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Find out why!</div><a href="/detox-hospital-california/top-10/"><button class="jsx-4274634914 button " style="opacity:1">Top Reasons</button></a></div><div class="jsx-2144113503"><div class="jsx-2144113503 desktop-nav__dropdown-container"><div class="jsx-2144113503 desktop-nav__dropdown-title text-xl">Treatment Overview</div><a class="desktop-nav__visit-page text-base" title="Treatment Overview" href="/detox-hospital-california/">Visit Page</a><hr style="margin:15px 0 0 0" class="jsx-2144113503"/></div><ul class="jsx-2d575c222acb5b2e desktop-nav__sub-navs"><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li "><div class="jsx-2d575c222acb5b2e"><div class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-title">Our Programs</div></div><ul class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-ul"><li class="jsx-2d575c222acb5b2e"><a title="Levels of Care" href="/detox-hospital-california/levels-of-care/">Levels of Care</a></li><li class="jsx-2d575c222acb5b2e"><a title="Medical Detox Program" href="/detox-hospital-california/levels-of-care/hospital-based-detox/">Medical Detox Program</a></li><li class="jsx-2d575c222acb5b2e"><a title="Inpatient Rehab Details" href="/detox-hospital-california/levels-of-care/inpatient-rehab/">Inpatient Rehab Details</a></li><li class="jsx-2d575c222acb5b2e"><a title="Types of Therapy" href="/detox-hospital-california/our-therapies/">Types of Therapy</a></li><li class="jsx-2d575c222acb5b2e"><a title="Veterans and First Responders" href="/detox-hospital-california/veterans-rehab-program/">Veterans and First Responders</a></li><li class="jsx-2d575c222acb5b2e"><a title="Chronic Relapse Program" href="/detox-hospital-california/chronic-relapse/">Chronic Relapse Program</a></li><li class="jsx-2d575c222acb5b2e"><a title="Young Adult Treatment" href="/detox-hospital-california/young-adult-program/">Young Adult Treatment</a></li></ul></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li "><div class="jsx-2d575c222acb5b2e"><div class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-title">Our Facility</div></div><ul class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-ul"><li class="jsx-2d575c222acb5b2e"><a title="Detox & Inpatient Rehab in Orange County, CA" href="/orange-county-ca-drug-rehab/">Detox & Inpatient Rehab in Orange County, CA</a></li><li class="jsx-2d575c222acb5b2e"><a title="Photos & Amenities" href="/detox-hospital-california/facility/">Photos & Amenities</a></li></ul></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li "><div class="jsx-2d575c222acb5b2e"><div class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-title">What to Expect</div></div><ul class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-ul"><li class="jsx-2d575c222acb5b2e"><a title="What to Expect: Patients" href="/detox-hospital-california/admissions/patients/">What to Expect: Patients</a></li><li class="jsx-2d575c222acb5b2e"><a title="What to Expect: Families" href="/detox-hospital-california/admissions/families/">What to Expect: Families</a></li><li class="jsx-2d575c222acb5b2e"><a title="What to Expect: FAQ" href="/detox-hospital-california/admissions/faq/">What to Expect: FAQ</a></li></ul></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li "><div class="jsx-2d575c222acb5b2e"><div class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-title">Health Insurance for Rehab</div></div><ul class="jsx-2d575c222acb5b2e desktop-nav__sub-nav-ul"><li class="jsx-2d575c222acb5b2e"><a title="Using Your Health Insurance for Rehab" href="/detox-hospital-california/payment-options/insurance/">Using Your Health Insurance for Rehab</a></li><li class="jsx-2d575c222acb5b2e"><a title="Anthem BC or Carelon Coverage" href="/detox-hospital-california/payment-options/insurance/bcbs/">Anthem BC or Carelon Coverage</a></li><li class="jsx-2d575c222acb5b2e"><a title="Aetna Coverage" href="/detox-hospital-california/payment-options/insurance/aetna/">Aetna Coverage</a></li><li class="jsx-2d575c222acb5b2e"><a title="Cigna Coverage" href="/detox-hospital-california/payment-options/insurance/cigna/">Cigna Coverage</a></li></ul></li></ul></div></div></li><li class="jsx-ddf1cbbe2b433b8f desktop-nav__dropdown-li"><a class="desktop-nav__dropdown-li-title" title="After Rehab" href="/detox-hospital-california/aftercare-at-laguna/">After Rehab</a><div class="jsx-2144113503 desktop-nav__dropdown "><div class="jsx-2144113503"><div class="jsx-2144113503 desktop-nav__dropdown-container"><div class="jsx-2144113503 desktop-nav__dropdown-title text-xl">After Rehab</div><a class="desktop-nav__visit-page text-base" title="After Rehab" href="/detox-hospital-california/aftercare-at-laguna/">Visit Page</a><hr style="margin:15px 0 0 0" class="jsx-2144113503"/></div><ul class="jsx-2d575c222acb5b2e desktop-nav__sub-navs"><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Alumni Program" href="/alumni/">Alumni Program</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Family Roles in Addiction Recovery" href="/family-resources/addiction-and-family/">Family Roles in Addiction Recovery</a></li></ul></div></div></li><li class="jsx-ddf1cbbe2b433b8f