Aetna Addiction Treatment Coverage on Long Island
Aetna, a CVS Health company, serves over 23 million medical members and provides comprehensive addiction treatment coverage. The CVS Health integration gives Aetna members access to pharmacy services, MinuteClinic behavioral health screenings, and coordinated care pathways.
23M+
Medical Members
CVS Health company
Extensive
NY Network
In-network LI providers
100%
MAT Coverage
CVS Pharmacy integration
24/7
Nurse Hotline
Behavioral health support
What Aetna Covers for Addiction Treatment
Under the Mental Health Parity and Addiction Equity Act, Aetna covers substance use disorder treatment at parity with medical/surgical benefits:
Covered MAT Medications
Aetna covers all FDA-approved medications for opioid and alcohol use disorders. CVS Pharmacy integration streamlines prescription fulfillment:
Suboxone
Buprenorphine/Naloxone
Use: Opioid dependence
Form: Film / Tablet
Sublocade
Extended-release buprenorphine
Use: Opioid dependence
Form: Monthly injection
Vivitrol
Extended-release naltrexone
Use: Opioid & alcohol
Form: Monthly injection
Brixadi
Buprenorphine ER injection
Use: Opioid dependence
Form: Weekly/Monthly injection
Aetna Plans Accepted for Rehab
Aetna PPO
Flexible plan with in-network and out-of-network coverage for addiction treatment. Popular with Long Island employers. Lower cost-sharing at in-network OASAS facilities.
Aetna Open Choice
Freedom to see any provider without referrals. Both in-network and out-of-network benefits. Good flexibility for choosing treatment facilities.
Aetna HMO
In-network only plan with lower premiums. Covers all levels of addiction treatment at in-network facilities. May require PCP referral for behavioral health.
Aetna Better Health (Medicaid)
Aetna's Medicaid managed care plan in NY. $0 copay for addiction treatment at OASAS-certified facilities. Covers detox through aftercare.
Prior Authorization Requirements
| Level of Care | In-Network | Out-of-Network |
|---|---|---|
| Outpatient Counseling | No prior auth required | No prior auth required |
| Intensive Outpatient (IOP) | No prior auth required | Prior auth required |
| Partial Hospitalization (PHP) | Prior auth required | Prior auth required |
| Inpatient Detox | Prior auth required | Prior auth required |
| Residential Treatment | Prior auth required | Prior auth required |
| MAT (Suboxone/Vivitrol) | Varies by medication | Prior auth required |
How to Verify Your Aetna Benefits
Locate your Aetna member ID
Find your member ID number on your Aetna insurance card. You'll also need your group number for verification.
Call Aetna Member Services
Call 1-800-872-3862 to verify your behavioral health and substance abuse benefits. Ask about covered services, copays, deductibles, and in-network providers.
Or call us for free verification
Our team can verify your Aetna benefits for free and connect you with an appropriate in-network treatment center on Long Island.
Begin treatment
Once benefits are verified, begin treatment — often the same day for outpatient. The facility handles prior authorization for higher levels of care.
Where Aetna Is Accepted on Long Island
Nassau County
- • Detox & residential programs
- • Outpatient clinics (IOP/PHP)
- • MAT providers & clinics
- • CVS MinuteClinic screenings
Suffolk County
- • Hospital-based detox units
- • Residential rehabilitation
- • Outpatient treatment programs
- • Sober living residences
Your Parity Rights Under Federal & NY Law
Under the MHPAEA and Timothy's Law, Aetna cannot impose more restrictive limitations on substance use disorder treatment than on medical/surgical benefits.
- Addiction treatment covered at parity with medical/surgical benefits
- Co-pays and deductibles must be comparable
- Prior auth requirements cannot be more restrictive than for medical care
Frequently Asked Questions About Aetna Rehab Coverage
Related Insurance Guides
Verify Your Aetna Benefits — Free & Confidential
Our team can verify your Aetna coverage and connect you with an appropriate in-network treatment center on Long Island. The call is free, confidential, and takes about 5 minutes.
Call 844-338-6969Available 24/7 — No obligation
Medical Disclaimer: This page is for informational purposes only and does not constitute medical advice. Coverage details may vary by specific Aetna plan. Always verify your individual benefits with Aetna Member Services (1-800-872-3862) before beginning treatment. Information is current as of March 2026.