Category: Addiction Treatment

Key Takeaways Plan type determines your first step, not your eligibility. Both Aetna PPO and HMO plans cover addiction treatment under federal law. The difference

Key Takeaways Aetna authorizes rehab by medical necessity, not a day count. There is no fixed cutoff. Coverage can continue across detox, residential, PHP, IOP,

Key Takeaways Federal law requires Aetna to cover addiction treatment. The MHPAEA and ACA together mandate that Aetna cover the full continuum of medically necessary

Key Takeaways Prior authorization is a clinical checkpoint, not a denial mechanism. Aetna prior authorization for rehab confirms medical necessity before coverage begins. It is

Key Takeaways In-network status directly lowers your costs. Rehab centers that accept Aetna as an in-network provider have pre-negotiated rates with Aetna, which means lower

Key Takeaways Aetna covers MAT under most plans. Under the Mental Health Parity and Addiction Equity Act and the Affordable Care Act, Aetna is legally

Key Takeaways Therapy is federally protected under Aetna’s behavioral health coverage. The MHPAEA requires Aetna to cover addiction therapy — including CBT, DBT, EMDR, individual,

Key Takeaways Aetna is legally required to cover dual diagnosis treatment. Under the Mental Health Parity and Addiction Equity Act (MHPAEA), Aetna must provide coverage

Key Takeaways Aetna is federally required to cover rehab. Under the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA),

Key Takeaways Aetna covers both inpatient and outpatient rehab based on medical necessity. Aetna does not select which level of care to authorize arbitrarily—coverage decisions