desktop-nav__dropdown-li"><a class="desktop-nav__dropdown-li-title" title="About Us" href="/about-us/">About Us</a><div class="jsx-2144113503 desktop-nav__dropdown "><div data-bg="url(/static/nav/nav-4.jpg)" loading="lazybg" class="jsx-2386814955 jsx-2739618873"><div class="jsx-4ca77494450ea33 nav-cta__text text-xl">See what others say about Laguna</div><a href="/about-us/reviews-and-testimonials/"><button class="jsx-4274634914 button " style="opacity:1">Read Reviews</button></a></div><div class="jsx-2144113503"><div class="jsx-2144113503 desktop-nav__dropdown-container"><div class="jsx-2144113503 desktop-nav__dropdown-title text-xl">About Us</div><a class="desktop-nav__visit-page text-base" title="About Us" href="/about-us/">Visit Page</a><hr style="margin:15px 0 0 0" class="jsx-2144113503"/></div><ul class="jsx-2d575c222acb5b2e desktop-nav__sub-navs"><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Accreditations & Distinctions" href="/about-us/accreditations-memberships/">Accreditations & Distinctions</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Leadership and Staff" href="/staff/">Leadership and Staff</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Meet Our Admissions Team" href="/detox-hospital-california/admissions/navigator-team/">Meet Our Admissions Team</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Reviews & Testimonials" href="/about-us/reviews-and-testimonials/">Reviews & Testimonials</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Compare AAC Facilities" href="/about-us/compare-rehab-facilities/">Compare AAC Facilities</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Events & Media" href="/about-us/events-and-media/">Events & Media</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Refer a Patient" href="/contact-us/referring-providers/">Refer a Patient</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Brand Promise" href="/brand-promise/">Brand Promise</a></li><li class="jsx-2d575c222acb5b2e desktop-nav__sub-navs-li desktop-nav__sub-navs-li-single"><a title="Careers" href="/about-us/careers-at-laguna/">Careers</a></li></ul></div></div></li><li class="jsx-ddf1cbbe2b433b8f desktop-nav__dropdown-li"><a class="desktop-nav__dropdown-li-title" title="Get Help" href="/detox-hospital-california/admissions/">Get Help</a><div class="jsx-402042049 desktop-nav__dropdown-get-help "><div class="jsx-402042049"><div class="jsx-402042049 desktop-nav__get-help-container"><div class="jsx-402042049 get-help__tile"><p class="jsx-402042049 text-xl font-weight-bold">Admissions</p><p class="jsx-402042049 get-help__copy">Recovery starts now. Start your admission process online today.</p><a class="text-base font-weight-bold desktop-nav__get-help-link" title="Start Admissions" href="/detox-hospital-california/admissions/">Start Admissions</a></div><div class="jsx-402042049 get-help__tile"><p class="jsx-402042049 text-xl font-weight-bold">Paying for Treatment</p><p class="jsx-402042049 get-help__copy">Treatment is an investment in your future. You have options.</p><a class="text-base font-weight-bold desktop-nav__get-help-link" title="Insurance and Payment Options" href="/detox-hospital-california/payment-options/">Insurance and Payment Options</a></div><div class="jsx-402042049 get-help__tile"><p class="jsx-402042049 text-xl font-weight-bold">Contact Us</p><p class="jsx-402042049 get-help__copy">Get directions or learn how to contact our front desk.</p><a class="text-base font-weight-bold desktop-nav__get-help-link" title="Contact Us" href="/contact-us/">Contact Us</a></div><div class="jsx-402042049 get-help__tile"><p class="jsx-402042049 text-xl font-weight-bold">Need Help?</p><p class="jsx-402042049 get-help__copy">Your recovery can start today!</p><a href=""><button class="jsx-4274634914 button " style="opacity:1">Call </button></a></div></div></div></div></li></ul></nav></div></section></header><div class="main-content"><div class="jsx-20110232 max-width undefined"><div class="jsx-20110232 max-width__container"><div class="jsx-832155829 breadcrumbs-placeholder"></div><section class="jsx-832155829 two-column-container"><article class="jsx-832155829"><div class="jsx-832155829 two-column__badges"><div class="jsx-832155829"></div><div class="jsx-832155829"><div class="sc-25910e0e-0 leoLlc"><div class="in-network-badge"><div class="in-network-badge__icon"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" style="transform:rotate(0deg)"><path fill-rule="evenodd" clip-rule="evenodd" d="M21.1844 4.33358C20.7588 3.94614 20.2199 3.7143 19.6584 3.65288C19.6072 3.13887 19.3244 2.72613 18.9835 2.45716C18.6066 2.15976 18.1215 2 17.6187 2H12.3813C11.8785 2 11.3934 2.15976 11.0165 2.45716C10.6756 2.72613 10.3928 3.13887 10.3416 3.65288C9.78013 3.7143 9.24115 3.94614 8.81555 4.33358C8.31032 4.79351 8 5.44485 8 6.15385V11H9.55556V6.15385C9.55556 5.96148 9.63857 5.74837 9.83347 5.57094C10.0319 5.3903 10.3222 5.27273 10.6444 5.27273H10.6666C10.769 5.41179 10.8886 5.53288 11.0165 5.63375C11.3934 5.93115 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4.45455H12.3813C12.1826 4.45455 12.0326 4.38996 11.9498 4.32466C11.9098 4.29311 11.8943 4.2704 11.8889 4.25974V3.83117Z" fill="var(--interactive-300)"></path><path