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How Aetna Can Help You with Substance Use Disorder

Medically Reviewed By:

Dr. Vahid Osmanm, M.D.

Board-Certified Psychiatrist and Addictionologist
Clinically Reviewed By:

Josh Sprung, L.C.S.W.

Board Certified Clinical Social Worker

Your Insurance May Cover The Cost Of Detox and Rehab

Complete a free, confidential Verification of Benefits to learn more about what resources may be available to you.

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Aetna is one of the largest insurance providers in the country, with an estimated 36 million members nationwide. Aetna, a CVS Health® company, has made a name for itself as one of the most reliable insurance providers with coverage for healthcare basics and specialties.

At Tulip Hill Healthcare, we’re proud to partner with Aetna to help people reduce their financial burden and confidentially enroll in mental health, drug and alcohol treatment. We believe everyone deserves access to effective addiction treatment in TN and KY, which is what our accomplished staff at our multiple care centers offer.

Will Aetna Insurance Cover Addiction Rehab?

Aetna is one of many insurance providers with addiction coverage, including detox and outpatient services. According to Aetna, they do provide coverage for several addiction treatments, including opioid medication like Naloxone and Buprenorphine, through Medicaid and employer-based insurance.

The Affordable Care Act also requires all major insurance providers to cover mental health and substance abuse treatment, making it easier for individuals with Aetna insurance to receive the necessary care.

Additionally, Aetna offers a mental health provider and resources directory on their website, allowing members to easily find healthcare providers who specialize in addiction treatment. This directory includes therapists, counselors, psychiatrists, and other specialists who can provide comprehensive care for those struggling with addiction.

In addition to coverage for traditional treatments like therapy and medication-assisted treatment, Aetna also covers alternative therapies such as acupuncture and yoga. These holistic approaches can be beneficial in conjunction with regular addiction treatment.

In short, yes, Aetna does cover addiction treatment. If you or a loved one is struggling with addiction, it’s important to seek help and know that there are resources available. Contact Aetna or check your insurance plan to see what specific coverage options are available for addiction treatment. Tulip Hill Healthcare is here to help you navigate the process and find the best treatment options for your specific needs and treatment goals. 

Why Aetna Insurance Can Be a Key to Your Recovery

When you choose treatment at a Tulip Hill Healthcare facility, having Aetna insurance is a major advantage. Aetna is one of the leading healthcare providers in the United States, offering a wide range of coverage options for addiction treatment services. Aetna’s insurance plans make it easier for individuals to access the care they need without financial barriers.

Comprehensive Behavioral Health Coverage

Aetna’s insurance policies offer broad coverage for behavioral health services, including those for substance use disorder. This includes access to inpatient rehabilitation, outpatient therapy, detoxification, and medically-assisted treatment (MAT). Aetna’s commitment to behavioral health means that you can get the treatment you need without worrying about coverage gaps.

Personalized Treatment

One of the key benefits of having Aetna insurance is their focus on personalized care. Aetna’s 360 Behavioral Health program helps to ensure that members receive a treatment plan tailored to their unique needs. The program involves case management, where an Aetna Care Advocate works directly with you to create a plan that fits your individual goals, preferences, and challenges.

This personalized approach not only increases the chances of successful treatment outcomes, but also ensures that every client is supported throughout their journey toward recovery. At Tulip Hill Healthcare, we work with Aetna’s case management system to guarantee a seamless experience for our clients, ensuring that every need is met at every stage of the recovery process.

Network of Trusted Providers

Aetna provides a large network of in-network treatment providers, making it easier for you to access high-quality care without having to worry about exorbitant out-of-pocket costs. Because each detox and rehab facility in the Tulip Hill Healthcare family is an in-network provider with Aetna, our clients can receive top-tier treatment services while minimizing their financial burden.

Is Rehab Worth the Cost?

The cost of drug and alcohol rehab can vary greatly depending on the type of program, length of stay, and location. It’s important to weigh the potential benefits against the financial investment when considering if rehab is worth it. While it may seem expensive upfront, the long-term benefits of recovery are priceless.

In addition to breaking free from addiction and improving overall physical and mental health, completing a rehab program can also lead to financial stability. Substance abuse often leads to job loss or difficulty maintaining employment, so investing in treatment now could potentially save money in the long run.

