Aetna

Will My Aetna Insurance Cover Detox & Addiction Treatment in New Jersey? 

As the tri-state area’s leading addiction detox center, Princeton Detox & Recovery Center will manage your specific needs with an individualized treatment plan that is most effective and beneficial to you. This includes working closely with your insurance provider to help cover the cost of treatment and ensure its affordability.

Aetna is one of several insurance providers accepted by Princeton Detox & Recovery Center. Your Aetna health coverage will most likely pay part of the cost of your inpatient treatment, outpatient services, and after-care programs. What your total out-of-pocket costs will be depends upon past use of coverage for substance abuse treatment or inpatient mental health services, the details of your individualized treatment plan, and the stipulations of your specific Aetna insurance plan, among other variables.

Variables to Substance Abuse Treatment Costs May Include:

• Your Aetna plan’s Behavioral Health benefits
• If your Aetna plan is an HMO or PPO
• Your specific Aetna deductible and co-pay or co-insurance requirements
• Past use of coverage for treatment
• Detoxification medications needed
• The length of your residential treatment stay
• The details of your Princeton Detox & Recovery treatment and therapy plan

With close to 39 million insured, Aetna is among the nation’s top health care providers. The Aetna network includes over 700,000 primary care doctors and specialists across more than 5,700 facilities, nationwide. The benefits of your Aetna plan may include Behavioral Health coverage for mental health services, including substance abuse treatment. Although employer-based plans may differ, since the implementation of the Affordable Care Act, mental and behavioral health services are now considered essential coverage and must be provided for all Individual Marketplace plans.

The Aetna Behavioral Health Network is committed to providing quality care, adhering to the principles of the mind-body connection, providing evidence-based treatment, and offering benefits to cover all medically necessary care. Although amounts covered may differ, Aetna recognizes treatment at both in-network and out-of-network recovery centers.

Benefits of the Aetna Network Include:

• Over 1.2 million caregivers at almost 6,000 facilities
• 700,000 primary care physicians and specialists
• Plans that meet the Minimum Value Standard of 60% coverage
• Plans that meet the Minimum Essential Coverage as required by the ACA
• Behavioral Health Benefits and Member Support Programs

Behavioral health services that Aetna is dedicated to covering include:

• Behavioral therapy – Behavioral therapy, or talk therapy, is one of the longest-standing and most effective methods of substance abuse treatment (when used in conjunction with other evidence-based treatment methods). Behavioral therapy takes place on an individual basis, among a group of like-minded peers or with the immediate family. Each session is facilitated by a licensed therapist or psychologist, and generally lasts for around one full hour.
• Medication assisted therapy – There are many well-researched medications that have been proven effective in treating substance abuse and dependence, like nalaxone and buprenorphine. Doctors prescribe medications on a client-to-client basis, and effectively help manage any side effects. Again, medication therapy is only effective when utilized as part of a comprehensive and multi-pronged program of recovery.
• Medical detox – Medically monitored detox is an extremely important first step on every journey of recovery. During detox clients undergo a safe drug or alcohol withdrawal under the close supervision of an experienced team of medical professionals. Aetna covers most services provided by medical detox centers, including behavioral therapy and medication therapy.

At Guardian Recovery we offer a comprehensive and highly individualized detox program, one that cannot be found in a state-run detox facility or in a traditional hospital setting. To learn more about our integrated recovery program or for a free, no obligation health insurance benefit check contact us today. It is likely Aetna covers detox and addiction treatment services at Guardian Recovery.

About Medically Monitored Detox

Medical detox is always necessary when it comes to adequate treatment for substance abuse and dependence. Attempting to quit cold turkey or detoxing in an at-home setting can pose serious health risks and lead to life-threatening complications. Detox provides clients with around-the-clock access to professional medical care, so that any related symptoms can be thoroughly treated the moment they develop, and so all potential complications are successfully avoided. However, at Guardian Recovery we believe that medical detox should focus on more than a pain-free withdrawal and on physical stabilization. We introduce our clients to many vital recovery-related services and resources, providing them with the opportunity to participate in therapy (individual, group and family), participate in daily on-site 12 step meetings and take advantage of the numerous homestyle retreat amenities we offer. Our goal is to maximize client comfort while preparing each of our clients to take the next appropriate step in their personal recovery journeys.

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Addiction Recovery New Pathway is A Multi-Phased Continuum of Care

Medical detox is a necessary first step — but it is only the first step. In order for sobriety to be maintained the client must immediately transition into the next appropriate level of clinical care, which is often inpatient or residential drug and alcohol rehab. Addiction is a chronic disease – one that can be effectively treated, but never entirely cured. It is also a disease that affects all aspects of life, and results in a range of consequences that affect social functioning, psychological well-being and emotional health. In order for addiction treatment to be deemed a success, all affected areas must be addressed. Treating the physical symptoms is never enough – the mental and emotional implications of active addiction must be addressed as well. The National Institute on Drug Abuse published an excerpt from Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition) titled, “Principles of Effective Treatment.”

The listed principles of drug addiction treatment include:

• Addiction is a complex disease that affects both behavior and brain function, and symptoms last long after the substance abuse itself has ceased.
• Addiction is not a one-size-fits-all disease, and the same program of recovery will not be appropriate for everyone.
• Effective clinical care must be readily available to those in need.
• Effective addiction treatment addresses all of the needs of an individual, without exclusively focusing on his or her substance use.
• It is crucial that people remain in treatment for an appropriate amount of time.
• Behavioral therapy should be included in every long-term treatment program.
• Medication Assisted Treatment (MAT) should be readily available.
• Individual treatment plans must be continuously assessed and modified.
• Because substance abuse and mental health go hand-in-hand, dual diagnosis treatment options are very important.
• Medical detox is only the first stage of recovery, and is not effective in treating substance abuse or dependence on its own.
• In order for treatment to be effective it does not have to be voluntary.
• Drug use must be closely monitored, and if a lapse occurs the treatment plan must be modified.
• Treatment programs should test clients for infectious diseases and provide risk-reduction counseling.

We take all of the above-listed principles to heart, and we have developed a comprehensive and individualized detox program that addresses each and every one of these points.

Guardian Recovery Programs Covered by Aetna Healthcare

At Guardian Recovery we remain dedicated to making our comprehensive and effective programs as accessible as possible by working closely with major healthcare providers like Aetna.

Recovery-related services and programs we offer include:

• Medication assisted detox
• Addiction services
• Clinical and medical assessments
• Individual and group therapy
• Family therapy
• Case management services
• Personalized aftercare planning

Begin Your Personal Journey of Healing Today

Health insurance can be difficult to navigate, and choosing a provider that will best reduce your out-of-pocket expenses can be daunting. Your Aetna plan may have a high or low deductible, may require referral by a specialist, or may require you to see an in-network provider to maximize your benefits. Substance abuse detoxification and therapy a medically necessary treatments that your Aetna health plan will provide for. To get the most from your health insurance plan, contact one of our Treatment Advisors at (888) 779-5062. At New Pathway, we believe that treatment should be affordable for everyone, and we will do everything we can to be as flexible as possible in working with your health insurance provider.
To best understand your Aetna benefits, call us with the following:

• Prospective client’s full name and date of birth
• The Aetna plan policy holder’s name
• The Aetna Member ID or policy number