fill-rule="evenodd" clip-rule="evenodd" d="M15.4106 9.42413L9.28304 7.107C9.1007 7.03804 8.89945 7.03804 8.71711 7.107L2.58959 9.42413C2.24379 9.55489 2.03263 9.90557 2.07882 10.2724L2.74245 15.5423C2.90693 16.8486 3.6007 18.0299 4.66136 18.8098L8.52616 21.6515C8.8081 21.8588 9.19205 21.8588 9.47399 21.6515L13.3388 18.8098C14.3994 18.0299 15.0932 16.8486 15.2577 15.5423L15.9213 10.2724C15.9675 9.90557 15.7564 9.55489 15.4106 9.42413ZM10.0001 17H8.00008V15H6.00008V13H8.00008V11H10.0001V13H12.0001V15H10.0001V17Z" fill="var(--interactive-300)"></path></svg></div><div>Aetna is In-Network with AAC</div></div></div></div></div><h1 class="jsx-832155829">Using Aetna Health Insurance for Addiction Treatment</h1><div class="sc-967e58c8-0 iqvIos header-pills"><button id="evidenceBasedCare" class="sc-e656a4b9-0 eTPGOy"><svg width="20" height="20" viewBox="0 0 24 24" fill="none" style="transform:rotate(0deg)"><path d="M19 21H5C4.44772 21 4 20.5523 4 20V10.357C4.01549 10.1119 4.11964 9.88089 4.293 9.707L11.293 2.707C11.4806 2.51922 11.7351 2.41371 12.0005 2.41371C12.2659 2.41371 12.5204 2.51922 12.708 2.707L19.708 9.707C19.8957 9.89428 20.0009 10.1488 20 10.414V20C20 20.5523 19.5523 21 19 21ZM12 4.828L6 10.828V19H18V10.828L12 4.828ZM10.5 17.559L7.794 14.859L9.2 13.441L10.5 14.733L14.8 10.441L16.212 11.857L10.5 17.558V17.559Z" fill="var(--interactive)"></path></svg> Evidence-Based Care</button><button id="qualityPrograms" class="sc-e656a4b9-0 eTPGOy"><svg width="20" height="20" viewBox="0 0 24 24" fill="none" style="transform:rotate(0deg)"><path d="M19 21H5C4.44772 21 4 20.5523 4 20V10.357C4.01549 10.1119 4.11964 9.88089 4.293 9.707L11.293 2.707C11.4806 2.51922 11.7351 2.41371 12.0005 2.41371C12.2659 2.41371 12.5204 2.51922 12.708 2.707L19.708 9.707C19.8957 9.89428 20.0009 10.1488 20 10.414V20C20 20.5523 19.5523 21 19 21ZM12 4.828L6 10.828V19H18V10.828L12 4.828ZM12 16.999C11.792 16.814 11.557 16.621 11.308 16.417L11.261 16.379C10.104 15.435 8.661 14.26 8.661 12.799C8.66116 12.3149 8.85626 11.8514 9.20228 11.5129C9.5483 11.1744 10.0161 10.9895 10.5 11C11.0722 10.9985 11.6179 11.2411 12 11.667C12.3822 11.2412 12.9278 10.9986 13.5 11C13.9834 10.9906 14.4503 11.1761 14.7955 11.5147C15.1407 11.8533 15.3351 12.3165 15.335 12.8C15.335 14.266 13.883 15.449 12.717 16.4L12.66 16.447C12.423 16.641 12.199 16.824 11.999 17.001L12 16.999Z" fill="var(--interactive)"></path></svg> Quality Programs</button><button id="sameDayAdmissions" class="sc-e656a4b9-0 eTPGOy"><svg role="img" aria-label="stopwatch" width="20" height="20" viewBox="0 0 24 24" fill="none" style="transform:rotate(0deg)"><title>Stopwatch</title><path d="M12 21C7.58172 21 4 17.4183 4 13C4 8.58172 7.58172 5 12 5C16.4183 5 20 8.58172 20 13C19.995 17.4162 16.4162 20.995 12 21ZM12 7C8.68629 7 6 9.68629 6 13C6 16.3137 8.68629 19 12 19C15.3137 19 18 16.3137 18 13C17.9961 9.68789 15.3121 7.00386 12 7ZM13 14H11V9H13V14ZM19.293 7.707L17.293 5.707L18.707 4.293L20.707 6.293L19.294 7.706L19.293 7.707ZM15 4H9V2H15V4Z" fill="var(--interactive)"></path></svg> Same Day Admissions</button></div><div class="sc-d183eb2b-0 bwIHXl c-byline text-xs "><img alt="Lindsay Curtis avatar" loading="lazy" width="30" height="30" decoding="async" data-nimg="1" style="color:transparent;object-fit:contain;border-radius:50%;height:30px;width:30px" srcSet="/_next/image/?url=https%3A%2F%2Fadmin.lagunatreatment.com%2Fwp-content%2Fuploads%2F2021%2F09%2FLindsay-Curtis_282-150x150.jpg&w=32&q=75 1x, /_next/image/?url=https%3A%2F%2Fadmin.lagunatreatment.com%2Fwp-content%2Fuploads%2F2021%2F09%2FLindsay-Curtis_282-150x150.jpg&w=64&q=75 2x" src="/_next/image/?url=https%3A%2F%2Fadmin.lagunatreatment.com%2Fwp-content%2Fuploads%2F2021%2F09%2FLindsay-Curtis_282-150x150.jpg&w=64&q=75"/><div class="c-byline__entries"><div class="c-byline__entry text-xs"><span class="c-byline__text">Written by: </span><a href="/contributors/lindsay-curtis/">Lindsay Curtis </a></div><div class="c-byline__entry text-xs"><span class="c-byline__text">Edited by: </span><a href="/contributors/amanda-lautieri/">Amanda Lautieri</a></div><div class="c-byline__entry text-xs">Updated: Sep 20, 2024</div></div></div><div class="jsx-832155829 toc-placeholder"></div><div id="wordpress-content"><div> <body><p>Nearly 39 million people rely on Aetna—one of the nation’s leading health insurance companies—to provide them with coverage for their healthcare needs. Acquired by CVS Health in 2018, Aetna offers a range of health plans and services including substance use disorder treatment. Read on to learn more about how to use your Aetna coverage to pay for rehab.<sup>1–3</sup></p> <div class='in-content-hightlight-cta' id='in-content-hightlight-cta'></div><h2 id="Does-Aetna-Cover-Substance-Abuse-Treatment-and-Detox">Does Aetna Cover Substance Abuse Treatment and Detox?</h2> <p>Yes, Aetna plans will provide some degree of <a href="/detox-hospital-california/payment-options/insurance/">insurance coverage for rehab</a>.<sup> </sup>Each Aetna plan will vary in terms of the extent of its coverage, but the Affordable Care Act (ACA) and t<span class="field field--name-title field--type-string field--label-hidden">he Mental Health Parity and Addiction Equity Act </span>ensures plans that cover substance abuse treatment services do so at similar rates to surgical and medical procedures.