How Can I Go to Drug and Alcohol Rehab Without Insurance?

Even if you don’t have Aetna Insurance Coverage for Drug and Alcohol Rehab, don’t worry. There are still many ways you can get substance abuse treatment without insurance in TN and KY. 

Medicaid

Medicaid, known as TennCare Medicaid in the Volunteer State, provides affordable or free health coverage to low-income families and individuals, including those in need of drug and alcohol rehab. If you meet the eligibility requirements, you can receive comprehensive substance abuse treatment services through TennCare Medicaid.

Medicare

For those over the age of 65 or with a disability, consider applying for Medicare. Medicare is a federal health insurance program that offers coverage for certain medical expenses, such as hospital stays, doctor visits, prescription drugs and more. It is divided into four parts: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage plans) and Part D (prescription drug coverage).

Medicare can also provide coverage for substance abuse treatment services, including detoxification, counseling and inpatient rehabilitation. However, it’s important to note that there may be limitations and restrictions on the type and length of treatment covered by Medicare.

State-Funded Programs

Another option for those without insurance is state-funded drug and alcohol rehab programs. These programs are typically run by the state’s department of mental health or addiction services and offer affordable or no-cost treatment options for low-income individuals. However, keep in mind that there may be long waiting lists for these programs.

Sliding Scale Payment Plans

Many drug and alcohol rehab facilities offer sliding-scale payment plans, where the cost of treatment is based on your income level. Talk with an admissions team member at the rehab facility to see if this option is available and to determine if you qualify.

Scholarships or Grants

Some drug and alcohol rehab programs may offer scholarships or grants for individuals who cannot afford treatment. These opportunities are often based on financial need, but some may also consider other factors such as individual circumstances or merit. It’s worth researching different programs to see if they offer any type of assistance like this.

Drug and Alcohol Rehab Services Covered by Aetna

Comprehensive Detox

3 to 10 Days

The recovery process often begins with detoxification, which is a process designed to help your body rid itself of harmful substances. This is a vital first step, because your mind cannot receive the lessons of recovery until free from the compulsion to drink and use. 

At Tulip Hill Healthcare, we offer safe, effective detox programs tailored to your needs:

  • Medically-supervised detox offers 24-hour, around-the-clock clinical supervision by a team of doctors, nurses, and addiction specialists. If appropriate, medications can be administered to alleviate withdrawal symptoms.
  • Nonmedical detox utilizes both counseling and adopting lifestyle changes as preparation for an ongoing treatment program.

Residential Drug and Alcohol Treatment

30 Days
Best for someone who:
  • Is battling a moderate-to-severe addiction
  • Has a long history of drug or alcohol abuse
  • Is unable to quit on their own, even after several attempts
  • Has failed to complete a previous treatment program
  • Has relapsed multiple times
  • Has ever overdosed
  • Is a danger to themself or others
  • Does not have a stable, supportive, and sober home life

During residential drug/alcohol treatment, you receive services in a live-in setting, away from the challenges and temptations that could hinder your recovery. Services include counseling, medication management, group therapy, holistic care, life skills training, and 24/7 medical supervision.

After establishing a firm foundation upon which to build a sober, healthier, and happier life, most people who complete treatment at a residential facility continue their recovery journey by enrolling in an appropriate outpatient rehab program.

Once you successfully detox, you may transition to an outpatient program where you continue to receive therapy while living at home and maintaining your daily responsibilities. 

At Tulip Hill Healthcare, we offer several levels of outpatient recovery, including Partial Hospitalization Program(PHP), Intensive Outpatient Programs (IOP), and Outpatient Rehab (OP). These programs are designed for anyone who needs continued support as they reintegrate into their daily lives. This gives you flexible treatment options that fit into your work, school, and family life.

  • Does Aetna Insurance Cover Detox at Tulip Hill Healthcare?

    Yes, Aetna covers alcohol and drug detox. These Tulip Hill Healthcare facilities are in-network detox providers covered by Aetna:

    If you are ready to break free from a dependence on drugs or alcohol, Tulip Hill Healthcare has the Aetna-approved detox program you need. CONTACT US TODAY to start your sober journey.

  • Does Aetna Insurance Cover Residential Drug and Alcohol Treatment at Tulip Hill Healthcare?

