Harmony Health Group Accepts Aetna Insurance
Substance use disorders occur in varying severities, which determines the level of programming that would best fit individual needs. Those experiencing moderate to severe substance use disorders often benefit from residential rehab programs, proving comprehensive and structured care in a supportive and substance-free environment. These programs can vary in length, and incorporate medication-assisted treatment and dual diagnosis treatment.
What is Residential Inpatient Substance Misuse and Mental Health Treatment Near Me?
Residential treatment facilities can provide treatment for mental health concerns, addictions, and dual diagnoses. With each of these options, individuals experience personalized treatment tailored to address their unique mental health needs. Inpatient rehabilitation programs offer intensive rehabilitation services through the use of various treatment methods including individual and group therapy, support groups, recreational activities, and educational sessions.
Substance abuse rehabilitation programs focus on helping individuals understand the physical components of addiction and recovery so that they can have a thorough understanding of how their addiction affected their body. This knowledge can also help you recognize the role that physical and psychological symptoms have in recovery, and how to effectively cope and manage triggers and stressors. With an in-depth understanding of addiction and recovery, you will be equipped with the tools you need to navigate your recovery. Mental health inpatient treatment programs assist individuals experiencing severe mental health concerns, including crises. Our treatment programs are designed to provide specialized support for your current mental health concerns, and can use similar treatment methods as addiction treatments. Mental health treatment programs can also provide psychiatric care services and co-occurring treatment for individuals who would benefit from enhanced treatment efforts.
What is Health Insurance Coverage for Addiction Treatment and Mental Health Treatment?
Insurance coverage for inpatient treatment programs can reduce the out-of-pocket costs for policyholders, making it possible to receive necessary treatment, without the financial burden that the full cost of treatment programs could have. If you would like to learn more about the coverage associated with your policy, we encourage you to complete our online insurance verification form.
Check Your Aetna Mental Health & Addiction Treatment Coverage Levels with Harmony Health Group
You can check your insurance coverage levels by calling us on: (866) 461-4474
Does Health Insurance Cover Inpatient Substance Misuse and Mental Health Therapy Programs?
Yes! Since the Affordable Care Act was enacted in 2010, all insurance providers have been required to provide some level of coverage for essential behavioral health services, including inpatient treatment services, psychodynamic therapy, and substance use disorder treatment programs. The details of your insurance plan may affect the out-of-pocket costs you accrue.
United States Statistics on Addictions and Inpatient Treatment
The National Center for Drug Abuse Statistics indicates that over 28 million Americans are experiencing an alcohol use disorder, and that a quarter of those using drugs have a use disorder, one quarter of which have an opioid use disorder. Commonly used substances by adults in the U.S. include marijuana, opioids, prescription pain medications, prescription sedatives, cocaine, prescription stimulants, methamphetamine, LSD, and heroin.
The average cost of rehabilitation services can range from $12,000 to $60,000, based on personal characteristics. As an example, someone who is experiencing an additional mental health concern may require dual diagnosis care, with typically extends the length of traditional treatment programs. The 2020 National Survey of Substance Abuse Treatment Services
indicated that residential treatment programs typically represent 5% to 9% of clients who receive any form of addiction treatment programs. An addition trend observed was that there was an increase in the number of clients receiving treatment solely for a drug addiction. During the 2020 year, the clients were more likely to have a treatment period of longer than 30 days, followed by short term residential treatment, and detoxification, respectively.
Who is Aetna as a Health Insurance Provider?
Aetna health insurance provider is one of the most common in the United States, which was originally founded in Hartford, Connecticut, in 1853. Originally, Aetna provided life insurance coverage until later expansions. Millions of Americans trust Aetna with their health coverage, which speaks volumes to its reputation for ease of services, and focus on promoting overall health and wellness for members.
In 2018, Aetna joined the CVS Health Corporation which combined Aetna top-tier products, with the leading services available with CVS Health including pharmacy, health, and prescription drug benefits. Aetna’s outstanding reputation for innovative insurance plans, and initiatives focusing on community health has been recognized by the Fortune 500, Fortune’s “World’s Most Admired Companies”.
Some Aetna Health Insurance Brands, Products & Services
What Does Aetna Health Insurance Cover for Inpatient & Residential Treatment?
Residential treatment and detox inpatient facilities that address substance use and mental health disorders provide 24/7 care for those who are residing at the facility, including intensive therapy, medication management, and physical and emotional support. In addition to counseling and therapy, residents also have access to skill building activities that address addiction and mental health disorder simultaneously.
Residential treatment facilities also offer structured treatment programs that are tailored to meet your needs, aiming at long-term recovery and symptom management. Using this approach provides a supportive environment away from social triggers and promotes healing and recovery.
Does Aetna Health Insurance Cover Inpatient Residential Detox Services?
Does Aetna Health Insurance Cover Inpatient & Residential Substance Abuse Counseling & Therapy?
Substance Use and Mental Health Treatment Providers That Take Aetna Health Insurance Near Me
The Harmony Addiction Recovery group is a leading mental health and addiction treatment provider on the East Coast, with treatment centers offering an array of programs, including inpatient treatment options. Our treatment facilities pride themselves on providing holistic and supportive counseling and therapy service while using evidence-based treatment, and are in-network with many insurance providers, including Aetna.