<sup>4,5</sup></p> <p><img loading="lazyel" decoding="async" class="wp-image-79285 size-medium alignright" alt="" width="300" height="136" sizes="(max-width: 300px) 100vw, 300px" data-src="https://admin.lagunatreatment.com/wp-content/uploads/2024/09/aetna-logo-1-300x136.png" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20300%20136'%3E%3C/svg%3E" data-srcset="https://admin.lagunatreatment.com/wp-content/uploads/2024/09/aetna-logo-1-300x136.png 300w, https://admin.lagunatreatment.com/wp-content/uploads/2024/09/aetna-logo-1.png 400w">Aetna also offers 24/7 support to those looking for detox and substance abuse treatment.<sup> </sup>If you’re struggling, you can call the number on the back of your insurance card any time of day to speak with an Aetna customer service agent who can assign you to an Aetna Care Advocate.<sup>4</sup></p> <p>Your Care Advocate will walk you through the process, providing support along the way. They can answer any questions you have about substance use disorder treatment and detox, and help you find a rehab center within the Aetna network, such as Laguna Treatment Center. They will also talk with you about what your insurance plan covers in regards to treatment, what to expect while in treatment, and aftercare resources.<sup>4</sup></p> <p>You can get help understanding your coverage by filling out this quick and confidential <span class="portal_ssvob" id="portal_ssvob-1"><script crossorigin type="application/json">{"props":{"modal":"online form"}}</script></span>. Submit your details, and we will reach out to you shortly with more information about your insurance coverage for addiction treatment.</p> <h2 id="What-Types-of-Treatment-Does-Aetna-Cover">What Types of Treatment Does Aetna Cover?</h2> <p>Aetna insurance may cover different <a href="/detox-hospital-california/levels-of-care/">types of addiction treatment</a>, including:<sup>6</sup></p> <ul> <li>Inpatient or outpatient medical detox to help you overcome physical drug or alcohol dependence.</li> <li>Inpatient or residential treatment for intensive support and structure in a safe environment.</li> <li>Partial hospitalization programs (PHPs), where you attend outpatient treatment for most days of the week, for multiple hours a day.</li> <li>Intensive outpatient programs (IOPs), which are similar to PHPs but require fewer days of treatment per week and fewer treatment hours per day.</li> </ul> <p>The exact amount of coverage will vary depending on your specific plan, and Aetna will typically only cover treatments deemed “medically necessary.”<sup>5,6</sup></p> <div class='portal_additional_cta' id='portal_additional_cta' data-title="Have you lost control<span class='portal_drug-of-choice' id='portal_drug-of-choice-24' data-pretext=' of your' data-posttext=' use'></span>?" data-copy="Our Orange County detox & rehab facility is committed to supporting your recovery journey. Learn more about <span class='portal_drug-of-choice' id='portal_drug-of-choice-25' data-pretext='' data-posttext=' '></span>addiction treatment." data-link-hide="false" data-link-text="" data-link-url="" data-link-target="_self" data-link-rel="" data-background-src="" ></div><h2 id="How-Do-I-Use-Aetna-Insurance-to-Pay-for-Rehab">How Do I Use Aetna Insurance to Pay for Rehab?</h2> <p>To learn more about how to use your Aetna coverage to pay for rehab, reach out to us directly at <span class="portal_phone_link" id="portal_phone_link-1"><script crossorigin type="application/json">{"props":{"helpline":"true"},"children":""}</script></span> or call the number on the back of your insurance card.</p> <p><strong>Laguna Treatment Center is in-network Aetna</strong> and can provide individualized, evidence-based addiction treatment. Our <a href="/orange-county-ca-drug-rehab/">Orange County rehab</a> offers hospital-based medical detox, as well as inpatient and residential rehab in a beautiful Southern California rehab facility.</p> <p>Different types of Aetna plans have different rules about how to enroll in an addiction treatment program. Some plans require members to have their primary care provider refer them to specialty treatment, including detox or rehab. Other plans allow you to seek out your own addiction treatment provider without a referral.<sup>7</sup></p> <p>If you’re unsure whether you need a referral before contacting an addiction treatment facility, you can call the number on your member ID card and ask.</p> <p>You may need pre-authorization from Aetna before starting treatment for specialty services, such as medical detox or inpatient rehab. Your treatment provider should request pre-authorization from Aetna on your behalf.<sup>8</sup></p> <h2 id="How-Much-Does-Rehab-Cost-with-Aetna-Insurance-Coverage">How Much Does Rehab Cost with Aetna Insurance Coverage?</h2> <p>Aetna will provide at least some coverage for addiction treatment, but you will likely have some out-of-pocket expenses with your insurance policy. Out-of-pocket expenses are those that you must cover yourself without the help of insurance coverage.