    Once you successfully detox, you may transition to an outpatient program where you continue to receive therapy while living at home and maintaining your daily responsibilities. 

    At Tulip Hill Healthcare, we offer several levels of outpatient recovery, including Partial Hospitalization Program(PHP), Intensive Outpatient Programs (IOP), and Outpatient Rehab (OP). These programs are designed for anyone who needs continued support as they reintegrate into their daily lives. This gives you flexible treatment options that fit into your work, school, and family life.

Outpatient Treatment Options

Partial Hospitalization Program (PHP)

30 Days

Best for: Individuals finishing inpatient rehab or who need a high level of structured support without needing round-the-clock monitoring.

  • 5–7 weekly sessions, 6–8 hours per session
  • Intensive individual counseling and peer group therapy
  • Medication support
  • Mental health treatment

At Tulip Hill Healthcare, we’re proud to offer different Partial Hospitalization Programs (PHPs) that are covered by Aetna insurance. PHP is an intermediate level of care between inpatient and outpatient treatment. It offers comprehensive, structured therapy and support for individuals who may not require 24-hour monitoring but still need intensive treatment.

In this program, clients attend daily therapy sessions and participate in various activities designed to promote healing and recovery. They have access to medical staff, psychiatrists, and therapists as needed for ongoing support.

Partial Hospitalization Programs are often recommended for those transitioning from inpatient treatment or for individuals struggling with severe addiction that require a higher level of care than traditional outpatient services can provide. PHP programs can last for 8 hours 5-7 days a week. At Tulip Hill Healthcare, our PHP drug rehab programs typically run 5 to 6 days per week and offers 30+ hours of therapy. 

Intensive Outpatient Program (IOP)

1 to 2 Months

Best for: Anyone who still needs significant support during early recovery, but who also needs flexible drug rehab options. This is a step down from partial hospitalization – it offers the same services, treatments, and therapies, but there are fewer weekly sessions. 

IOP makes it much easier for you to go to work, attend school, spend time with your loved one, and fulfill other obligations

  • 3 to 5 days per week, 3 hours per session
  • Next step for anyone completing PHP
  • Focuses on coping skills, relapse prevention and response, and post-treatment aftercare planning

A step down from PHP, Intensive Outpatient Programs (IOPs) are recommended for individuals who have completed residential treatment or require a more structured level of care than traditional outpatient services. 

At Tulip Hill Healthcare, our IOPs in TN and KY offers a comprehensive approach to continued recovery with group and individual therapy sessions as well as life skills training. Our experienced staff works closely with each client to create an individualized treatment plan that addresses both mental health and addiction disorders.

Intensive outpatient treatment programs provide the opportunity for individuals to continue addiction treatment for less time than PHP but more time than regular outpatient treatment. Highly flexible, IOP has also been shown to be just as effective as inpatient treatment for some people. That’s why it’s one of many services included in Aetna insurance coverage for drug and alcohol rehab.

Outpatient Drug and Alcohol Rehab Ongoing as Needed

Outpatient treatment, on the other hand, involves visiting a treatment center for therapy and counseling sessions while continuing to live at home. This type of treatment can be beneficial for clients who have completed inpatient rehab or those with less severe addiction issues.

Aetna may cover outpatient treatment as part of their mental health services coverage. That’s because outpatient treatment is an essential component of aftercare during addiction recovery. Clients can still access resources at outpatient treatment such as:

  • Individual therapy
  • Group counseling sessions
  • Support groups
  • Life skills workshops
  • Relapse prevention

Additionally, Aetna Insurance Coverage for Drug and Alcohol Rehab may also cover outpatient medication-assisted treatment (MAT) for addiction. MAT combines medications with behavioral therapy to treat substance use disorders. This type of treatment can be highly effective in managing ongoing cravings. Whether you’re looking for flexibility, continued support, or access to medication-assisted treatment, outpatient treatment may be the right choice for you.


Dual Diagnosis Treatment

Dual-diagnosis treatment is an essential component of addiction treatment and recovery. Unfortunately, not all addiction treatment facilities offer dual-diagnosis treatment, which is why it’s important to seek out a facility that specializes in treating co-occurring disorders.

