Sticker shock is one of the most common reasons that an individual in need of rehabilitation for an alcohol addiction resists getting help. Rehabs are pricey and the fact is that most people do not have the means to spend $15,000-$30,000 for one month of treatment out of pocket. However, many individuals in need of treatment are unaware of the recent changes in health care laws that have addressed the lack of coverage for behavioral health disorders, resulting in accessibility to treatment that may not have existed a decade ago. Currently, most insurance policies offer some degree of coverage for detox, rehab, and associated medications, removing this barrier to receiving treatment.
When it comes to Aetna alcohol rehab and related addiction treatment services, the amount of each person’s benefits is dictated by the individual healthcare plan that they have and a list of factors and criteria that is used in determining what is covered. Aetna alcohol rehab coverage may range from a sliver of the costs to the entire treatment cost. Anyone holding Aetna health insurance policies should contact their support services for a clear review of their particular plan’s benefits.
Why Insurance Companies Now Cover Addiction Treatment
The evolution toward insurance companies covering addiction and mental health disorders has been an ongoing process for over sixty years. In 1956 the American Medical Association recognized alcoholism as a disease, versus the former belief that it was simply a sign of poor morals or a personal lack of discipline. Over the decades, new imaging technologies have narrowed the definition of addiction to that of a brain disorder, identifying how addictive substances basically hijack the brain’s neurotransmitters and lock the individual into deeply etched brain pathways that demand a continuing supply of the alcohol or drug to avoid withdrawal symptoms.
Two important pieces of legislation in 2008 and 2010 paved the way for treatment to finally be made available and for the treatment coverage to be equal to other medical conditions, instead of the limited and sporadic coverage of the past. Insurers had also come to recognize that untreated addiction often spirals into much more costly future health benefits claims, as subsequent heart disease, cancer, and other serious medical conditions resulted. Therefore, providing coverage for addiction became viewed as financially prudent for the insurance companies.
Understanding Aetna Alcohol Rehab Coverage
Aetna provides different levels of coverage depending on the plan you have and the state in which you live. It is important to understand that treatment for alcoholism is determined by the acuity of the disease, and can range from weekly outpatient therapy sessions to intensive outpatient programs, partial hospitalization programs, or inpatient care. Choosing an in-network provider will ensure the lowest out of pocket costs for the insured individual, however, the rehab need not be local to be in-network, and can even be located out of state. Benefits are also extended for a co-occurring mental health disorder, such as depression or anxiety, called a dual diagnosis.
Different Options for Alcohol Detox and Rehab
When approaching treatment for an alcohol use disorder, the first step is for a physician to examine you as well as ask important questions that will help them determine the level of care needed. The physician may have some in-network referrals for your particular treatment needs, including detox and rehab programs. Detox for alcoholism is a serious matter and is often necessary before active treatment for the addiction can begin.
As far as rehab options, these will fall into two basic categories: outpatient or inpatient treatment. Generally, outpatient programs are best suited to mild to moderate alcohol use disorders, or as a step down aftercare component after completing an inpatient program. Outpatient treatment allows for the individual to reside at home outside of treatment hours, allowing them to continue to work or attend school. Inpatient treatment programs are residential and offer 24-hour support and monitoring. The inpatient programs are highly structured with various therapeutic activities scheduled throughout the day.
About Alcohol Detoxification
If alcohol detox is indicated due to a long-standing history of heavy alcohol consumption, it is never recommended to attempt to go through the detoxification without supervision. Alcohol detox can involve unpredictable and serious withdrawal symptoms, including hallucinations, seizures, and the delirium tremens. A medically monitored detox can be acquired through an inpatient rehab facility as the first step in treatment, or at a dedicated detox facility. During a medical detox, the vital signs will be closely monitored and medications provided as withdrawal symptoms emerge, helping to provide as comfortable a detox as possible.
Typical alcohol withdrawal symptoms include:
- Increased heart rate
- Shaking or hand tremors
Serious alcohol withdrawal symptoms include:
- Mental confusion
- Profuse sweating
- High blood pressure
About Alcohol Rehab
Whether an individual selects inpatient or outpatient treatment, the basic treatment mission for helping someone overcome their alcohol use disorder is consistent. In general, the difference in levels of care between outpatient and inpatient treatment come down to a more intensified therapeutic engagement at an inpatient rehab within a confined environment. The absence of opportunities to drink that are difficult to resist is a significant benefit of inpatient care.
The basic treatment elements that are included in all rehab programs include:
- One on one talk therapy
- Small group therapy sessions
- 12-step recovery meetings
- Addiction education
- Relapse prevention planning
- Medication management
- Life skills classes
Phoenix Rising Behavioral Accepts Aetna Insurance
Phoenix Rising Behavioral is an outpatient treatment program in Orange County, California that provides a wide range of outpatient services customized for the client. In addition to the highly effective evidence-based treatment philosophies used, Phoenix Rising also provides holistic treatment, evening programming, and resources for detox and sober living services. Our dedicated clinicians have just one mission, and that is to help individuals reclaim their dignity, their joy, and rise from the ashes of addiction into a fulfilling new future. For more information about our program and to inquire about Aetna alcohol rehab coverage, contact Phoenix Rising today at (877) 299-5694.