</p> <p>These costs will vary. You may pay more for inpatient services, for example, than you would for outpatient therapy. Your costs will also differ based on the specific plan you have and the coverage details.</p> <div class="portal_callout" id="portal_callout-1"><script crossorigin type="application/json">{"props":{},"children":"<p>Specific factors that can affect your out-of-pocket expenses include:<\/p>\n<ul>\n<li>Copays: A specific predetermined amount you must pay for a covered service like an outpatient visit.<\/li>\n<li>Deductible: The amount you must pay before Aetna begins covering your treatment.<\/li>\n<li>Coinsurance: The percentage (e.g., 10%) you must pay for a covered service (e.g., an inpatient stay) once you’ve met your deductible.<\/li>\n<\/ul>\n<p>There is usually a yearly maximum for out-of-pocket expenses on most insurance plans. Once this maximum is met, your insurance will cover any additional eligible medical costs once the limit is reached until the plan year ends.<\/p>\n"}</script></div> <p>If you are uninsured, underinsured, or worried about out-of-pocket costs, our staff at Laguna Treatment Center will work with you to explore financing options, loans, and other <a href="/detox-hospital-california/payment-options/">ways to pay for rehab</a>.</p> <h2 id="Benefits-of-Using-Aetna-Insurance-for-Addiction-Treatment">Benefits of Using Aetna Insurance for Addiction Treatment</h2> <p>Many people living in Orange County, California struggle with substance use and addiction. The county sees more than 13,000 emergency room visits and nearly 1,000 deaths each year related to drugs and alcohol.<sup>9</sup></p> <p>Nearly 8% of Californians have a substance use disorder, but only 10% of them receive any kind of treatment. When you have Aetna insurance, you don’t have to fall into this unfortunate statistic. You can use your benefits to get the help you need.<sup>10</sup></p> <p>To begin the <a href="/detox-hospital-california/admissions/">rehab admissions</a> process now, simply input some basic details into the form below, including your name and insurance information, and we’ll verify your benefits and reach out to you within minutes.</p> <div class="portal_ssvob" id="portal_ssvob-2"><script crossorigin type="application/json">{"props":{"type":"two-step"}}</script></div> <div class="portal_accordion" id="portal_accordion-1"><script crossorigin type="application/json">{"props":{"title":"References"},"children":"<ol>\n<li>Aetna. (n.d.). <em><a href=\"https:\/\/www.aetna.com\/about-us\/aetna-facts-and-subsidiaries.html\" target=\"_blank\" rel=\"noopener\">Aetna Facts & Subsidiaries<\/a><\/em>.<\/li>\n<li>Aetna. (n.d). <a href=\"https:\/\/www.aetna.com\/about-us\/aetna-facts-and-subsidiaries\/aetna-facts.html\" target=\"_blank\" rel=\"noopener\"><em>Aetna Facts.<\/em><\/a><\/li>\n<li>Aetna. (n.d.). <em><a href=\"https:\/\/www.aetna.com\/about-us\/aetna-history.html\" target=\"_blank\" rel=\"noopener\">Our history<\/a><\/em>.<\/li>\n<li>Aetna. (n.d.). <a href=\"https:\/\/www.aetna.com\/health-guide\/substance-use-disorder.html\" target=\"_blank\" rel=\"noopener\"><em>If You’re Struggling With Drugs or Alcohol, Aetna Can Help.<\/em><\/a><\/li>\n<li>Healthcare.gov (n.d.). <a href=\"https:\/\/www.healthcare.gov\/coverage\/mental-health-substance-abuse-coverage\/\" target=\"_blank\" rel=\"noopener\"><em>Mental Health and Substance Abuse Coverage.<\/em><\/a><\/li>\n<li>Aetna. (n.d.). <em><a href=\"http:\/\/www.aetna.com\/individuals-families-health-insurance\/document-library\/documents\/63.28.300.1.pdf\" target=\"_blank\" rel=\"noopener\">Important information about your health benefits.<\/a><\/em><\/li>\n<li>Aetna (n.d.). <em><a href=\"https:\/\/www.aetna.com\/health-guide\/hmo-pos-ppo-hdhp-whats-the-difference.html\" target=\"_blank\" rel=\"noopener\">HMO, POS, PPO, EPO and HDHP with HSA: What’s the difference?<\/a> <\/em><\/li>\n<li>Aetna. (2020, July). <em><a href=\"http:\/\/www.aetna.com\/healthcare-professionals\/assets\/documents\/bh_precert_list.pdf\" target=\"_blank\" rel=\"noopener\">The behavioral health precertification list.<\/a><\/em><\/li>\n<li>Orange County Health Agency. (2022). <a href=\"https:\/\/www.ochealthinfo.com\/page\/drug-alcohol-overdose-hospitalization-death-orange-county\" target=\"_blank\" rel=\"noopener\"><em>Drug & Alcohol Overdose Hospitalization & Death in Orange County.<\/em><\/a><\/li>\n<li>California Health Care Foundation. (2018). <em>California Health Care Almanac.<\/em><\/li>\n<\/ol>\n<p>\n"}</script></div> </body></div></div><div class="sc-f7429c81-1 dKCCqz"><div class="article-feedback"><div class="screen show"><div class="article-feedback__inner"><div class="article-feedback__left"><div class="article-feedback__title intro__title">Was this page helpful?</div><div class="article-feedback__buttons"><div class="sc-f7429c81-0 fyUZbm"><button class="sc-e656a4b9-0 hUIyYw"><svg width="24" height="24" viewBox="0 0 24 24" fill="none" style="transform:rotate(0deg)"><path d="M2.43897 19.5498C3.01452 20.0651 4.01928 20.0165 4.90698 19.9776C5.10208 19.9679 5.28742 19.9582 5.46301 19.9582C6.19463 19.9582 6.93601 19.9096 7.64812 19.8707C9.04308 19.7929 10.4771 19.7832 11.8915 19.7832C13.4816 19.7929 15.1302 19.7929 16.7397 19.7637C17.4031 19.754 18.6029 19.6179 19.1785 18.8498C19.5004 18.4122 19.5687 17.858 19.3833 17.1969C19.3541 17.0802 19.4126 17.0024 19.637 16.7982C20.1735 16.3121 20.2125 15.6801 20.2418 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All rights reserved.