Inpatient & Residential Treatment Programs in Massachusetts (MA)
Inpatient & Residential Treatment Programs in Tennessee (TN)
Inpatient & Residential Treatment Programs in New Jersey (NJ)
Inpatient & Residential Treatment Programs in North Carolina (NC)
Inpatient & Residential Treatment Programs in Florida (FL)
Harmony offers a multitude of locations up and down the East Coast for behavioral health services. Call us to learn about our facilities and treatment options.
How Much Does Inpatient / Residential Treatment Cost Near Me Without Aetna Health Insurance Coverage?
Without insurance coverage, inpatient treatment can range from $5,000 to $20,000, according to the National Center for Drug Abuse Statistics. Those who engage in long term residential care for 30 or more days can expect to accrue $12,000 to u$60,000 in total costs. There are notable differences in treatment prices based on location.
The cost of inpatient addiction rehab with Aetna insurance is dependent on number of factors that can affect the cost of treatment. The first of which would be if you require detoxification services to safely move through the withdrawal process. Detox services and continued medication assisted treatment can increase the cost of your care, along with the duration of your program. Individuals who utilize specialized treatment options, such as dual diagnosis care, tend to have higher costs associated with treatment. Additionally, luxury facilities tend to have higher costs to compensate for the additional resources and comforts they provide. When we look at the average cost of residential programs in the states where the Harmony Drug and Alcohol Addiction Recovery group provides care, we see the following estimates:
- Florida: $56,640
- Massachusetts: $56,725
- New Jersey: $56,570
- North Carolina: $56,759
- Tennessee: $56,600
How To Check Aetna Health Insurance Coverage Levels for Inpatient / Residential Rehab Treatment?
For many, checking your insurance coverage can help you learn what your out-of-pocket costs could realistically look like. Insurance companies tend to provide varying coverage options for hospital and inpatient care, acute care programs, intensive outpatient care. Some options available to you include reviewing the details of your insurance plan, using your online portal, or contacting Aetna directly.
In an attempt to simplify this process for you, we have created a simple online verification form that allows us to verify your coverage for you. Once this is done, we can review your payment options and discuss your coverage levels. You can then take time to see how your insurance coverage affects your personal costs. For additional assistance and guidance, we encourage you to call (866) 461-4474 today!
How To Get Aetna Health Insurance To Pay For Inpatient / Residential Treatment?
Once your insurance is verified, your treatment provider will likely keep your information on file so that they can submit your medical care and therapy claims directly to Aetna. With automatic billing, you can focus your attention and energy on your treatment program, rather than thinking about paying for your treatment.
When your insurance is verified, Aetna will inform you if a prior authorization is required for coverage, and which programs require this step. We encourage you to speak with your Admissions Counselor at the Harmony Health Group to see how we can support you with this process. Should you learn that Aetna denied a treatment claim made, you will have an opportunity to appeal their decision by explaining why the care you received was necessary for your health and wellness.
Related Coverage for Residential Inpatient Treatment
Related Aetna Coverage Articles
National Statistics on Inpatient and Residential Rehabilitation in the United States (US)
- The National Center for Drug Abuse Statistics reported that over 28 million Americans are living with an alcohol use disorder
- Approximately 25% of those using drugs have a use disorder, one quarter of which have an opioid use disorder
- The most commonly used substances in the U.S. include marijuana, opioids, prescription pain medications, prescription sedatives, cocaine, prescription stimulants, methamphetamine, LSD, and heroin, respectively
- The average cost of inpatient rehab programming ranges from $12,000 to $60,000
- Approximately 5%to 9% of those who engage in treatment participate in an inpatient rehabilitation program
- Long-term rehab services, lasting longer than 30 days, were the most common form of inpatient care provided in 2020. Followed by short-term care and detoxification programs
- Approximately 87% of all addiction treatment facilities provide treatment for drug and alcohol addiction
- 88% of treatment facilities offer dual diagnosis treatment
- 96% of treatment facilities provide discharge planning services before individuals finish their treatment program
Sources
- “Average Cost of Drug Rehab.” National Center for Drug Abuse Statistics. Accessed March 16, 2024. https://inpa.org/cost-of-rehab/.
- “Does the Affordable Care Act Cover Individuals with Mental Health Problems?” HHS.gov, April 20, 2023. https://www.hhs.gov/answers/health-insurance-reform/does-the-aca-cover-individuals-with-mental-health-problems/index.html.
- “Mental Health and Substance Abuse Health Coverage Options.” Mental health and substance abuse health coverage options | HealthCare.gov. Accessed March 16, 2024. https://www.healthcare.gov/coverage/mental-health-substance-abuse-coverage/.
- “Substance Abuse and Addiction Statistics [2023].” National Center for Drug Abuse Statistics, January 1, 2023. https://drugabusestatistics.org/.
- “2020 National Survey of Substance Abuse Treatment Services.” Substance Abuse and Mental Health Services Administration. Accessed March 16, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt35313/2020_NSSATS_FINAL.pdf.
Get in touch with Harmony Health Group to find out about our rehab admissions process, free assessment, treatment options or to check your insurance coverage levels. Your first step to recovery starts here!
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