and we’ll find out together.
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The chief drawback of using a PPO to cover rehab costs is that you have to use one of the providers within the network, which limits your range of selections. In some ways a PPO has fewer restrictions .
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Aetna insurance for rehab meets all federal guidelines laid out in the recent Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008, which means you will be eligible for coverage that includes rehabilitation. … Your Rehab with Aetna. Aetna views behavioral health coverage (i.e. coverage of non-physical rehab) as integral to reducing the cost of healthcare insurance overall. Aetna has initiated a program called the Aetna Employee Assistance Program to help identify early stages of addiction.
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The cost of a stay at some rehab centers can be such a turn off for addicted individuals who need help but simply do not have the funds to afford a stay at a rehabilitation center.
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Aetna has a bit of flexibility if you decide to enter a rehab in NJ that is out of network; this results in a higher cost out of pocket however, you would still receive some coverage benefits so you can choose the rehab that is right for you. Of course the majority of the population does not consider signing up for a health care plan intending to use it at some point for rehab.
We partner with some of the best drug rehab programs in the U.S. and can point you in the direction of one that will give you the support and comfort you need to beat drug abuse for good. Call us at 877-274-8386 today. Affording Drug Rehab with Aetna PPO Insurance. What if you knew you could enjoy all the advantages of a world class drug rehab program and that your Aetna PPO insurance would cover most, if not all, of the costs associated with your recovery?
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