Aetna Rehab and Alcohol Detox Coverage

By Admin User, January 20, 2016.

Aetna Rehab and Alcohol Detox Coverage

According to a study conducted by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), in any given year, approximately 14 percent of adults in the U.S. misuse alcohol. George Koob is the Director of the NIAAA. Koob states that the risk of suffering with an alcohol use disorder (AUD) has been on the rise for the last 10 years.

Aetna offers inpatient and outpatient alcohol rehab and detox treatment to its clients whom are suffering with an alcohol use disorder, including alcohol dependency. The company also offers coverage for co-occurring mental health disorders; furthermore, individuals who have coverage through an employer group plan may have additional benefits available to them through an Employee Assistance Program.

Aetna’s Brief Intervention and Referral to Treatment (SBIRT) Screening Program

Aetna states that its goal is to improve the quality of care its clients receive for substance abuse conditions, including alcohol. Aetna has a program that is designed to assist primary care physicians as they screen their Aetna patients for alcohol abuse. Aetna’s Alcohol Screening program, SBIRT, uses the NIAAA's evidence-based protocol to screen clients and determine their eligibility to receive treatment for alcohol abuse.

The 4 Steps Required to Receive Alcohol Rehab and Detox Treatment Benefits From Aetna

Prior to receiving benefits for alcohol dependency, Aetna requires its clients’ doctors to follow the 4 steps that are outlined by the NIAAA.

Step 1

Your physician will want to know about your heavy drinking/binging days: According to the Centers for Disease Control and Prevention (CDC), binge drinking is defined as a woman drinking at least four alcoholic beverages and a man drinking at least five alcoholic beverages within a two-hour period. You may receive a self-reporting instrument, such as an Alcohol Use Disorders Identification Test (AUDIT).

Step 2

Your doctor needs to assess whether you have a dysfunctional pattern of alcohol use or not. If you have a dysfunctional pattern of alcohol use, you experience a significant amount of distress or impairment due to your alcohol use.

Step 3

Taking your alcohol-related symptoms into account, your doctor makes his or her recommendations for your alcohol rehab and detox treatment.

Step 4

During follow-up visits, your doctor reinforces and supports you, ensuring your adherence to his or her recommendations.

Aetna Policies Vary; Therefore, Levels of Coverage Vary as Well

Aetna offers various health insurance policies, which is why coverage levels differ. The majority of treatment facilities will assist patients in determining their alcohol rehab and detox coverage.