Key Takeaways Three numbers determine your real cost. Your deductible (how much you pay before insurance shares costs), your coinsurance rate (the percentage split between
Key Takeaways Aetna covers both PHP and IOP under behavioral health benefits, but each level is subject to different session structures, authorization timelines, and out-of-pocket
Key Takeaways “Pending authorization” is not a denial. Aetna’s prior authorization process is a standard clinical review that evaluates whether residential treatment meets medical necessity
Key Takeaways Aetna does not set a fixed number of detox days. Authorization is driven by clinical necessity and reviewed daily, with most guests receiving
Key Takeaways ASAM criteria determine level of care — Aetna’s residential vs. outpatient decisions are based on a structured six-dimension clinical framework, not subjective judgment
Key Takeaways Aetna covers alcohol rehab across the full continuum of care—detox, residential inpatient, PHP, and IOP—but authorizations are issued in short increments (typically 3
Key Takeaways Aetna covers four levels of addiction treatment: medical detox, residential inpatient, partial hospitalization (PHP), and intensive outpatient (IOP) — with each level authorized
Key Takeaways Royal Life Centers at Seaglass accepts Aetna. Located in Prescott, AZ, Seaglass Recovery is a dual-accredited addiction treatment center that accepts Aetna insurance
Key Takeaways Royal Life Centers at Seaglass accepts AHCCCS. AHCCCS members in Arizona can access medical detox and residential inpatient treatment at this Prescott facility.
Key Takeaways Aetna addiction treatment coverage is federally protected. The ACA and MHPAEA require most Aetna plans to cover substance use disorder treatment, including detox,
