Aetna Insurance Coverage for Opiates/Opioids

Last updated on March 16th, 2021

  • Does Aetna Insurance Cover Treatment for Opiate and Opioid Addiction?
  • Types of Rehabs Aetna Will Pay For
  • Inpatient Addiction Treatment vs. Outpatient Therapy
  • Determine Your Options for Opiate Addiction Rehab with Aetna Insurance
  • Q&A

Opiate and opioid addiction can be debilitating. If you are struggling with an addiction to opiates or opioid pain medication, you may be putting your life in jeopardy. Addiction lowers the quality of life significantly, and abuse of drugs like prescription opioid painkillers can often be lethal.

According to a report from the Centers for Disease Control and Prevention, accidental overdose on opioid pain medication is on the rise with more than 10,000 deaths per year — a figure that is higher than overdoses due to heroin and cocaine combined.

Opiate and opioid addiction

Does Aetna Insurance Cover Treatment for Opiate and Opioid Addiction?

If you are living with opiate or opioid addiction, your insurance may cover part or all of the cost of treatment.

Aetna covers addiction treatment services under their behavioral health plans. If you have Aetna as an insurance provider and need assistance with overcoming an addiction to opiates or opioids, don’t hesitate to get the treatment you need.

What Kind of Coverage Does Aetna Insurance Offer for Opiate and Opioid Addiction Treatment?

Aetna covers various different types of drug addiction treatment, either partially or in full. Coverage often depends on the individual plan that you are subscribed to taking deductibles and out-of-pocket costs into account, and it does vary regionally across the United States.

Types of Rehabs Aetna Will Pay For

“Aetna covers addiction treatment services under their behavioral health plans.” There are many treatment options available for people who are addicted to opiates and opioid drugs, including inpatient and outpatient treatments and medication maintenance treatments, which a study by the National Institute on Drug Abuse has shown to be effective in reducing accidental overdose deaths.

Aetna will pay for a variety of treatment types, including intensive inpatient hospitalization, residential treatment facilities, detoxification programs, and outpatient therapy services. It also often covers medications that may be prescribed during the course of treatment.

How Much of the Cost of Rehab Is Covered by Aetna?

The costs that Aetna will cover depend on several factors: what plan you are subscribed to, what area you live in and receive treatment in, what your deductible and out-of-pocket maximum costs are, and whether or not your costs have been met.

Aetna will generally cover treatment that has been deemed medically necessary in full, such as intensive inpatient hospitalization, while other rehabilitative treatments are only partly covered. is a subsidiary of American Addiction Centers (AAC), a leading provider in opiate and opioid addiction treatment and recovery. AAC is in network with many of the top insurance providers in the U.S. including Aetna. Check to see if your Aetna insurance covers opiate or opioid addiction here.

Can I Pay Above What My Insurance Will Provide to Receive Treatment?

If your insurance doesn’t cover the full cost of the treatment you and/or your doctor have chosen, you have the option to pay for the leftover cost out of your own pocket.

Many treatment centers offer installment plans for clients who are not able to pay the entire portion of the cost of treatment at the time of services rendered. Check with the facility you are considering about their policies with regard to payment for treatment costs not covered by insurance.

Inpatient Addiction Treatment vs. Outpatient Therapy

Inpatient addiction treatment options, such as hospitalization and residential rehab, are good options for people who may require medical care during the course of their detoxification and who feel they might need close monitoring during the early stages of addiction treatment.
Outpatient therapy is an option that allows you to sleep at home in your own bed and continue on with your day-to-day living while still receiving the treatment and care you need in order to pursue a healthy, sober life.

Should I Choose a Residential Rehab Center?

residential center Residential rehab facilities are a great option for people who need to break away from their current way of living in order to get on the road to addiction recovery.

One thing that residential treatment centers can provide for you is constant contact with people who are able to understand and relate to you because they too are hoping to overcome their addictions. Residential rehab is a good choice for people who appreciate the support from both addiction specialists and their peers.

Will Aetna Pay For Local Rehab and Out-of-State Treatment?

Aetna will generally cover addiction treatment sought at a local rehab center as long as the center accepts Aetna insurance. Additionally, if you are out-of-town and need to seek treatment, Aetna may cover some or all of the costs of your rehab stay, provided that the treatment center is in the network for your plan.

Does Aetna Pay for Private or Luxury Treatment?

If you are interested in a luxury treatment facility and have Aetna insurance, there is good news: Aetna does cover stays at select private and luxury treatment facilities.

Luxury treatment centers offer amenities not unlike a country club, such as sports and games, a pool, and a spa — so that you can relax while you recover and work on getting your life back on the path to wellness.

What Does Executive Treatment Offer Over Other Rehabs?

Executive treatment is a specialized form of care that has been developed relatively recently with executives in mind. When you are in charge of running a large corporation, you may feel like you do not have the time to dedicate to a rehab stay — and this mindset has unfortunately left many people feeling like they cannot seek out the help they need.

With executive treatment centers, CEOs and managers have the flexibility they need to keep working while simultaneously getting treatment for their substance abuse issues.

What Treatment Lengths Will Aetna Pay For?

Aetna covers rehab stays and treatment programs of various lengths, including the following:

  • 28-30 Day Residential Programs
  • 60 Day Residential Programs
  • 90 Day Residential Programs

Coverage may also be offered for treatment programs of a longer length (some programs last for up to one year), depending on such factors as your insurance plan, your deductible, and the state in which you live.

What If I Have No Insurance?

If you are one of the many Americans without insurance coverage, you still can get the help you need to get free from the grasp of addiction. Many treatment centers accept credit cards, offer payment plans, and even offer scholarships or grants for people who meet certain income guidelines. Lack of insurance is no reason to lack hope for a healthier, sober tomorrow.

Verify Your Benefits at an American Addiction Centers Facility

The cost of alcohol or drug addiction treatment may appear to be an obstacle, but we are here to help. Insurance may cover all or some of your rehab.

Find out if your insurance covers long-term addiction rehabilitation.

Check Online Now

Determine Your Options for Opiate Addiction Rehab with Aetna Insurance

If you are having difficulty understanding what forms of treatment are covered and which are not, rest easy knowing that help is available. Call your insurance company to learn what your options are for opiate and opioid addiction rehab using Aetna insurance.


Find a Rehab Center Near You

Related Articles