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Aetna New Jersey: Rehab & Detox Centers in NJ That Take Cigna Insurance

Recent studies show that 14.2% (or 124,000) of young people (between the ages of 18 and 25) in New Jersey have experienced a substance use disorder (SUD) within the past year.1 While this is on par with the national average, heroin use among people 12 and older in the state was at 0.56%, which is higher than the national average of 0.30%.1 Additionally, the use of opioids among this age group in the state was higher than the national average (0.9% compared to 0.7%).1 In a single-day count taken in March 2019, 38,326 people within the state of New Jersey were enrolled in a substance use treatment program, which saw an increase from the 36,708 counted in 2015.1

The state of New Jersey is unique in that it has a gorgeous coastline populated by dozens of seaside resort towns. It is also home to some of the most well-known singers of today, including Jon Bon Jovi and Bruce Springsteen.2 New Jersey is also known for being the home of Aetna New Jersey. Aetna NJ is one of the state’s leading providers of health insurance and might be able to cover some—if not all—of the cost of a detox program, inpatient or outpatient rehabilitation, or more long-term residential treatment programs.


How to Check My Aetna Coverage for Rehab in New Jersey

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 below.


What Is Aetna New Jersey?

Founded in 1853, Aetna is a nationwide insurance provider with over 30 years of serving members enrolled in managed care programs.3 In New Jersey, they are known as Aetna Better Health of New Jersey, which is their trade name.

Their model is value-based, which allows Aetna to focus on improving the quality of care and outcomes for its members.3 They service all 21 of New Jersey’s counties, are part of the CVS Health umbrella of services, and offer Aetna Assure Premier Plus for people who qualify for Medicaid and Medicare.3 Mental and behavioral health—including substance use disorders—are all covered under Aetna’s plans.4


Does Aetna Cover Rehab Treatment in New Jersey?

Aetna may be able to cover some or all of the expenses of your rehab stay in a New Jersey addiction treatment program since the Affordable Care Act (ACA) mandates coverage for SUDs as part of the 10 essential health benefits outlined in the legislation.5 Also, each health insurance providers’ plans are required to cover behavioral health treatment (like counseling or psychotherapy) and inpatient mental and behavioral health services.6

Sunrise House Treatment Center in Lafayette Township, New Jersey, is one local substance use facility that might accept your Aetna New Jersey insurance plan. Sunrise House specializes in a family program (which helps get family members involved in the recovery process), cognitive-behavioral therapy (CBT), residential treatment, and intensive outpatient programming (which allows you to live at home while you attend a structured daytime program).


What Substance Addiction Does Rehab Treatment Cover?

Your coverage will be based on the plan that you have through Aetna, but you might be able to get them to cover at least part of the cost of your addiction treatment. SUD treatment can treat those with addictions to alcohol, opioids, marijuana, cocaine, heroin, crystal meth, and prescription drugs.

What Rehab Programs does Aetna New Jersey Cover?

Aetna Better Health New Jersey might cover several types of addiction treatment. Per the ACA, your Marketplace plan might cover the following types of substance use disorder treatment:

  • Medical detox: This is not always a required step in the treatment process, but medical detox can help you safely withdraw from a substance—and do so in as much comfort and safety as possible. This may ease the transition into your ongoing treatment program, which could include either inpatient or outpatient rehab.
  • Inpatient programs: Inpatient programs provide help within a secure residential setting, letting you live among others who are dealing with substance use disorders. Quite a few of these programs involve some combination of individual and group therapy in addition to engaging activities that further encourage recovery.
  • Outpatient programs: Outpatient programs allow you to remain living at home while you attend treatment at a rehab facility each day for a set number of hours.
  • Intensive outpatient programs (IOP): These outpatient programs require that you attend treatment programs for longer and more frequent sessions than you would in a standard outpatient program. Program sessions can last for few hours at a time and take place multiple days per week.
  • Partial hospitalization programs (PHP): PHPs are just as intensive as inpatient programs but allow you to live at home while you attend on a regular basis. You could end up going to treatment for 5 or more days per week with daily sessions that might last from 4 to 6 hours.
  • Aftercare: Aftercare programs support sustained sobriety after more intensive rehab. There are many types of aftercare, including support groups, therapy, and community programs.

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

Aetna New Jersey can cover some, if not all, of your mental health and dual diagnosis treatment, as is mandated by the ACA. Research shows that getting help for mental, behavioral, and emotional health at the same time as a SUD is crucial for achieving a successful recovery. Mental health and substance use conditions are certainly serious in nature but can be treated.7 Serious mental illnesses (which can be defined as someone over the age of 18 having—within the past year—a diagnosable emotional, behavioral, or mental disorder that impairs their functionality to the point where it interferes with everyday life) and SUDs often correlate.7 Some of the most commonly diagnosed comorbidities that occur alongside SUDs include anxiety, depression, attention-deficit/hyperactivity disorder (ADHD), and post-traumatic stress disorder (PTSD).

Simply put, a dual diagnosis means that a SUD and serious mental illness are occurring at the same time. Rehab facilities and outpatient therapy can treat dual diagnoses. However, when these conditions are serious in nature, inpatient rehab can be much more effective. Dual diagnosis treatment aims to create a more sustained sobriety by using various types of therapy.


Which Rehab Centers In New Jersey Take Aetna Insurance?

There are American Addiction Centers (AAC) rehabilitation facilities located throughout the United States, and some of them might work with Aetna to provide you with substance use treatment. As you familiarize yourself with your health insurance coverage through Aetna New Jersey, take some time to think about which facility is going to work best for you. Some of AAC’s facilities include:

  • AdCare Rhode Island: Situated in Rhode Island, AdCare Rhode Island specializes in medically monitored withdrawal management, crisis stabilization, an outpatient program, and a complimentary informational session for families of those seeking treatment.
  • Desert Hope Treatment Center: This Nevada-based treatment center features individual and family therapy, medical detox, aftercare, and substance abuse programming specific to veterans and first responders.
  • Greenhouse Treatment Center: Based in Grand Prairie, Texas, Greenhouse Treatment Center features a family program, individualized treatment, medical detox, and treatment for co-occurring disorders.
  • Laguna Treatment Hospital: Laguna Beach is not too far away from Laguna Treatment Hospital, which utilizes 12-Step involvement, offers a family program and individualized treatment, and follows up with aftercare support.
  • Oxford Treatment Center: Located in Etta, Mississippi, Oxford Treatment Center has residential treatment (both short- and long-term), individualized treatment, medical detox, and a family program.
  • River Oaks Treatment Center: River Oaks Treatment Center is located near Tampa, Florida. This facility is home to addiction-focused healthcare in its inpatient residential program and outpatient therapy. A family program, medical detox, and aftercare support are also available as part of your treatment.
  • Sunrise House Treatment Center: Sunrise House Treatment Center is in Lafayette Township, New Jersey, and it specializes in cognitive behavioral therapy (CBT). Sunrise House offers a family program, IOP, and a residential inpatient program.

You can use our directory and filter by “insurance” to locate in-network facilities close to you if AAC is not in-network for you. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of other facilities and programs.


Sources

  1. Substance Abuse and Mental Health Services Administration. (2020). Behavioral barometer: New Jersey, volume 6.
  2. History.com. (2022). New Jersey.
  3. Aetna. (2022). About us.
  4. Aetna. (2022). What’s covered.
  5. Office of the Legislative Counsel. (2010). Compilation of patient protection and Affordable Care Act.
  6. Healthcare.gov. (2022). Mental health & substance abuse coverage.
  7. Substance Abuse and Mental Health Services Administration. (2020). Mental health and substance use disorders.

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