Dual diagnosis refers to the presence of both a substance use disorder and a mental health disorder. These two conditions often go hand in hand and can greatly impact an individual’s overall well-being and recovery journey. Some common mental health disorders that co-occur with substance use disorders include:

  • Depression
  • Anxiety
  • Bipolar disorder
  • Post-traumatic stress disorder (PTSD)

Treating both the addiction and the underlying mental health issue is crucial for long-term recovery. Without addressing both issues simultaneously, there is a higher risk of relapse or ongoing struggles with mental health symptoms.


Medication-Assisted Treatment (MAT)

Mental health experts call the combination of anti-addiction medications and psychotherapy the “gold standard” of substance abuse treatment. This strategy is particularly effective because these medications ease drug cravings that lead to relapse. In some cases, they block the effects of drugs of abuse entirely.

Now that the person is no longer overwhelmed by irresistible drug cravings, they are more able to abstain from use, and they can focus on acquiring and applying the skills needed for successful recovery.

According to the Substance Abuse and Mental Health Services Administration, MAT has multiple benefits:

  • Improved patient survival
  • Increased retention in treatment
  • Decreased illicit opiate use and criminal activity among people with SUD
  • Increases patients’ ability to find and keep a job
  • Improved birth outcomes among pregnant women with SUD

Tulip Hill Healthcare uses MAT at all our facilities because the science tells us that it gives you the best chance to regain and maintain your long-term sobriety.

  • Does Aetna Cover Medication-Assisted Treatment at Tulip Hill Healthcare?

    Yes, Aetna covers Medication-Assisted Treatment at Tulip Hill Healthcare, meaning you can get the medication and the therapy you need to successfully recover.

    These facilities provide in-network MAT covered by Aetna:

    REACH OUT TODAY to find out more about how Aetna-approved Medication-Assisted Treatment at Tulip Hill Healthcare gives you the support you need to regain both your sobriety and your stability.

What We Treat at Tulip Hill Healthcare

Tulip Hill Healthcare is committed to high-quality addiction treatment in the south, with addiction and mental health treatment in KY and TN. We think everyone, no matter where they come from, deserves a chance at a sober life. That’s why we offer comprehensive treatment for substance abuse and co-occurring mental health disorders.

Our services include treatment for:

  • Alcohol Addiction
  • Drug Addiction
  • Stimulant use disorders like Cocaine Addiction and Meth Addiction
  • Opioid addiction including Fentanyl Addiction and Heroin Addiction
  • Prescription Drug Addiction
  • Mental Health Disorders
  • Dual Diagnosis Treatment
  • Trauma + PTSD

Fortunately, Aetna insurance coverage for drug and alcohol rehab may help cover the cost of these comprehensive treatment plans. The more access you have to quality care, the more likely you are to achieve lasting recovery. With Aetna insurance coverage for drug and alcohol rehab, you can receive treatment at Tulip Hill Healthcare and experience personalized care that is tailored to your unique needs.

Maximizing Your Chances for Long-Term Recovery with Aetna and Tulip Hill Healthcare

Achieving lasting recovery from SUD requires more than just medical treatment – it involves ongoing support, counseling, and lifestyle changes. With Aetna insurance covering a wide range of services, Tulip Hill Healthcare offers everything you need to build a strong foundation for long-term sobriety.

Holistic and Therapeutic Support

In addition to traditional therapies like individual counseling and group therapy, Tulip Hill Healthcare incorporates a range of holistic therapies designed to address the mind, body, and spirit. These include mindfulness practices, nutrition counseling, art therapy, and more. These holistic methods, combined with traditional approaches, help to support overall healing and well-being.

Aetna’s coverage for behavioral health services includes not only medical treatments but also access to these essential therapeutic practices that can provide long-term healing and stability.

  • What Recovery Therapies Does Aetna Cover at Tulip Hill Healthcare?

    Aetna generally covers evidence-based therapies related to recovery from SUD or mental health, as long as they are medically necessary. This includes:

    When it comes to holistic therapies such as yoga, acupuncture, nutritional guidance, art therapy, equine therapy, etc. Aetna may cover some of these services on a case-by-case basis.

    Check with your Aetna care coordinator or the Tulip Hill Healthcare to verify what your policy covers.