<br /> Various trademarks held by their respective owners.</span></div></footer></div><script> window.lazyLoadOptions = { elements_selector: '[loading=lazyel], [loading=lazybg]', }; window.addEventListener( "LazyLoad::Initialized", function (event) { window.lazyLoadInstance = event.detail.instance; }, false ); </script><script async="" src="https://cdn.jsdelivr.net/npm/vanilla-lazyload@12.0.0/dist/lazyload.min.js"></script><script id="__NEXT_DATA__" type="application/json">{"props":{"pageProps":{"_sentryTraceData":"b519af2ffb464aaea49d518a0eb12528-9b2802c3626ed835-0","_sentryBaggage":"sentry-environment=production,sentry-release=gG9KVbfwOt5tQ8QNFodtu,sentry-public_key=b6b59a177803483da2cedc6f6e6deb76,sentry-trace_id=b519af2ffb464aaea49d518a0eb12528,sentry-sample_rate=0.01,sentry-transaction=%2F%5B...pathname%5D,sentry-sampled=false","data":{"id":60000,"date":"2018-05-28T19:23:16","date_gmt":"2018-05-28T19:23:16","guid":{"rendered":"https://lagunatreatment.com/?page_id=60000"},"modified":"2024-09-20T23:07:11","modified_gmt":"2024-09-20T23:07:11","slug":"aetna","status":"publish","type":"page","link":"https://lagunatreatment.com/detox-hospital-california/payment-options/insurance/aetna/","title":{"rendered":"Using Aetna Health Insurance for Addiction Treatment"},"content":{"rendered":"\u003cdiv\u003e\n\u003cbody\u003e\u003cp\u003eNearly 39 million people rely on Aetna—one of the nation’s leading health insurance companies—to provide them with coverage for their healthcare needs. Acquired by CVS Health in 2018, Aetna offers a range of health plans and services including substance use disorder treatment. Read on to learn more about how to use your Aetna coverage to pay for rehab.\u003csup\u003e1–3\u003c/sup\u003e\u003c/p\u003e\n\u003ch2 id=\"Does-Aetna-Cover-Substance-Abuse-Treatment-and-Detox\"\u003eDoes Aetna Cover Substance Abuse Treatment and Detox?\u003c/h2\u003e\n\u003cp\u003eYes, Aetna plans will provide some degree of \u003ca href=\"/detox-hospital-california/payment-options/insurance/\"\u003einsurance coverage for rehab\u003c/a\u003e.\u003csup\u003e \u003c/sup\u003eEach Aetna plan will vary in terms of the extent of its coverage, but the Affordable Care Act (ACA) and t\u003cspan class=\"field field--name-title field--type-string field--label-hidden\"\u003ehe Mental Health Parity and Addiction Equity Act \u003c/span\u003eensures plans that cover substance abuse treatment services do so at similar rates to surgical and medical procedures.\u003csup\u003e4,5\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003e\u003cimg loading=\"lazyel\" decoding=\"async\" class=\"wp-image-79285 size-medium alignright\" alt=\"\" width=\"300\" height=\"136\" sizes=\"(max-width: 300px) 100vw, 300px\" data-src=\"https://admin.lagunatreatment.com/wp-content/uploads/2024/09/aetna-logo-1-300x136.png\" src=\"data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20300%20136'%3E%3C/svg%3E\" data-srcset=\"https://admin.lagunatreatment.com/wp-content/uploads/2024/09/aetna-logo-1-300x136.png 300w, https://admin.lagunatreatment.com/wp-content/uploads/2024/09/aetna-logo-1.png 400w\"\u003eAetna also offers 24/7 support to those looking for detox and substance abuse treatment.\u003csup\u003e \u003c/sup\u003eIf you’re struggling, you can call the number on the back of your insurance card any time of day to speak with an Aetna customer service agent who can assign you to an Aetna Care Advocate.\u003csup\u003e4\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003eYour Care Advocate will walk you through the process, providing support along the way. They can answer any questions you have about substance use disorder treatment and detox, and help you find a rehab center within the Aetna network, such as Laguna Treatment Center. They will also talk with you about what your insurance plan covers in regards to treatment, what to expect while in treatment, and aftercare resources.\u003csup\u003e4\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003eYou can get help understanding your coverage by filling out this quick and confidential \u003cspan class=\"portal_ssvob\" id=\"portal_ssvob-1\"\u003e\u003cscript crossorigin type=\"application/json\"\u003e{\"props\":{\"modal\":\"online form\"}}\u003c/script\u003e\u003c/span\u003e. Submit your details, and we will reach out to you shortly with more information about your insurance coverage for addiction treatment.\u003c/p\u003e\n\u003ch2 id=\"What-Types-of-Treatment-Does-Aetna-Cover\"\u003eWhat Types of Treatment Does Aetna Cover?\u003c/h2\u003e\n\u003cp\u003eAetna insurance may cover different \u003ca href=\"/detox-hospital-california/levels-of-care/\"\u003etypes of addiction treatment\u003c/a\u003e, including:\u003csup\u003e6\u003c/sup\u003e\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eInpatient or outpatient medical detox to help you overcome physical drug or alcohol dependence.