Aetna Tennessee Insurance Coverage for Drug & Alcohol Rehab

According to the 2020 Census, the state of Tennessee is home to 6,910,840.¹ Of the total state’s population, the most populous county is Shelby, with 929,744 people living there, followed by Davidson (715,884), and Knox (478,971).²

Substance addiction is also prevalent in the state of Tennessee, similar to the rest of the country. From 2017 to 2019,6.5% (367,000) of Tennessee residents aged 12 and older cited past-year substance use disorder.^{3, pg 26} This means that if you are someone who is struggling with substance use, you are not alone. For many, seeking treatment is the first step toward recovery. In a single-day count in March 2019, 28,899 Tennesseans were enrolled in a substance use treatment program, which was an increase from 22,445 in 2015.^{3, pg 27}

Does Aetna Tennessee insurance cover Inpatient Alcohol and Drug Rehab Centers?

Because Aetna Tennessee has many different types of healthcare plans and tiers, it’s not possible to say what’s covered under every single plan. However, your Aetna Tennessee mental health coverage could extend to inpatient alcohol and drug rehab centers in TN.

The best way to find out what is covered under your plan is to verify your benefits and coverage prior to seeking care whenever possible. To do this, you can call the number on the back of your insurance card and speak with an Aetna plan representative who can explain your health benefits to you. Most rehab centers will also work with you to help you determine whether your plan is accepted at the facility and the extent of your coverage.

Finally, you can work with American Addiction Centers (AAC) for assistance in checking your benefits and coverage. You can call the confidential AAC helpline, speak over online chat, or enter your insurance information in the form below for instant benefits verification.

What is Aetna Tennessee?

Aetna is a large healthcare insurance company in the United States.⁴ Specifically, over 39 million people across all 50 states in the open healthcare model are covered by an Aetna insurance plan.⁴ Aetna sponsors plans in every single open healthcare market, including the private individual and family market, employer-sponsored plan market, the Medicare market, the Medicaid market, the Health Insurance Marketplace, as well as medical, pharmacy, and dental plans, medical management plans, and behavioral health programs.⁵

In addition to being one of the largest insurers in the country, Aetna has a lengthy history in the insurance industry. It officially sold its first insurance policy in 1853, and then 46 years later, in 1899, it sold its first health insurance solution. ^{6, “1853-1873” , “1895-1915”}

What Substance Addiction Does Aetna TN Rehab Treatment Centers Cover?

Addiction is far-reaching and doesn’t discriminate. Similarly, you can become addicted to a variety of substances. Your Aetna TN rehab coverage may provide coverage for TN rehab treatment centers that provide treatment for common substance addictions, such as:

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

How Much Does Aetna Tennessee Cover (Addiction Treatment)?

A common question among those who seek to use their health insurance to help pay for healthcare services, such as addiction treatment, is how much your plan will cover. Because there are many different plan types and tiers, there’s not a standard answer as to how much Aetna Tennessee will cover.

Despite this, it’s important to be familiar with common addiction treatment methods that may be recommended for you by your healthcare professional. Depending on your insurance, your plan may cover some or all of the costs associated with the following:

• Inpatient/residential rehab. This type of addiction treatment typically involves a patient living at the facility for the entirety of their treatment. Here, they’ll receive round-the-clock supervision and care, structure, and support while they work to overcome their addiction.^{7, Pg 8, “What types of treatment programs are available?” Para 2}
• Outpatient rehab/therapy. This type of addiction treatment is common and typically involves a patient traveling to their appointment at an outpatient facility (e.g., doctor’s office) for a therapy or counseling session and then returning home afterward. ^{8, pg 6}
• Intensive outpatient programs (IOP). This type of addiction treatment is a more structured and intense version of an outpatient program. Generally, patients in this type of treatment program usually must attend a minimum number of hours of treatment each week but are not required to stay overnight.^{8, Pg 10, Para 3}
• Partial hospitalization programs (PHP). This type of addiction treatment is a mix of inpatient and outpatient care. It typically involves patients attending treatment for 4–8 hours a day, multiple days a week, but unlike inpatient care, you’re not required to stay overnight.^{8, Pg 10, Para 1}

Does Aetna Tennessee Insurance Cover Mental Health Care Treatment Facilities?

Mental health care is an extremely important form of healthcare. The Affordable Care Act (ACA), which is a federal healthcare reform law, recognizes mental health care services as 1 of the 10 essential health benefits that almost all U.S. health insurance plans must provide coverage for.⁹ What this means for you is that your Aetna TN health plan may be federally mandated to provide some level of coverage for mental health care services you may need, such as stand-alone heroin rehab, stand-alone alcohol rehab, and co-occurring disorder treatment.

If you’re not familiar with the term, a co-occurring disorder is when someone has both a mental illness and a substance use disorder.¹⁰ It’s estimated that of the 21 million Americans living with substance use disorder, 8 million of them also have a mental illness.¹¹

Though experts don’t believe that having one directly causes the other, your likelihood of developing a mental illness if you have a substance use disorder, and vice versa, is twice as high.¹¹ Due to this interconnected nature of the conditions, tandem treatment is often recommended.¹⁰

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

The length of time that your Aetna TN insurance plan will cover treatment, including inpatient alcohol and drug rehab, will depend largely on your specific health insurance, where you seek care, the intensity of your treatment, and other factors. Because there are many different types of Aetna policies and tiers of coverage, the length of time covered by insurance will truly be unique to your specific plan. To find out what’s covered under your plan, call the number on the back of your insurance card.

Regardless of what is covered by insurance, you’ll want to listen to the advice of a mental health professional or doctor. Only they can make recommendations in regard to how long treatment should last. While every patient’s needs are different, many experts agree that treatment should last at least 90 days to improve overall outcomes.¹²

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

It is possible that your Aetna Tennessee policy may not cover inpatient drug rehab programs or other forms of addiction treatment. If this happens, you may be responsible for the costs of your care. Fortunately, many rehab centers offer payment options, which could include financing or scholarship opportunities. Be sure to ask about these options so that you can prioritize getting the treatment you need now rather than pushing it down the road.

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

The core difference between an in-network and out-of-network inpatient drug rehab center is that one center works with your insurance plan and the other does not. Knowing the difference between the two can help you keep your healthcare costs as low as possible. Under Aetna plans, a provider that is considered to be an in-network provider is one that is contracted with your plan to provide healthcare services to you at a pre-negotiated rate, which is typically less than what the provider may charge a non-member.¹³

For out-of-network providers, you may not receive any coverage or discount on services through your plan.¹³ In most cases, it’s cheaper to visit an in-network provider than an out-of-network provider.¹³

You can call the number on the back of your Aetna TN plan to find a nearby in-network facility. You can also work with rehab centers directly to find out whether they’re in your plan’s network. Finally, you can work with an AAC staff member who can help you navigate your plan’s network of providers.

How to find Aetna Tennessee covered Inpatient drug treatment centers in TN?

If you’re ready to take the next steps toward recovery, AAC is here to help. As a leader in the addiction care industry, we’re committed to helping you get the care you need and maximize your insurance benefits.

We have treatment centers across the nation, including the nearby Sunrise House Treatment Center, that work with a variety of healthcare insurers. Call our helpline today and speak to a person who can check your benefits right while you’re on the phone. Don’t delay getting care any longer, we’re here to help you get on the right path 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 an Aetna insurance plan, the following AAC facilities accept an Aetna plan 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.