Aetna Illinois Insurance Coverage for Drug and Alcohol Rehab Treatment

When you think of Illinois, the first thing that probably comes to mind is Chicago. Illinois is home to the country’s 3rd largest city, but it’s also known for several cultural icons, landmarks, historic sites, and museums. Illinois is the beginning point of the world-famous highway Route 66. It’s also the largest producer of corn and pumpkins in the nation and home to the first-ever McDonald’s. With a population of about 12,600,000, this Midwestern state is the 25th largest in the US.¹

Like many states, Illinois is dealing with public health issues related to substance abuse. From 2013 to 2017, opioid-related deaths more than doubled due to a tenfold increase in deaths from synthetic opioids, particularly fentanyl.^{2 abstract} In 2020, 3,549 Illinois residents died from drug overdoses.^{3 Illinois} The state of Illinois is doing its part to address the opioid crisis. In 2022, the Illinois Department of Health implemented a plan to reduce opioid-related deaths with targeted prevention, treatment, and response strategies.⁴

If you or a loved one are struggling with substance use disorder, there are ways to get help. Many options for substance use disorder treatment are available to Illinois residents. Whether or not you have insurance, there are many ways to finance treatment. If you have Aetna Better Health of Illinois insurance, some, if not all, of the cost for addiction treatment services could be covered. Even if you don’t have insurance, various grants, scholarships, and other financial aid are available.

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

Aetna Better Health of Illinois is dedicated to providing top-quality healthcare services to its members. Your coverage for inpatient alcohol and drug rehab centers will vary based on different factors in your specific plan. Depending on your benefits, some, if not all, of the cost for different addiction treatment services like medical detox, inpatient rehab, outpatient services, behavioral therapies, and addiction aftercare could be covered.

There are a few ways to find out what your Aetna Better Health of Illinois insurance covers. You can reach out directly to different rehab centers and have them check your coverage based on the information you provide. You can also call the number on the back of your insurance card for more information on your plan. American Addiction Centers (AAC) can verify your insurance for you. Chat with us online, call our helpline, or fill out the SSVOB form below for more information on what your plan covers.

What is Aetna Better Health of Illinois?

Aetna has been serving members nationwide since 1853.⁵ The Aetna Better Health of Illinois Premium Plan MMAI is an all-in-one insurance plan for Medicare and Medicaid members. This plan helps Illinois residents get the most out of their benefits by educating members and providing the best care through a collaborative approach.⁶

Aetna Better Health of Illinois covers a portion of the costs of multiple substance abuse treatment services, such as assessments, medicine, opiate dependence medication, detoxification, intensive outpatient rehabilitation programs, and partial hospitalization rehabilitation programs.⁷ Hundreds of in-network rehab centers are available in Illinois.

What Substance Addiction Does Aetna IL Rehab Treatment Centers Cover?

Aetna Better Health of Illinois covers rehab treatment, no matter what substance you’re addicted to. Many types of addiction treatment services are available through Aetna Better Health of Illinois for common substances of abuse, such as:

• Alcohol.
• Cocaine.
• Heroin.
• Crystal meth.
• Opioids.
• Marijuana.
• Prescription drugs.

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

The amount of coverage you receive through your Aetna Better Health of Illinois insurance will depend on different factors, like the type of treatment you choose, the duration of your treatment, and your specific insurance plan. A wide array of addiction treatment options are available, including: ^{8 p.32-37}

• Inpatient or residential rehab programs: Inpatient programs are helpful, safe spaces where you live while in treatment. Many people who struggle with severe addictions attend inpatient or residential rehab. Programs vary in length, with most lasting between 30 and 90 days. Some longer programs are also available. Inpatient programs allow you to take time for recovery and often include one-on-one counseling and peer support groups. You’ll be able to build new coping skills to help support your long-term sobriety.
• Outpatient rehab or therapy: People with mild to moderate substance use disorder often choose outpatient programs as a first start. Most outpatient programs include similar treatments to inpatient rehab, like therapy in individual and group settings, peer support groups, and counseling focused on building skills to prevent relapse. With outpatient programs, you can continue living at home and tending to commitments like work or family while seeking treatment.
• Intensive outpatient programs (IOP): IOPs are more rigid outpatient programs that require you to attend a certain number of times weekly.
• Partial hospitalization programs (PHP): Sometimes called day treatment programs, PHPs are facilities that require you to attend treatment for multiple hours weekly while living at home.