\u003c/li\u003e\n\u003cli\u003eInpatient or residential treatment for intensive support and structure in a safe environment.\u003c/li\u003e\n\u003cli\u003ePartial hospitalization programs (PHPs), where you attend outpatient treatment for most days of the week, for multiple hours a day.\u003c/li\u003e\n\u003cli\u003eIntensive outpatient programs (IOPs), which are similar to PHPs but require fewer days of treatment per week and fewer treatment hours per day.\u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eThe exact amount of coverage will vary depending on your specific plan, and Aetna will typically only cover treatments deemed “medically necessary.”\u003csup\u003e5,6\u003c/sup\u003e\u003c/p\u003e\n\u003ch2 id=\"How-Do-I-Use-Aetna-Insurance-to-Pay-for-Rehab\"\u003eHow Do I Use Aetna Insurance to Pay for Rehab?\u003c/h2\u003e\n\u003cp\u003eTo learn more about how to use your Aetna coverage to pay for rehab, reach out to us directly at \u003cspan class=\"portal_phone_link\" id=\"portal_phone_link-1\"\u003e\u003cscript crossorigin type=\"application/json\"\u003e{\"props\":{\"helpline\":\"true\"},\"children\":\"\"}\u003c/script\u003e\u003c/span\u003e or call the number on the back of your insurance card.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eLaguna Treatment Center is in-network Aetna\u003c/strong\u003e and can provide individualized, evidence-based addiction treatment. Our \u003ca href=\"/orange-county-ca-drug-rehab/\"\u003eOrange County rehab\u003c/a\u003e offers hospital-based medical detox, as well as inpatient and residential rehab in a beautiful Southern California rehab facility.\u003c/p\u003e\n\u003cp\u003eDifferent types of Aetna plans have different rules about how to enroll in an addiction treatment program. Some plans require members to have their primary care provider refer them to specialty treatment, including detox or rehab. Other plans allow you to seek out your own addiction treatment provider without a referral.\u003csup\u003e7\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003eIf you’re unsure whether you need a referral before contacting an addiction treatment facility, you can call the number on your member ID card and ask.\u003c/p\u003e\n\u003cp\u003eYou may need pre-authorization from Aetna before starting treatment for specialty services, such as medical detox or inpatient rehab. Your treatment provider should request pre-authorization from Aetna on your behalf.\u003csup\u003e8\u003c/sup\u003e\u003c/p\u003e\n\u003ch2 id=\"How-Much-Does-Rehab-Cost-with-Aetna-Insurance-Coverage\"\u003eHow Much Does Rehab Cost with Aetna Insurance Coverage?\u003c/h2\u003e\n\u003cp\u003eAetna will provide at least some coverage for addiction treatment, but you will likely have some out-of-pocket expenses with your insurance policy. Out-of-pocket expenses are those that you must cover yourself without the help of insurance coverage.\u003c/p\u003e\n\u003cp\u003eThese costs will vary. You may pay more for inpatient services, for example, than you would for outpatient therapy. Your costs will also differ based on the specific plan you have and the coverage details.\u003c/p\u003e\n\u003cdiv class=\"portal_callout\" id=\"portal_callout-1\"\u003e\u003cscript crossorigin type=\"application/json\"\u003e{\"props\":{},\"children\":\"\u003cp\u003eSpecific factors that can affect your out-of-pocket expenses include:\u003c\\/p\u003e\\n\u003cul\u003e\\n\u003cli\u003eCopays: A specific predetermined amount you must pay for a covered service like an outpatient visit.\u003c\\/li\u003e\\n\u003cli\u003eDeductible: The amount you must pay before Aetna begins covering your treatment.\u003c\\/li\u003e\\n\u003cli\u003eCoinsurance: The percentage (e.g., 10%) you must pay for a covered service (e.g., an inpatient stay) once you\u0026rsquo;ve met your deductible.\u003c\\/li\u003e\\n\u003c\\/ul\u003e\\n\u003cp\u003eThere is usually a yearly maximum for out-of-pocket expenses on most insurance plans. Once this maximum is met, your insurance will cover any additional eligible medical costs once the limit is reached until the plan year ends.\u003c\\/p\u003e\\n\"}\u003c/script\u003e\u003c/div\u003e\n\u003cp\u003eIf you are uninsured, underinsured, or worried about out-of-pocket costs, our staff at Laguna Treatment Center will work with you to explore financing options, loans, and other \u003ca href=\"/detox-hospital-california/payment-options/\"\u003eways to pay for rehab\u003c/a\u003e.\u003c/p\u003e\n\u003ch2 id=\"Benefits-of-Using-Aetna-Insurance-for-Addiction-Treatment\"\u003eBenefits of Using Aetna Insurance for Addiction Treatment\u003c/h2\u003e\n\u003cp\u003eMany people living in Orange County, California struggle with substance use and addiction. The county sees more than 13,000 emergency room visits and nearly 1,000 deaths each year related to drugs and alcohol.\u003csup\u003e9\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003eNearly 8% of Californians have a substance use disorder, but only 10% of them receive any kind of treatment. When you have Aetna insurance, you don’t have to fall into this unfortunate statistic. You can use your benefits to get the help you need.