Keystone Health Group works with Aetna to help cover the cost of detox, residential rehab, and outpatient treatment. Verify your benefits in minutes — free and confidential.
Aetna is one of the largest health insurance providers in the United States, and most Aetna plans include coverage for substance use disorder treatment. Under federal law — specifically the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act (ACA) — addiction treatment is classified as an essential health benefit, meaning insurers like Aetna are required to cover it at the same level as other medical conditions.
At Keystone Health Group, we work directly with Aetna to verify your benefits, obtain prior authorization, and manage the billing process so you can focus entirely on treatment. Our admissions coordinators are experienced with Aetna's requirements and will walk you through exactly what your plan covers before your first day.
When you contact Keystone Health Group, our admissions team will ask for your Aetna member ID and date of birth. We contact Aetna directly to confirm your active coverage, identify your deductible and out-of-pocket maximum, determine whether prior authorization is required, and confirm which level of care is covered under your specific plan. This process is free, confidential, and typically completed the same day.
Does Aetna cover drug and alcohol rehab?
Yes. Aetna covers substance use disorder treatment under the Mental Health Parity and Addiction Equity Act (MHPAEA), which requires that mental health and addiction benefits be comparable to medical/surgical benefits. This includes detox, inpatient rehab, PHP, IOP, and outpatient services, depending on your specific plan.
What Aetna plans does Keystone Health Group accept?
We work with most Aetna commercial plans, including Aetna PPO, Aetna HMO (with referral), Aetna Open Choice, and Aetna Signature Administrators. Coverage specifics vary by plan. Our admissions team will verify your exact benefits before your arrival at no cost to you.
Will Aetna require prior authorization for rehab?
Most Aetna plans require prior authorization for inpatient and residential treatment. Our clinical and admissions staff handle the authorization process on your behalf, including submitting clinical documentation and responding to any requests for additional information.
What is my out-of-pocket cost with Aetna?
Your out-of-pocket cost depends on your specific plan's deductible, copay, coinsurance, and out-of-pocket maximum. After verifying your benefits, our team will give you a clear, honest breakdown of what to expect financially before you commit to treatment.
Does Aetna cover mental health treatment alongside addiction treatment?
Yes. Aetna covers dual-diagnosis treatment, which addresses co-occurring mental health conditions such as depression, anxiety, PTSD, and bipolar disorder alongside substance use. This is a core part of our integrated care model at Keystone Health Group.
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