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Aetna Detox In Nashville, TN

The decision to seek out professional help for a drug or alcohol addiction is difficult enough without having to worry about the cost of treatment. If you are an Aetna Insurance member and are wondering, “Does Aetna cover detox in Nashville?” the short answer is yes.

Detox Nashville is proud to be an in-network partner with Aetna for detox services in Nashville and surrounding areas. This means if someone has Aetna insurance and needs medically-supervised detox treatment, they can take part in detox treatment with Detox Nashville.

Read on to learn what most Aetna plans cover in relation to detox services, and how you can take advantage of Aetna’s benefits.

client discusses treatment covered by Aetna for detox in Nashville

What is Aetna Insurance?

Aetna Inc. is a managed healthcare company that sells traditional and consumer-directed health insurance. This includes medical, pharmaceutical, dental, behavioral health, long-term care, and disability insurance. These plans are available mostly through employer-paid insurance and benefit programs, as well as Medicare.

Aetna’s network includes more than 22 million medical practitioners, 12.7 million dental members, 13 million pharmacy benefit management services members, 1.2 million healthcare professionals, and nearly 700,000 primary care doctors and specialists. In the fall of 2018, Aetna became a subsidiary of CVS Health.

Does Aetna Cover Detox in Nashville?

As required by the Affordable Care Act, behavioral and mental health treatments are essential benefits. Therefore, all health plans must cover these treatments. Covered mental health benefits include counseling and therapy as well as addiction treatments and inpatient mental health.

Aetna has long taken an industry-leading role in recognizing that drug and alcohol addiction are complex, chronic medical conditions. Alongside detox coverage, Aetna also covers medical treatment for most mental health disorders that have been found to co-occur alongside substance use disorder and alcohol use disorder. Such mental health disorders include anxiety, depression, bipolar disorders, and post-traumatic stress disorder (PTSD).

Aetna-Covered Detox in Nashville

Detox is the process of removing all traces of the substances a client has used out of the body. The process can be challenging, as they adapt to life without drugs or alcohol. In response to the detox process, people can endure uncomfortable symptoms, and often need professional support.

To help control one’s withdrawal symptoms, one should stick with a medically-supervised detox program instead of attempting home or solo detox. With proper medical supervision, the person comes off drugs in a safe and comfortable environment. While the length of detox varies—depending on the substances involved and the person’s physical and psychological makeup—the typical stay in detox can last from three days to two weeks.

In addition, Aetna covers medications that are often used during the detox period for its members. This approach is known as medication-assisted treatment or MAT. For opiate and heroin withdrawal symptoms, Detox Nashville can prescribe methadone, buprenorphine, clonidine, and naltrexone. For severe alcohol withdrawal symptoms, Detox Nashville prescribes benzodiazepines, naltrexone, and clonidine.

Options are available to Aetna members in need of detox. These options incIude:

  • Medical detox and withdrawal management
  • Medication-assisted treatment (MAT)
  • Residential inpatient rehab
  • Outpatient (OP) and intensive outpatient (IOP) rehab programs
  • Partial hospitalization programs (PHP)
  • Psychotherapy and behavioral counseling

The exact scope of coverage depends on the individual insurance plan. However, most Aetna plans offer decreased out-of-pocket costs for care. Contacting an Aetna representative to find answers to these kinds of questions is a good idea. Someone can also contact Detox Nashville. Our admissions team is happy to help clients navigate the complexities of insurance coverage for detox and additional addiction treatments.

Will There Be a Deductible on My Aetna Coverage of Detox?

With most Aetna plans, there is likely to be a deductible linked to one’s coverage. Before their coverage “kicks in,” all Aetna members are responsible for meeting their deductibles. Still, Aetna plan members will want to review their specific plans to see what their deductible is. An Aetna representative should have answers for those still wondering how much Aetna covers detox treatment.

Will Aetna Cover More Than One Detox Visit?

Recovery from drug and alcohol addiction is not easy. Realizing this, Aetna covers multiple detox visits, as well as additional addiction treatments, for its members. Meanwhile, it is unlawful for any insurance provider to raise premiums on members after they have utilized their coverage for addiction treatment. However, it is probably best to reach out to an Aetna representative regarding the details of your specific plan.

How Does Aetna Handle Out-of-Network Treatments?

While Detox Nashville is proud to be an Aetna network provider, not all Aetna health plans require healthcare providers to be in its network. However, treatments and programs that are not in its network may cost members more. One reason why questions of “in-network” and “out-of-network” are so important is because Aetna’s in-network provider network screens for quality care and practice of modern medical standards.

In some cases, Aetna requires pre-certification or authorization of a specific treatment program. These cases include:

  • Inpatient or residential treatment admissions
  • Outpatient (OP) detox
  • Residential treatments
  • Intensive outpatient programs (IOP)
  • Partial hospitalization programs (PHP)

The pre-certification process involves a review to determine whether a specific service or program meets Aetna’s clinical criteria. Again, Aetna members will want to check with an Aetna representative to see if their treatment requires pre-certification before beginning treatment.

group therapy during detox in Nashville

Learn More About Aetna Detox in Nashville Today

Do you need help overcoming an alcohol or substance use disorder? Detox Nashville is here to help. Our benefits coordinator can help you determine your coverage for detox, including MAT, at our facility. We know how drug and alcohol addiction can wreak havoc on people’s lives. For this reason, we offer a wide variety of detox programs to give you another chance at living your best life.

Contact us today to see how we can help you.

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