Aetna coverage for addiction treatment
Aetna Drug and Alcohol Rehab Center
Omnia Recovery is an Aetna addiction treatment center. Learn more about our behavioral health services and insurance coverage options.
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Aetna Drug and Alcohol Rehab Center
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Navigating the addiction recovery journey can feel overwhelming, but the right support and resources can make all the difference. One of the most critical considerations when accessing effective addiction treatment is making sure it’s affordable. That’s where private insurance like Aetna plays a vital role. Using Aetna insurance for addiction treatment can help mitigate financial burdens and open the door to life-saving, comprehensive and high-quality care.
At Omnia Recovery, it’s a priority that we make leading-edge treatment available to as many as possible. We’re committed to working as an Aetna drug and alcohol rehab center to make this happen. Omnia Recovery is a behavioral health clinic in Thousand Oaks, California. We are in-network with Aetna and work with most other major insurers.
coverage options
Aetna Insurance Overview
Aetna is a health insurance company that offers different plans to individuals and families. Typically, coverage levels include:
- Health maintenance organization (HMO) plans: These plans require members to visit healthcare providers within the Aetna network after selecting a primary care physician who coordinates their care and provides referrals to specialists. The lower premiums and out-of-pocket costs of an HMO are appealing to policyholders.
- Preferred provider organization (PPO) plans: With these plans, a policyholder can see any healthcare provider, but if they stay within the network, their costs are lower. The premiums and out-of-pocket costs are usually greater than what you would pay with an HMO plan.
- Point of service (POS) plans: This hybrid combines the features of HMO and PPO plans. A member can choose in-network or out-of-network providers, and the costs vary. A PCP is required for referrals.
- Exclusive provider organization (EPO) plans: Members have to use Aetna in-network providers but can see specialists without a referral. The premiums and out-of-pocket costs are usually lower than PPO plans.
- High deductible plans: These require paying higher deductibles before insurance coverage begins, but premiums are usually low.
If you have Aetna insurance but are unsure of your coverage details, we can help. Our Omnia Recovery team can review your Aetna addiction treatment coverage and work directly with the insurer to help you receive addiction treatment.
Aetna treatment coverage options
Does Aetna Cover Addiction Treatment?
In general, yes, Aetna covers addiction treatment. Healthcare mandates and regulations require this, and Aetna also follows the evidence that addiction is a complex medical condition. Covering addiction treatment lets Aetna offer a more integrated approach to healthcare.
Providing coverage for addiction treatment is cost-effective for the insurer in the long run, and it prevents the escalation of health issues stemming from untreated addiction.
Aetna addiction treatment coverage can vary depending on where you live and your plan but generally may include:
- Inpatient residential programs with intensive 24-hour care.
- Outpatient rehab programs may be covered by Aetna insurance, which allows patients to receive treatment while living at home.
- Insurance will often cover medically supervised detox to help safely and effectively manage withdrawal symptoms.
- Counseling and therapy may be covered.
- Medication-assisted treatment (MAT) is typically included in Aetna coverage.
Again, coverage specifics depend on the individual plan, so Aetna members should review their policy details or contact the insurance company directly to understand their coverage for addiction treatment services and mental health treatment.
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insurance coverage
Aetna Coverage for Partial Hospitalization Programs
At Omnia Recovery, a leading Aetna drug and alcohol rehab center, we offer partial hospitalization programs (PHPs). These are structured and intensive, and they provide high support without the need for around-the-clock residential care.
Benefits of using your Aetna insurance for a PHP include:
- A PHP at Omnia Recovery has a robust treatment schedule similar to that of inpatient care.
- There’s still a sense of flexibility and independence with a PHP, so you can maintain connections with family and your community.
- The environment of a PHP is structured with a clear daily schedule to help develop healthy routines and coping mechanisms.
- A PHP can be more cost-effective than an inpatient program while delivering similar care and treatment.
- Our PHPs at our Aetna drug and alcohol rehab center include a multidisciplinary treatment approach. This includes services from social workers, psychologists and psychiatrists to ensure all of your mental health and addiction needs are addressed.
If you’d like to learn more about our partial hospitalization program options, we’re happy to help at any time at Omnia Recovery, as we are an Aetna drug and alcohol rehab center.
IOPs and outpatient programs coverage
Aetna Coverage for Intensive Outpatient Programs and Traditional Outpatient Rehab
Usually, Aetna also provides coverage for both intensive outpatient programs (IOP) and traditional outpatient programs as part of its comprehensive approach to addiction and mental health treatment. These programs offer varying care levels but allow individuals to receive needed support while maintaining daily responsibilities.
At Omnia Recovery, our intensive outpatient program is designed for people requiring more support than a traditional outpatient option but who don’t need the full-time care that comes with inpatient treatment. An IOP remains structured but also flexible and can include a range of therapeutic services to address both the mental and physical aspects of addiction.
For detailed coverage information, review your plan details or reach out to us, and we will work with the insurer.
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Therapies and Treatments Covered by Aetna
Aetna insurance usually covers a range of evidence-based addiction treatment approaches and therapies. Examples of the therapies that might be covered at an Aetna rehab center include:
- Cognitive behavioral therapy is psychotherapy where you work to identify and shift your thought patterns and behaviors that are negative and related to substance use. It addresses underlying issues contributing to addiction and provides coping strategies.
- Dialectical behavior therapy uses techniques from cognitive-behavior therapy and mindfulness practices to help manage emotions and reduce self-destructive behaviors. DBT as a therapy approach can be particularly helpful for individuals who have co-occurring psychiatric disorders and addiction.
- Motivational interviewing can help participants find the motivation to change their behavior for the positive, especially as it relates to substance use. It encourages people to be empowered and motivated to actively participate in their recovery.
- Contingency management relies on tangible rewards for reinforcing positive behavior, like attending therapy or staying sober.
- Medication-assisted treatment combines medicines like buprenorphine with behavioral therapies and counseling for treating substance use disorders.
We offer these evidence-based therapies at our Thousand Oaks, California, treatment center, along with many other individualized and effective approaches.
Unique Location
Our modern, newly renovated treatment facility is more than just a rehab. We offer a safe space where you can recover + have fun!
Modern Approaches + Therapies
Here at Omnia Recovery, we offer an innovative approach to treatment by combining traditional, evidence-based and holistic therapies.
Experiential Therapies & More
From art + music therapy to group outings and volunteering, Omnia Recovery wants you to learn that there is fun to be had in recovery.
dual diagnosis treatment
Aetna Dual Diagnosis Treatment
Another area that Aetna will typically cover for policyholders is dual diagnosis treatment. This approach addresses substance use disorders and co-occurring mental health conditions at the same time. This type of treatment is necessary because having multiple disorders at one time can complicate recovery if they aren’t both properly treated.
Aetna recognizes the importance of addressing co-occurring disorders in a coordinated way to achieve the best outcomes.
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Accessing Addiction Treatment with Aetna
If you’re an Aetna member seeking addiction treatment or you’re helping a loved one navigate this situation, first check your specific plan to understand your coverage benefits and limitations or requirements related to addiction, mental health and dual diagnosis treatment.
From there, you can contact Atena about covered services, in-network providers, and needed referrals or pre-authorization processes.
You can also reach out to our team, as we are an Aetna drug and alcohol rehab center. We can help ensure you maximize coverage benefits and minimize your out-of-pocket expenses.
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