Your Aetna Better Health of Illinois insurance plan will cover at least a portion, if not all, of costs related to these services.

Does Aetna Better Health of Illinois Insurance Cover Mental Health Care Treatment Facilities?

Yes, Aetna Better Health of Illinois insurance covers mental health care. Under the Affordable Care Act (ACA) insurance providers are required to offer coverage for behavioral and mental health treatment, which are both essential health benefits.⁹ This means that treatment for co-occurring disorders and heroin rehab will always be covered under your Aetna Better Health of Illinois plan.

Mental health care is often essential to treat substance use disorders, especially when someone suffers from a mental health illness at the same time.^{10 What should I do?} Many people struggle with mental health disorders, such as bipolar disorder, depression, anxiety, attention-deficit/hyperactivity disorder (ADHD), and post-traumatic stress disorder (PTSD), along with substance use disorder.^{10 intro} Almost half of the 21 million people facing addiction suffer from a co-occurring disorder or “dual diagnosis.” ^{10 intro}

It is not clear how co-occurring disorders manifest, but mental health professionals agree they should be treated in tandem.^{10 Does one cause the other?} Co-occurring disorders are thought to develop in 2 different ways. ^{10 Does one cause the other?} Some people develop a mental health illness from excessive long-term alcohol or drug use.^{10 Does one cause the other?} Co-occurring disorders can also develop from trying to relieve the symptoms of mental illness with drugs or alcohol, leading to addiction over time.^{10 Does one cause the other?} Treating both issues at the same time ensures that each is addressed appropriately and encourages long-term recovery.^{10 What should I do?}

How Long Does Aetna Better Health of Illinois Insurance Cover Inpatient Alcohol and Drug Rehab program?

Everyone is different, and the appropriate duration of treatment will depend on your unique needs and the severity of your addiction.^{8 p. 5 #5} Mental health professionals agree that remaining in treatment for an adequate amount of time is essential to successful recovery.^{8 p. 5 #5} Recovery from addiction is a long-term process that often requires many episodes of treatment.^{8 p. 5 #5} Research shows that most people who struggle with addiction need at least 3 months of treatment for significant results, but longer treatment times yield the best outcomes.^{8 p. 5 #5}

The duration of your treatment will affect your Aetna Better Health of Illinois coverage. Depending on how long you remain in treatment, your costs for rehab will increase. Like most insurance companies, Aetna Better Health of Illinois limits the number of expenses they cover for different services. Because there are many different types of policies and tiers of coverage, the length of time covered will depend on your specific plan.

If you want to know how long your Aetna Better Health of Illinois plan will cover inpatient alcohol and drug rehab programs, call the number on the back of your insurance card or reach out directly to the rehab you’re interested in. AAC can also assist you with verifying your insurance by phone or online.

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

There’s the possibility that the best program for you won’t be covered under your Aetna Better Health of Illinois policy. In this case, don’t be discouraged. There are still many options for financial assistance to fund your journey to recovery. Many grants, scholarships, and other financial aid are available through federal, state, and local organizations. You can receive coverage for some, if not all, of the cost of rehab through the following:

• State-funded rehabs and local assistance: Many state and local organizations provide scholarships to partially or fully cover the costs of addiction treatment services like medical detox, inpatient rehab, outpatient rehab, and behavioral therapy.
• The Affordable Care Act (ACA): People with low or no income can receive assistance from the ACA to cover addiction treatment services.⁹
• Government-funded programs: At-risk and high-risk populations can receive block grants through the Substance Abuse and Mental Health Services Administration (SAMHSA) for financial assistance. Anyone struggling with addiction, especially mothers, expecting mothers, and IV drug users, is encouraged to apply to receive partial or complete coverage for substance abuse treatment.^{11 What is a Block Grant?}
• S. Department of Veterans Affairs (VA): Veterans struggling with addiction or mental health issues can receive financial aid through the VA. Depending on eligibility, a wide array of services, like medical detox, outpatient therapy, medication-assisted treatment (MAT), and mental health treatment are covered.^{12 What services does VA provide for Veterans with substance use problems?}
• Loans and financing: Banks and lenders who specialize in funding substance use treatment offer loans for financial assistance. You can also take out a private loan if you know someone who can fund your recovery.

Seeking treatment for your addiction as soon as possible is vital to your recovery. It shouldn’t be pushed off for another day. Find out more ways to pay for treatment and start your journey to recovery.

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

The best way to ensure that at least some of the cost of your treatment will be covered is by choosing a drug rehab center that’s in your Aetna Better Health of Illinois network. In-network providers are doctors, specialists, hospitals, and facilities contracted through Aetna Better Health of Illinois. When you select a provider in your network, you may still have to pay deductibles and co-pays. But if you choose an out-of-network provider, you’ll likely have to pay all costs on your own.

To find out if a provider is in your network, reach out directly to the rehab you’re interested in, call the number on the back of your insurance card, or contact AAC for assistance.

How to find Aetna Better Health of Illinois covered Inpatient drug treatment centers in IL?

AAC can help you find the best inpatient drug treatment centers covered under Aetna Better Health of Illinois. Contact our helpline to speak directly with one of our agents who can assist you with checking your benefits right while you’re on the phone. You can also reach out to us through online chat for assistance. Every year, hundreds of people receive treatment for substance use disorder financed through Aetna Better Health of Illinois.

AAC provides access to some of the top addiction treatment facilities in the nation. All of our facilities offer high-quality, evidence-based treatments from well-renowned mental health professionals. Sunrise House Treatment Center is our closest treatment facility to Illinois. Located in Lafayette, New Jersey, this facility provides the perfect atmosphere for recovery in a peaceful environment surrounded by mountains and nature. Sunrise House Treatment Center offers a wide array of substance use treatment services like medical detox, inpatient rehab, IOPs, and cognitive-behavioral therapy. They understand that everyone is unique and focus on individualized treatment plans.

If you or a loved one is struggling with addiction and ready to seek help, AAC is here for you. Reach out to learn more about your Aetna Better Health of Illinois plan and other ways to pay for treatment.

What Rehab Centers Take Aetna Insurance?

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have an Aetna insurance plan, the following AAC facilities accept Aetna for drug and alcohol addiction rehab.

• AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment. Its integrated system of care offers an inpatient treatment center in North Kingstown and a network of outpatient offices throughout Rhode Island. AdCare’s continuum of care includes detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, inpatient and outpatient services, and tele-health.
• Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health, all in a luxurious setting with high-end amenities.
• Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and tele-health, all with individualized treatment programs.
• Recovery First Treatment Center: Located in Hollywood, Florida, Recovery First treats substance use disorders by combining evidence-based therapeutic modalities with top-level care. Recovery First provides a personalized continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health.
• River Oaks Treatment Center: Located in Riverview, Florida, River Oaks treats substance use disorders through combining evidence-based therapies with world-class amenities. Provided care includes detox, residential treatment, behavioral disorder treatment, dual-diagnosis treatment, outpatient services, and tele-health, all with individualized treatment programs.
• Sunrise House Treatment Center: Located in Lafayette Township, New Jersey, Sunrise House provides treatment for people suffering from substance abuse from a medical and holistic standpoint. With various evidence-based therapeutic interventions, personalized care is provided through detox, residential treatment, dual-diagnosis treatment, and outpatient services.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Aetna insurance.