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Aetna Florida: Addiction Rehabs in FL That Take Aetna Insurance

Florida, also known as the Sunshine State, is home to millions of people. In fact, it’s the third-most populous state in the country, with about 21,538,187 people calling it home.3 However, of the more than 21 million Floridians, about 1.1 million aged 12 or older, or 6.3% of that group’s population, reported past-year substance use disorder (SUD) between 2017 and 2019.4 Of the same group, 165,000 reported past-year opioid use disorder (OUD).4 For every 100,000 residents, 15.8 die from an opioid overdose in the Sunshine State.5
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A variety of substances could cause addiction in Florida, ranging from alcohol to opioids to various other types of drugs. Of those 12 and older, past-year illicit drug use disorder was reported by 490,000, past-year alcohol use disorder (AUD) was reported by 770,000, and past-year prescription drug misuse was reported by 752,000.4

These statistics show that addiction and SUD is prevalent in Florida. Though it can feel lonely if you or a loved one is affected, you’re not alone. On a single day in March 2019, approximately 57,335 people in Florida were enrolled in treatment for substance use disorder.4 For many, the cost of rehab is a deterrent to getting the treatment you need. But, fortunately, with the use of a health plan like an Aetna Florida plan, you may be able to use your insurance to cover at least a portion of the costs associated with detox treatment, outpatient or inpatient treatment, or a longer-term residential treatment program.

How to Check My Aetna Coverage for Addiction Rehab in Florida

Finding a treatment facility can feel overwhelming but knowing in advance what your Aetna insurance will cover can give you peace of mind. The good news is, checking your coverage is easy. To learn about your specific coverage, contact one of our admissions navigators at , click here, or fill out the form above.

What Is Aetna Insurance?

Since 1853, Aetna has been in the insurance industry. 6 Though their first offering was a life insurance plan, 46 years later, they offered their first health insurance policy.6 Now, 169 years since its beginning, Aetna is one of the most well-known health insurance providers across the country. Thirty-nine million people nationwide rely on Aetna for their health insurance plans.7 What’s more, 4 years ago, in 2018, CVS completed its acquisition of Aetna, and now the two companies work together to provide community-based care across the nation.6

There are many different types of Aetna health plans that may be available to you, particularly if you live in or are hoping to attend treatment in Florida. This is because Aetna as a company provides a wide variety of health plans and services, including health plan options in every market. Specifically, Aetna provides: medical, pharmacy, and dental plans, Medicaid plans and services, Medicare plans, medical management plans, and behavioral health programs.7

Does Aetna Cover Drug and Alcohol Rehab Treatment in Florida?

In the United States, almost all health plans, including those offered by Aetna Florida, are required by the Affordable Care Act (ACA) to cover 10 certain health services, which are referred to as essential health benefits.8 One of the 10 essential health benefits (EHBs) that must be covered in some capacity by most health plans is mental and behavioral health services.9 Specifically, medically-necessary inpatient mental and behavioral health services, behavioral health services, and treatment for SUDs (e.g., drug treatment in Florida), must be covered in some capacity under your Florida Aetna plan.

Despite this mandate, it’s important to note that the extent of your coverage will depend entirely upon the plan you have selected. For example, your plan may only cover some or all of the costs associated with rehab treatment at certain facilities. It’s important to reach out to your Aetna provider before committing to treatment to determine the costs and coverage.

Or you can also call the rehab center directly and ask whether they accept your Aetna Florida plan. This is particularly true if the center is an American Addiction Center (AAC) facility, as staff is trained to help answer any of your questions, including insurance-related topics.

In Florida, there are two local substance-use rehab facilities that your Aetna Florida plan may be accepted. To verify your coverage, you can call the River Oaks Treatment Center near Tampa and Recovery First Treatment Center in Hollywood directly and ask whether they will accept your Florida Aetna plan. Another option is to call the number on the back of your card and ask whether your plan covers treatment at either location.

What Types of Addiction Does Aetna Cover?

Addiction can be cause by the sustained use of a variety of substances, ranging from alcohol to drugs like opioids or stimulants. As stated, the ACA mandates that Aetna health plans provide some degree of coverage for the medically-necessary treatment of addiction and substance use disorders. It’s a good idea to contact your insurance provide to determine what types of addiction Aetna covers.

What Alcohol and Drug Rehab Programs Does Aetna Florida Cover?

