Calusa Recovery




Are you or a family member looking for insurance coverage for addiction treatment? Knowing what Aetna’s policies cover in terms of addiction treatment can have a big impact on your decision.

At Aetna Insurance, we are dedicated to helping people with addiction get the treatment they need. Our policies cover a wide range of addiction treatment options, including inpatient rehabilitation, outpatient programs, and medication-assisted treatment and counseling services. But it’s important to know what your coverage limits, deductible, and co-pay are.

By learning more about Aetna’s coverage for addiction treatment, you can advocate for yourself or a loved one and make better decisions about the best treatment options. Keep in mind that the more information you have about your insurance coverage, the better prepared you will be for navigating the world of addiction treatment.

Calusa Recovery Programs


One of the first steps when seeking treatment for substance abuse is the detoxification process. Here you are medically supervised and managed through withdrawal process to rid the body of drugs & alcohol.

Residential inpatient treatment is when a client lives on-site 24 hours a day, 7 days a week while receiving intensive inpatient treatment. Learn more about inpatient treatment and how it can help you on your journey.

The partial day program at Calusa Recovery combines the best of aspects inpatient and outpatient treatment to form a hybrid program that allows you to experience inpatient therapies on an outpatient basis.

Find out why the innovative intensive outpatient program at Calusa Recovery is your best choice when seeking an outpatient addiction treatment program in Ft. Myers, Florida. 

Our outpatient program will enable your professional life to become limitless. We offer the tools for you to become the best you can be while being sober! If you’re in Lee County, don’t wait another day to start your recovery.

The family program at Calusa Recovery is an integral part of our programming. Family therapy is an essential part of the recovery process because it allows members of the entire family system to learn how to recover as a unit while supporting their loved-one in recovery.

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Coverage Under Aetna Insurance

When it comes to Aetna Insurance addiction treatment coverage, it’s important to know what your policy covers. Aetna has different coverage options depending on your plan. It’s essential to read your policy documents or get in touch with Aetna to find out how much coverage you have for addiction treatment.

In order to get the most out of your benefits, it’s important to understand the terminology that Aetna uses and the steps you need to take to access addiction treatment services. These include: In-network vs. Out-of-Network providers, Preauthorization vs. medical necessity, Reimbursement. 

Get Approved. Get Help.

Individualized Care
Family Programming
Adventure-Based Therapies

Most Private Health Insurance Will Help Pay for Treatment.

Calusa Recovery does not accept Medicare or Medicaid as payment for substance abuse treatment.

Let us handle the details so you can focus on the help you need.

Aetna Insurance Policies And Coverage Options

Aetna Insurance provides coverage for addiction treatment through a variety of policies and plans. Your coverage options may differ depending on where you live and which plan you have. Check the specifics of your policy to find out what coverage options are available to you.

One of the most common types of coverage is inpatient rehab. Inpatient rehab is a type of residential treatment where you stay in a facility for a set number of days to receive the full range of care you need. Aetna typically covers a portion of inpatient rehab costs, but it’s important to know what your coverage limits are, like how many days or what percentage of costs you’ll be covered.

Another type of addiction treatment that Aetna covers is outpatient programs. These programs provide flexibility, meaning that you can receive treatment while at home. It is possible that Aetna will cover some or all of your outpatient program costs, but it is important to check your policy to see if there are any restrictions or requirements.

MAT is a common form of addiction treatment, especially for opioid addicts. Most Aetna policies include coverage for medications, including methadone and oxycodone, as well as counseling and therapy services. Check your policy to see if there are any restrictions or requirements that apply to your coverage for medication-assisted treatment.

In-Network Vs. Out-Of-Network Providers For Addiction Treatment

When looking for addiction treatment coverage through Aetna, there are two main types of providers: in-network providers and providers outside of your network. 

  1. While some in-network providers (i.e., those that are part of Aetna’s network) have agreements with the company to offer Aetna services at competitive rates, others have not.
  2. One of the benefits of choosing an in-network insurer is that you’ll likely pay less in the long run because Aetna typically offers more comprehensive coverage for its in-network offerings.
  3. It is important to note, however, that there may be times when you need to connect to out-of-band providers, for example, if there are no providers in your area that offer in-network services or if you need specialized services that are not available through in-band providers.
  4. In these cases, it’s important to look at your policy to see what your coverage and rates are for OSPs.

Preauthorization And Medical Necessity Requirements For Addiction Treatment

In many cases, Aetna Insurance will require you to get a preauthorization for your addiction treatment services. A preauthorization is a type of insurance that allows you to get certain types of treatment approved by the insurance company. This is done to make sure that the treatment you are receiving is medically necessary and that it meets Aetna’s criteria.

In order to get preauthorization for an addiction treatment program, you or your health care provider may need to provide documentation, including treatment plans, medical histories, and evaluations. It is important to familiarize yourself with the requirements for preauthorization and the process outlined in your insurance policy to avoid any coverage issues.

Limitations And Exclusions Of Aetna's Addiction Treatment

Aetna Insurance is committed to providing comprehensive coverage for your addiction treatment, but there may be restrictions and exclusions that apply. These restrictions and exclusions vary from policy to policy and from state to state.

Common restrictions may include limits on how many days of inpatient rehab you can receive, or a limit on how many counseling sessions you can receive. Exceptions may include treatments considered experimental or exploratory, or services that are not directly associated with addiction treatment.

To make sure you know exactly what your coverage limits and exclusions are, review your policy details carefully or get in touch with Aetna directly to find out more.

Aetna's Reimbursement Process

When looking for addiction treatment coverage, it’s important to understand Aetna’s reimbursement process. 

  1. Once treatment is completed, you or your health care provider will need to file a claim with Aetna for coverage.
  2. After reviewing your claim, Aetna will work with you to determine how much you will be reimbursed based on your insurance coverage and any deductible or co-pay.
  3. It’s essential to maintain accurate records of your treatment expenses, such as invoices and receipts, as well as any supporting documents.
  4. Making sure your claim is complete and accurate will make the reimbursement process easier and help you get the most out of your policy.

Finding An Addiction Treatment Provider That Accepts Aetna Insurance

When looking for Aetna Insurance-approved addiction treatment, you’ll need to find a treatment provider that will accept your insurance. To find a treatment provider, follow these steps:

  • To locate an Aetna-approved addiction treatment provider, you can go to Aetna’s online directory or reach out to their customer service. Make sure to check the provider’s network status and see if they accept new patients.
  • It’s also important to look into your provider’s experience, training, treatment protocols, and success rate to make sure they match your needs and wants.
  • It’s important to know what your insurance company covers for addiction treatment so that you and your loved one can make the best decisions for your recovery.
  • By learning about Aetna policies, coverage, provider networks, and reimbursement processes, you’ll be able to navigate the ins and outs of your plan with ease.
  • Don’t forget to review your policies, get in touch with Aetna directly when you need more information, and do your research on addiction treatment providers so you can find the right one for you.
  • Now that you know what Aetna’s addiction coverage covers, you can fight for yourself or a loved one and get the care they need on the road to sobriety.

Now that you know what Aetna’s addiction coverage covers, you can fight for yourself or a loved one and get the care they need on the road to sobriety. Get in touch with Calusa Recovery Today.

Breaking The Cycle And Finding A New Path

Recovering from an Adderall Addiction is a difficult and complicated process, but it’s possible to break out of the cycle of addiction and find new ways to live. Getting professional help, building a support system, and living a healthy lifestyle all play a role in the recovery journey. With the proper tools and resources in place, anyone can recover from addiction and regain their life. Don’t forget that you’re not alone and there’s hope for a better future.