Aetna Missouri Insurance Coverage for Drug & Alcohol Rehab Treatment

Aetna Missouri Insurance For Addiction Treatment Centers in MO

Yes. Aetna Missouri covers drug and alcohol rehab.
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Aetna Missouri: Rehab & Detox Centers in MO That Take Aetna Insurance

Missouri, also referred to as the Show-Me State, is home to 6,154,913 people.1 para 1, Missouri state facts sidebar The top 5 most populated cities within the state are Kansas City (486,404), St. Louis (308,174), Springfield (167,051), Independence (117,084), and Columbia (121,230).1

The Show-Me State first became a state on August 10, 1821, making it the 24th state of the United States, and has the 18th-largest state area in the country at 68,727 square miles.1 Missouri state facts sidebar Another fun fact about the state of Missouri is that the national mean center of population, which is the point at which an imaginary surface representation of the 50 states would balance if placed, is located in Hartville, Missouri.2,1The Eastern bluebird is Missouri’s state bird, the state motto is, “The welfare of the people shall be the supreme law,” and the state monument is the Gateway Arch.3, 4,5

Beyond these quick facts about Missouri, it’s also important to talk about the prevalence of substance use in the state. Among those aged 12 and older in Missouri between 2017 and 2019, 364,000, or 7.1% of the population, reported past-year substance use disorder.6, pg 27

Of the same age group, 259,000 reported past-year alcohol use disorder, and 1.5 million reported past-year tobacco use.6, pg 26, 25, 18 What these stats go to show is that if you’re struggling with addiction, you’re not alone.

Fortunately, if you have an Aetna insurance plan, you may be able to use it to cover rehab and detox centers in Missouri. Getting the treatment you need is essential to overcoming your addiction.

Does Aetna of Missouri insurance cover Inpatient Alcohol and Drug Rehab Centers?

Aetna of Missouri insurance refers to a variety of health plans that may be available in the state of Missouri. Because there are so many different plans that are available to customers of Aetna, it’s not possible to pinpoint what exactly is covered under every plan. Whether your Aetna of Missouri insurance plan covers inpatient alcohol and drug rehab centers will depend on your specific plan.

To find out what is covered under your plan, call the number on the back of your insurance card and speak with an Aetna plan representative. Most rehab centers will help you find out whether your insurance is accepted at the facility and the extent of your coverage. Alternatively, you can turn to American Addiction Centers (AAC), a leader in the addiction care industry. Our team can work with you to learn more about your health insurance coverage, including what may or may not be covered when it comes to addiction treatment. You can reach out to AAC through different channels, including calls and chats, or by entering your insurance information in the SSVOB form.

What is Aetna of Missouri?

Aetna is a multinational company that provides health insurance solutions to millions of people across the globe.7 It has been in business since 1853, when it first began selling insurance, and the health insurance business since 1899. 7, “1853-1873” and “1895-1915” Fast-forward to today, Aetna serves more than 39 million people across the United States via Aetna health insurance plans or other Aetna health products.8

Aetna provides health solutions across a myriad of markets. This means that “Aetna of Missouri” doesn’t refer to one specific plan, but rather the many different plans through Aetna that are available in the state of Missouri.8 Specifically, Aetna sells plans in the private insurance market, employer-sponsored market, Medicare, and Medicaid market.8 Additionally, Aetna also sponsors medical management plans, behavioral health programs (which are designed to help provide case management for behavioral health conditions, including substance use disorders), and pharmacy and dental plans.8

What Substance Addiction Does Aetna MO Rehab Treatment Centers Cover?

Your health plan may or may not impose restrictions on coverage for various types of substance addiction. Some common substances that can be a focus of addiction include alcohol, cocaine, heroin, crystal meth, opioid, marijuana, and prescription drugs. If you’re experiencing addiction with one or more of the aforementioned substances and are curious whether your Aetna MO mental health insurance includes coverage for such substance addictions, call the number on the back of your insurance card.

How Much Does Aetna of Missouri Cover (Addiction Treatment)?

What is exactly covered under your Aetna of MO insurance plan and the extent to which it is covered is solely dependent on your health plan. Coverage details may vary based on your deductibles, network, and summary of benefits and coverage. Regardless of what’s covered under your plan, one of the following treatment methods may be recommended to you for your course of treatments:

  • Inpatient/residential rehab: If you’re recommended to be in an inpatient or residential rehab program, you will live at a facility for the duration of your rehab stay. Here, you’ll receive round-the-clock, medically supervised care, including medical detox.9, Pg 8, “What types of treatment programs are available?” Para 2, 11, pg 8, para 1
  • Outpatient rehab/therapy: If you’re recommended to be in an outpatient rehab or therapy program, you’ll travel to a facility a few times a week, or potentially less frequently, where you’ll attend therapy or counseling. However, unlike inpatient care, you won’t stay at the facility overnight or for the duration of your care.9, Pg 10, Para 2
  • Intensive outpatient programs (IOPs): If you’re recommended to be in an IOP, you’ll generally need to attend a minimum number of hours of care every single week. Here, you’ll partake in a more structured course of treatment than a standard outpatient setting.9, Pg 10, Para 3
  • Partial hospitalization programs (PHPs): If you’re recommended to be in a PHP, which may colloquially be known as a day program, you’ll go to a treatment facility for 4–8 hours per day, multiple days a week to receive care. However, you don’t need to stay overnight in this type of program.9, Pg 10, Para 1

Please note that although these 4 treatment methods are listed here, your provider may not recommend any of them for your recovery. Similarly, it’s not guaranteed that your Aetna of MO plan will cover any or all of the costs. Verify your benefits prior to seeking care whenever possible and heed the advice of your provider when it comes to your treatment.

