Aetna Coverage at The Recovery Village at Baptist Health
We accept Aetna PPO, HMO, EPO, and POS plans at both South Florida locations for the full continuum of care.
At Our Palm Beach Inpatient Center — 4905 Lantana Rd, Lake Worth, FL 33463
- Medical Detox: 24/7 medically supervised withdrawal. Aetna covers medically necessary detox, with prior authorization typically required. Learn about detox.
- Inpatient Residential Rehab: Structured residential treatment with daily individual therapy, group counseling, family sessions, CBT, EMDR, and recreational activities. Aetna evaluates coverage through clinical review. Learn about inpatient rehab.
- Partial Hospitalization (PHP): Day treatment five to seven days per week. Aetna covers PHP when clinically recommended and authorized.
- Dual Diagnosis: Integrated treatment for co-occurring mental health conditions. Aetna covers mental health under federal parity laws. Learn about dual diagnosis.
At Our Miami Outpatient Office — 8585 Sunset Drive, Suite 202, Miami, FL 33143
- IOP — Structured therapy three to five days per week. Aetna covers IOP under behavioral health benefits. Learn about IOP. Learn about IOP.
- MAT — Most Aetna plans cover buprenorphine-naloxone and naltrexone. Learn about MAT.
Quick Takeaways
- Coverage varies by plan: Employer plans, Marketplace, Medicare, and Medicaid plans work differently.
- Network matters: In-network care at our facilities is usually the most cost-effective option.
- Medical necessity: Aetna reviews clinical info to confirm the appropriate level of care.
- Prior authorization: Required for inpatient/residential and higher levels of outpatient care.
Does Aetna Cover Drug and Alcohol Rehab?
In many cases, yes — Aetna plans often include benefits for substance use disorder (SUD) treatment. Some services may be covered under your medical benefits (like inpatient hospitalization), while others fall under behavioral health benefits. Prescription medications used in treatment are typically covered under your pharmacy benefits.
How Aetna Decides What’s Covered
Insurance coverage for rehab is often tied to medical necessity. Aetna references nationally recognized frameworks, such as The ASAM Criteria, to determine whether a person needs detox, residential care, PHP, or IOP. During verification, you may be asked about substance use history, withdrawal risk, and co-occurring mental health conditions.
How to Check Your Aetna Rehab Benefits
There are three reliable ways to check your coverage:
Free, Confidential Helpline
Ready to take the next step toward recovery?
Our Recovery Advocates are available around the clock to answer your questions, verify your insurance, and help you find the right level of care — at no cost to you.
- Verify with our team (Recommended): We contact Aetna directly to confirm in-network status and your estimated responsibility. Verify online here.
- Aetna Member Portal: Log into aetna.com to review plan documents.
- Call Member Services: Use the number on your ID card and ask for “behavioral health benefits.”
Frequently Asked Questions
Is The Recovery Village in-network with Aetna?
Yes. We accept Aetna PPO, HMO, EPO, and POS plans at both our Palm Beach inpatient center and Miami outpatient office. Being in-network helps minimize your out-of-pocket costs.
Does Aetna require prior authorization for rehab?
Most Aetna plans require prior authorization for inpatient treatment. Our admissions team handles this process—authorization typically takes under 24 hours. IOP and outpatient generally do not require prior auth.
How do I check my Aetna benefits?
Log into aetna.com, call member services on your card, use our free online verification tool, or call (561) 340-7269 for a comprehensive benefits check and cost estimate.
Disclaimer: This page is for informational purposes and is not a guarantee of coverage. Decisions are made by the insurer based on medical necessity.
