Mental illness, addiction, and substance use can wreak havoc on one’s life and the lives of those they love. Whether dealing with a single issue or co-occurring conditions, getting help is often challenging and overwhelming. Many questions come to mind, such as, “Where do I start?” or “How will I afford it?”
Here at Freeman Health Partners, we understand the challenges of getting treatment. We offer Aetna Healthcare in Nashville with our multiple treatment programs to help those who need it on the path to recovery with much less worry and stress.
What is Aetna?
Aetna Healthcare Insurance, a Hartford-based managed healthcare company and a subsidiary of CVS Health is a crucial player in the Nashville, TN, health insurance market. Plus, Aetna boasts 13 million pharmacy benefit management services, 12 million healthcare professionals, and 700,000 primary care doctors and specialists. Aetna offers various services, from primary care, medical, pharmaceutical, counseling, and dental insurance to long-term care and disability plans.
Additionally, Aetna Healthcare in Nashville extends its coverage to addiction treatment, counseling, psychiatric services, and mental health treatment, including therapy for common mental health disorders such as anxiety, depression, bipolar disorder, and PTSD. Therefore, Aetna is a comprehensive choice for those seeking physical and mental health coverage.
One of Aetna’s standout features is its network of quality healthcare providers. Although some of their plans don’t require members to stick to in-network providers, choosing in-network can often save members money. Aetna’s in-network providers are carefully screened for quality care and adherence to modern medical standards.
What Does Aetna Cover?
Leading the charge in offering extensive coverage for mental health, Aetna’s Health Care plans adhere to the Affordable Care Act (ACA) directives. They believe that mental well-being is just as crucial as physical health. Hence, ACA plans include behavioral and mental health treatments as essential benefits.
Addiction treatments, counseling, therapy, and inpatient mental health services are some of the numerous benefits offered.
Aetna stands out in its commitment to providing essential behavioral health care equal to other services. They require a medical diagnosis and treatments founded on evidence and medical necessity.
Consequently, alternative therapies and life coaching are covered, and therapy needs proper diagnosis. Confirmation of these benefits is obtained either from the insurer’s website or their Human Resources department.
Aetna works with a person’s treatment needs to find nearby treatment options for substance addictions. Coverage depends on one’s specific individual plan. Thus, someone should contact their insurance provider to determine what their plan covers.
Aetna offers consumer health insurance and other relevant services which cover:
- Dental
- Behavioral Health
- Disability
- Long-term care
- These plans are typically accessible via employer-paid insurance, medicare, and benefit programs.
Aetna offers plans that cover the following substance abuse treatments:
- Inpatient rehabilitation
- Residential rehabilitation
- Detoxification
- Partial hospital treatment
- Intensive outpatient treatment
- Continuing care programs
Further, Aetna healthcare in Nashville offers Continuing care programs. With Continuing care, members meet weekly and receive support. Social events take place to celebrate the members’ recovery achievements. Continuing care helps people stay connected to a community that provides ongoing support during recovery.
Aetna and Detox
Aetna covers medical detox for beneficiaries. A medical detox is when someone requires medical supervision while being weaned off of substances. A detox removes all traces of various substances, such as heroin, alcohol, and other drugs. This process can be arduous because of the intense side effects that come with functioning without drugs or alcohol.
Medical detox is recommended over detoxing alone because it helps to ease the symptoms of withdrawal. Under medical supervision, a client is safely and comfortably weaned off of drugs. In addition, the detox period can vary from person to person, but the typical stay in detox is five to 10 days.
Thankfully, Aetna healthcare in Nashville also covers medications during the detox process. These medications help to ease the side effects of withdrawal from drugs and alcohol.
Aetna and Mental Health Services
Freeman Health Partners believes mental well-being is just as crucial as physical health. Hence, their plans include behavioral and mental health treatments as essential benefits. Addiction treatments, counseling, therapy, and inpatient mental health services are some of the numerous benefits offered.
Aetna stands out in its commitment to provide essential behavioral health care at par with other health care services, revering its importance. They require a medical diagnosis and treatments founded on evidence and medical necessity.
Consequently, alternative therapies and life coaching are typically covered, and therapy needs proper diagnosis. Clients can obtain confirmation of these benefits from the insurer’s website or their Human Resources department.
Delving into specifics, Aetna’s Managed Choice Plan retains the economic advantages of a managed care plan without compromising individual freedom. Enrollees can choose mental health providers from Aetna’s network to supervise their care. There’s also an option to leave the network overshadowed by the responsibility of bearing higher costs.
Does Aetna Cover Treatment Out-of-Network?
Does Aetna cover treatment out-of-network? This question is an understandable common concern. The short answer is yes. However, this depends on the individual plan. Some plans do not require service providers to be in-network. However, the out-of-pocket costs for these providers may be higher.
Diversifying further, Aetna offers many other plans, including mental and behavioral health services. These include Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Medicare coverage. The Aetna HMO Plan demands that its members select a primary care physician to oversee their treatment and synchronize specialty care.
Aetna’s mental health benefits include more than basic services. They extend towards comprehensive programs for mental and behavioral health conditions. Its services span family practice, counseling, therapy, and much more.
It is important to note that out-of-network programs have yet to be screened for treatment that is within the current standards of practice. Patients should reach out to their healthcare provider for guidance.
Get Aetna Healthcare in Nashville Today
At Freeman Health Partners, our compassionate care meets the power of Aetna Healthcare in Nashville. We understand that addiction and mental health challenges can be some of life’s most trying experiences, affecting not only individuals but their loved ones as well.
At Freeman Health Partners, we aim to provide a nurturing and supportive environment for those seeking addiction treatment and mental health services. Through our partnership with Aetna Healthcare, we are committed to making these critical services accessible and effective, ensuring that every person on their journey to recovery receives the care and support they deserve.
Contact us today to learn more.