Ongoing Aftercare and Alumni Support

Recovery does not end when you leave the treatment facility. At Tulip Hill Healthcare, we understand that maintaining sobriety after treatment can be challenging. That’s why we offer comprehensive aftercare services, including case management, therapy sessions, and alumni programs that connect you with ongoing support from peers and counselors who understand the challenges of staying sober.

Aetna’s coverage for aftercare services ensures that you have access to the resources you need to maintain your recovery. Whether it’s continuing therapy or participating in recovery support groups, you’ll have the support you need to stay sober and build a fulfilling life.

Take the First Step Toward Recovery Today

If you or a loved one is struggling with addiction, help is available. Aetna insurance can help make the recovery process more affordable and accessible, and Tulip Hill Healthcare is here to guide you every step of the way. To learn more about how Aetna can help you access addiction treatment at any Tulip Hill Healthcare facility in Kentucky or Tennessee, please reach out to us today. Disclaimer: Insurance coverage varies based on individual plans. Please verify your benefits with Aetna directly or contact our admissions team for assistance.

Frequently Asked Questions (FAQs)

Does Aetna cover addiction treatment at Tulip Hill Healthcare?

Yes, Aetna insurance covers a wide range of addiction treatment services at Tulip Hill Healthcare, including:

  • Detoxification
  • Residential Treatment
  • Partial Hospitalization Programs (PHP)
  • Intensive Outpatient Programs (IOP)
  • Outpatient Therapy
  • Dual Diagnosis Treatment
  • Medication-Assisted Treatment
  • Holistic Therapies
  • Aftercare Services

Your specific coverage details will depend on your plan, but Aetna works with trusted providers, like Tulip Hill Hea, to offer comprehensive care.

How do I know if my Aetna plan covers treatment at Tulip Hill Healthcare?

To verify your coverage, you can:

  1. Call the number on your Aetna member ID card: The customer service representative will be able to confirm the details of your plan’s addiction treatment coverage.
  2. Visit the Aetna website: Log in to your member portal at aetna.com to view the specifics of your benefits and check if Tulip Hill Healthcare is listed as an in-network provider.
  3. Contact our admissions team: At Tulip Hill Healthcare, our admissions team can assist in verifying your insurance and explaining the coverage you have with Aetna. We’ll work with you to navigate the process and make it easier to access care.
How can I find out if I need pre-authorization from Aetna for my treatment at Tulip Hill Healthcare?

Pre-authorization may be required for certain services under your Aetna plan. To check whether you need pre-authorization:

  • Contact Aetna directly: Use the customer service number on the back of your Aetna insurance card to inquire about pre-authorization requirements for addiction treatment.

Consult with our admissions team: At Tulip Hill Healthcare, we can help you understand the pre-authorization process and work directly with Aetna to ensure your treatment is approved.

Will I need to pay anything out-of-pocket for treatment?

The cost of treatment at Tulip Hill Healthcare will depend on your Aetna insurance plan. Some plans may require copays, deductibles, or out-of-pocket expenses. However, Aetna’s behavioral health coverage can significantly reduce the overall cost of treatment.

To get a clear picture of what you may need to pay out-of-pocket, we recommend:

  • Contacting Aetna directly to understand your copays and deductible requirements.
  • Working with our admissions team: We can help you verify your benefits and provide you with a breakdown of expected costs, so you know what to expect.
How long will my treatment at Tulip Hill Healthcare last, and will Aetna cover the full duration?

The length of treatment varies depending on your needs, but typical addiction treatment programs can range from 30 days for residential treatment to 90 days or longer for ongoing outpatient care. Aetna typically covers a range of treatment durations, but the specifics of your coverage will depend on your plan.

At Tulip Hill Healthcare, we offer a complete, but flexible continuum of care, from an initial assessment to detox to residential treatment to Partial Hospitalization Programs (PHP), to Intensive Outpatient Programs (IOP), to standard outpatient services to aftercare. 

Once we verify your benefits with Aetna, we’ll ensure that the treatment plan is designed to align with both your recovery needs and your insurance coverage.

What should I do if I have trouble accessing treatment through Aetna?

If you encounter any difficulties accessing treatment through your Aetna insurance, please reach out to our admissions team at Tulip Hill Healthcare. We are here to help guide you through the process, troubleshoot any issues, and work directly with Aetna to ensure that you receive the care you deserve. Our team will do everything we can to make your recovery journey as smooth and accessible as possible.

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