Does Aetna of Missouri Insurance Cover Mental Health Care Treatment Facilities?

Whether you need to attend stand-alone heroin rehab or treatment for a co-occurring disorder, you may be wondering whether Aetna of Missouri covers mental healthcare. If you’re not familiar with the name, a co-occurring disorder is a condition in which you experience a mental illness and substance use disorder at the same time.10, para 2 Although having one doesn’t directly cause the other, a mental illness can exacerbate a substance use disorder, which is why it’s recommended that you get treatment for both in tandem.10

The Affordable Care Act (ACA) mandates that almost all U.S. health plans—including those administered and issued by Aetna—provide some level of coverage for mental health and substance abuse services.11 Specifically, all mandated plans must provide coverage in some capacity for substance use disorder treatment, inpatient behavioral and mental health services, and behavioral health treatment.11 To find out what is covered under your specific plan, call the number on the back of your insurance card.

How Long Does Aetna of Missouri Insurance Cover Inpatient Alcohol and Drug Rehab program?

The length of time that your Aetna of Missouri health insurance plan covers inpatient alcohol and drug rehab program or outpatient services will depend largely upon the plan you have and where you seek treatment. The best way to find out your plan’s coverage details is to call the number on the back of your insurance card. An Aetna plan representative can walk you through all of your plan’s benefit details, particularly when it comes to your mental health and substance use disorder benefits.

Regardless of what your Aetna plan covers and how long it is covered, it’s important to seek the advice of your mental health provider. Remaining in treatment for an appropriate length of time is critical to the overall outcome of your treatment program. Experts agree that remaining in treatment for at least 90 days can help improve overall outcomes and reduce or stop drug use.12, bullet 5 However, please keep in mind that no two paths to recovery are the same. You may need to be in treatment for a shorter or longer period of time. Only you and your provider can determine what is the most appropriate course of treatment in your situation.

What if my Aetna of Missouri policy does not cover an Inpatient drug rehab program?

If your Aetna of MO health insurance policy doesn’t cover an inpatient drug rehab program, you will likely be responsible for paying the costs out of pocket. Fortunately, many rehab centers offer ways to help you pay for your treatment. For example, depending on the rehab center you choose, there may be financing or scholarship options available to help offset the cost of care. Getting the treatment you need right now is critical rather than pushing it down the road.

Aetna of Missouri In Network vs. Out of Network Inpatient Drug Rehab Centers

Knowing the difference between an in-network and out-of-network inpatient drug rehab center and other mental healthcare facilities can help you save money as a healthcare consumer. A doctor, specialist, facility, hospital, or clinic that is contracted with your Aetna health plan to provide services at pre-negotiated rates to covered members.13 In exchange for these rates, the providers receive guaranteed payment from Aetna.13 These rates for covered members attending in-network providers tend to be less than what you may pay when you visit an out-of-network providers.13

To find out whether a provider is considered an in-network provider, you can call the number on the back of your insurance card. You can also work with rehab centers directly to find out if they accept your health plan. Finally, you can call AAC’s confidential helpline to get assistance in finding covered care near you.

How to find Aetna of Missouri covered Inpatient drug treatment centers in MO?

There are a number of different ways that you can find Aetna of Missouri-covered inpatient drug treatment centers in MO. AAC makes it easy for you to find the care you need. AAC is an industry leader in addiction care, and also has a handful of top-notch quality programs and treatment facilities across the country. AAC staff can help you find out whether your insurance is accepted at any of these facilities.

They can also help you find covered care near you, even if an AAC facility isn’t within your plan’s network. Call our helpline today to speak to a person who can check your benefits right while you’re on the phone. Don’t wait any longer to get the care you need. Call us today to start your journey to recovery.

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 a Blue Cross Blue Shield insurance plan, the following AAC facilities accept Blue Cross Blue Shield 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.

Sources

  1. MO.gov. (n.d.). Learn about Missouri.
  2. United States Census Bureau. (n.d.). Centers of population.
  3. Missouri Secretary of State. (n.d.). Missouri state symbols – state bird.
  4. Missouri Secretary of State. (n.d.). Missouri state symbols – state motto.
  5. Missouri Secretary of State. (n.d.). Missouri state symbols – state monument.
  6. Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer: Missouri, volume 6: Indicators as measured through the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
  7. Aetna. (n.d.). Our history.
  8. Aetna. (n.d.). Aetna facts.
  9. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment? (Original work published 2004).
  10. Substance Abuse and Mental Health Services Administration. (2020, April 30). Mental health and substance use disorders.
  11. HealthCare.gov. (n.d.). Mental health & substance abuse coverage.
  12. National Institute on Drug Abuse. (2018 January). Principles of drug addiction treatment: A research-based guide (third edition), principles of effective treatment.
  13. Aetna. (n.d.). Network and out-of-network care.
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