\u003csup\u003e10\u003c/sup\u003e\u003c/p\u003e\n\u003cp\u003eTo begin the \u003ca href=\"/detox-hospital-california/admissions/\"\u003erehab admissions\u003c/a\u003e process now, simply input some basic details into the form below, including your name and insurance information, and we’ll verify your benefits and reach out to you within minutes.\u003c/p\u003e\n\u003cdiv class=\"portal_ssvob\" id=\"portal_ssvob-2\"\u003e\u003cscript crossorigin type=\"application/json\"\u003e{\"props\":{\"type\":\"two-step\"}}\u003c/script\u003e\u003c/div\u003e\n\u003cdiv class=\"portal_accordion\" id=\"portal_accordion-1\"\u003e\u003cscript crossorigin type=\"application/json\"\u003e{\"props\":{\"title\":\"References\"},\"children\":\"\u003col\u003e\\n\u003cli\u003eAetna. (n.d.). \u003cem\u003e\u003ca href=\\\"https:\\/\\/www.aetna.com\\/about-us\\/aetna-facts-and-subsidiaries.html\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003eAetna Facts \u0026amp; Subsidiaries\u003c\\/a\u003e\u003c\\/em\u003e.\u003c\\/li\u003e\\n\u003cli\u003eAetna. (n.d). \u003ca href=\\\"https:\\/\\/www.aetna.com\\/about-us\\/aetna-facts-and-subsidiaries\\/aetna-facts.html\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003e\u003cem\u003eAetna Facts.\u003c\\/em\u003e\u003c\\/a\u003e\u003c\\/li\u003e\\n\u003cli\u003eAetna. (n.d.). \u003cem\u003e\u003ca href=\\\"https:\\/\\/www.aetna.com\\/about-us\\/aetna-history.html\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003eOur history\u003c\\/a\u003e\u003c\\/em\u003e.\u003c\\/li\u003e\\n\u003cli\u003eAetna. (n.d.). \u003ca href=\\\"https:\\/\\/www.aetna.com\\/health-guide\\/substance-use-disorder.html\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003e\u003cem\u003eIf You\u0026rsquo;re Struggling With Drugs or Alcohol, Aetna Can Help.\u003c\\/em\u003e\u003c\\/a\u003e\u003c\\/li\u003e\\n\u003cli\u003eHealthcare.gov (n.d.). \u003ca href=\\\"https:\\/\\/www.healthcare.gov\\/coverage\\/mental-health-substance-abuse-coverage\\/\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003e\u003cem\u003eMental Health and Substance Abuse Coverage.\u003c\\/em\u003e\u003c\\/a\u003e\u003c\\/li\u003e\\n\u003cli\u003eAetna. (n.d.). \u003cem\u003e\u003ca href=\\\"http:\\/\\/www.aetna.com\\/individuals-families-health-insurance\\/document-library\\/documents\\/63.28.300.1.pdf\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003eImportant information about your health benefits.\u003c\\/a\u003e\u003c\\/em\u003e\u003c\\/li\u003e\\n\u003cli\u003eAetna (n.d.). \u003cem\u003e\u003ca href=\\\"https:\\/\\/www.aetna.com\\/health-guide\\/hmo-pos-ppo-hdhp-whats-the-difference.html\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003eHMO, POS, PPO, EPO and HDHP with HSA: What\u0026rsquo;s the difference?\u003c\\/a\u003e \u003c\\/em\u003e\u003c\\/li\u003e\\n\u003cli\u003eAetna. (2020, July). \u003cem\u003e\u003ca href=\\\"http:\\/\\/www.aetna.com\\/healthcare-professionals\\/assets\\/documents\\/bh_precert_list.pdf\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003eThe behavioral health precertification list.\u003c\\/a\u003e\u003c\\/em\u003e\u003c\\/li\u003e\\n\u003cli\u003eOrange County Health Agency. (2022). \u003ca href=\\\"https:\\/\\/www.ochealthinfo.com\\/page\\/drug-alcohol-overdose-hospitalization-death-orange-county\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\"\u003e\u003cem\u003eDrug \u0026amp; Alcohol Overdose Hospitalization \u0026amp; Death in Orange County.\u003c\\/em\u003e\u003c\\/a\u003e\u003c\\/li\u003e\\n\u003cli\u003eCalifornia Health Care Foundation. (2018). \u003cem\u003eCalifornia Health Care Almanac.\u003c\\/em\u003e\u003c\\/li\u003e\\n\u003c\\/ol\u003e\\n\u003cp\u003e\\n\"}\u003c/script\u003e\u003c/div\u003e\n\n\u003c/body\u003e\u003c/div\u003e","protected":false},"excerpt":{"rendered":"\u003cp\u003eNearly 39 million people rely on Aetna—one of the nation’s leading health insurance companies—to provide them with coverage for their healthcare needs. Acquired by CVS Health in 2018, Aetna offers\u0026#8230;\u003c/p\u003e\n","protected":false},"author":23,"featured_media":71104,"parent":59975,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[212],"yoast_head":"\u003c!-- This site is optimized with the Yoast SEO plugin v22.0 - https://yoast.com/wordpress/plugins/seo/ --\u003e\n\u003ctitle\u003eAetna Insurance for Drug \u0026amp; Alcohol Rehab | Laguna Treatment Center\u003c/title\u003e\n\u003cmeta name=\"description\" content=\"Aetna plans will provide some degree of coverage for substance abuse treatment. Learn how to use your Aetna benefits for rehab.\" /\u003e\n\u003cmeta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" /\u003e\n\u003clink rel=\"canonical\" href=\"https://lagunatreatment.com/detox-hospital-california/payment-options/insurance/aetna/\" /\u003e\n\u003cmeta property=\"og:locale\" content=\"en_US\" /\u003e\n\u003cmeta property=\"og:type\" content=\"article\" /\u003e\n\u003cmeta property=\"og:title\" content=\"Aetna Insurance for Drug \u0026amp; Alcohol Rehab | Laguna Treatment Center\" /\u003e\n\u003cmeta property=\"og:description\" content=\"Aetna plans will provide some degree of coverage for substance abuse treatment. 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