The types of rehab programs that your Aetna Florida insurance plan will cover will vary based on the plan you’ve selected, as well as where you receive care. Every plan is different, which means it’s important for you to verify your benefits and coverage, when possible, to avoid surprise costs. Depending on your plan, the following rehab programs may be covered in some capacity by your Aetna Florida plan:10-12

  • Medical detox: Under the supervision of medical professionals, which is done to manage potentially life-threatening withdrawal symptoms, medical detox is done to rid the body of substances (e.g., alcohol and/or drugs).10
  • Inpatient programs: This type of program, which is comprised of a patient staying in a facility overnight for a set amount of time (i.e., days, weeks, or months), may be recommended for those who need structure or round-the-clock medical supervision.
  • Outpatient programs: This type of program generally involves one or two visits per week to a facility where a patient can receive a variety of services, but no overnight stay is required.11
  • Intensive Outpatient Programs (IOPs): In an IOP, a patient usually receives a minimum number of hours of treatment every week at a facility, but can go home after treatment (e.g., no overnight stay).
  • Partial Hospitalization Programs (PHPs): Also known as a day program, PHPs involve patients spending their days at a facility, usually between 4–8 hours a day, for a few days a week.11
  • Aftercare: An aftercare program refers to any type of ongoing, continuing, or follow-up care for a patient that completes rehab.

Does Aetna in FL Cover Mental Health & Dual Diagnosis Treatment?

Dual diagnosis treatment may be covered by your Aetna health plan if it is considered medically-necessary treatment.9 A dual diagnosis treatment refers to treating a patient who has a diagnosis of two or more co-occurring disorders.12 And, a co-occurring disorder refers to a patient that has both substance use and mental health disorder simultaneously.12

Co-occurring disorders are common, and researchers believe that 50% of those with a mental health condition or substance use disorder will experience the other at some point in their life.12 A dual diagnosis or co-occurring disorder treatment typically involves treating each condition at the same time, as each condition could exacerbate the other (e.g., substance use, attention-deficit/hyperactivity disorder (ADHD), depression, anxiety, etc.).12

Which Addiction Rehab Centers In Florida Take Aetna Insurance?

AAC has rehab facilities around the country, including two that are in Florida, that provide drug and alcohol addiction treatment. Though AAC works with a variety of insurance companies, including Aetna, it’s best to check before entering treatment to see whether any of the facilities below are in-network providers under your Aetna Florida plan.

  • AdCare Rhode Island—The AdCare Rhode Island has four campuses, three of which offer outpatient services and one of which offers inpatient services. The Warwick, Greenville, and South Kingstown locations are outpatient facilities, while the North Kingstown location is the only inpatient facility. Across the locations, patients can receive treatment for co-occurring disorders, as well as medical detox, inpatient residential, PHP, IOP, telehealth services, and outpatient therapy.
  • Greenhouse Treatment Center—This facility, which is located in Texas, is one of the state’s LGBTQ specialized SUD treatment programs. They also have other specialized programs, like treatment programs for Christians and first responders. Other services include outpatient, residential, and aftercare services.
  • Laguna Treatment Hospital—This AAC location, which is located in Aliso Viejo, California, provides inpatient and residential treatment services and aftercare planning services and offers accommodations in private and double-occupancy rooms for patients.
  • Oxford Treatment Center—Located in Mississippi, the Oxford Treatment Center has two campuses. One campus is set alongside the lake in Etta, where patients can receive medical detox and residential treatment services. The other location in Oxford, MS, offers IOP, outpatient therapy, PHPs, and aftercare planning.
  • Recovery First Treatment Center—Located about 10 miles from the beach in Hollywood, FL, this treatment center is often described as having resort-like accommodations. Here, patients can receive IOP treatment and aftercare planning treatment services.
  • River Oaks Treatment Center—Located in Riverview, Florida, near Tampa, this AAC facility prioritizes all forms of healing through in-house treatment programs. Patients may be able to receive treatment from three levels of outpatient and residential care, as well as medical detox.

Additionally, there are several ways to locate treatment facilities near you.

Sources

  1. Florida State Parks. (n.d.). Beaches and coasts at Florida state parks.
  2. Forbes. (2019). US travel: 25 best places to visit in 2020.
  3. United States Census Bureau. (2021). Quick facts, Florida.
  4. Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer Florida, volume 6.
  5. National Center for Drug Abuse Statistics. (n.d.). Opioid epidemic: addiction statistics.
  6. Aetna. (n.d.). Our history.
  7. Aetna. (n.d.). Aetna facts.
  8. Heatlhcare.gov. (n.d.). Essential health benefits.
  9. Healthcare.gov. (n.d.). Mental health & substance abuse coverage.
  10. Substance Abuse and Mental Health Services Administration. (2015). TIP 45: Detoxification and substance abuse treatment.
  11. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment?
  12. Substance Abuse and Mental Health Services Administration. (2020). Mental health and substance use disorders.
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