Aetna, a CVS Health company, provides comprehensive behavioral health coverage including substance use treatment through employer, individual, and government-sponsored plans.
Browse our directory or call to discuss treatment options.
Aetna, now part of CVS Health, provides integrated behavioral health coverage for substance abuse treatment. Aetna plans cover all levels of addiction care as mandated by the Mental Health Parity and Addiction Equity Act.
Aetna covers medically supervised detoxification, short-term residential treatment, and long-term residential care when clinically indicated. Pre-authorization is required, and Aetna assigns a dedicated case manager to coordinate care throughout your treatment.
Coverage includes intensive outpatient programs (IOP), partial hospitalization (PHP), individual therapy, group counseling, and family therapy. Aetna's behavioral health network includes thousands of providers specializing in addiction treatment.
Aetna covers integrated treatment for co-occurring mental health and substance use disorders. This includes comprehensive assessments, coordinated treatment planning, and simultaneous treatment of both conditions, which research shows leads to better outcomes.
Aetna offers several pathways to access addiction treatment, with dedicated behavioral health support to guide you through the process.
Call the behavioral health number on your Aetna member ID card to speak with a representative who specializes in substance abuse treatment. They can help you understand your benefits, find in-network providers, and initiate pre-authorization.
Search Aetna's online provider directory for behavioral health facilities, or use our treatment center search to find Aetna-accepting rehab centers. In-network facilities will have lower out-of-pocket costs.
If Aetna denies coverage for treatment, you have the right to appeal. Your treatment provider can submit additional clinical documentation supporting medical necessity. Aetna must respond to urgent appeals within 72 hours.
Aetna offers multiple ways to verify your substance abuse treatment benefits before admission.
Log into your Aetna member portal to review your plan details, or call member services. Treatment facilities can also call Aetna's provider line to verify your benefits and obtain pre-authorization in a single call.