Meritan Health is a subsidiary of Aetna and CVS Health, providing members with a network of more than 700,000 doctors and providers nationwide and access to one of the largest pharmacies in the U.S. Additionally, Meritain Health is the second largest third-party administrator (TPA) in the nation. Many Meritain Health plans cover drug and alcohol rehab, either partially or fully, depending on the terms of your specific plan.

Does Meritain Health Insurance Cover Drug and Alcohol Rehab?

Drug and alcohol addiction is a devastating disease that causes destruction in all areas of an individual’s life. Just like many other diseases, without the right treatment, the results can be fatal. Members of Meritain Health can sometimes get the treatment they need at a rehab center when deemed appropriate by a primary physician. One of Meritain Health’s goals is to lower the total cost of care for its members, including drug and alcohol rehab.

Addiction Resources with Meritain Health Rehab Coverage

Meritain Health works to ensure that its members achieve their goals of lifelong sobriety by developing a comprehensive case management plan. Meritain Health’s case managers follow all inpatient and outpatient substance abuse cases, providing them with a network of providers to help each individual with their substance use disorder. The case management services team takes each member’s individual needs into consideration, making it possible for them to get the help they need without creating a financial burden for them during their drug and alcohol treatment.

Does Meritain Cover Alcohol and Drug Rehab That Is Out-Of-Network?

This will depend on the specific treatment facility. Some rehab facilities will be in-network with Meritain Health, and others might be out-of-network. The exact amount covered by Meritain Health for addiction treatment will depend on your specific policy and out-of-pocket costs under your plan, but they sometimes offer out-of-network claim discounts.

Types of Addictions Typically Covered

Meritain health insurance typically covers treatment for drug addiction, alcohol addiction, and substance abuse disorders. The exact amount of coverage and type of coverage will depend on your specific policy.

Addiction Treatment Coverage

Inpatient rehab, outpatient rehab, partial hospitalization programs, and intensive outpatient programs are often covered by Meritain Health Insurance, as well as mental health treatment services.

Inpatient Rehab with Meritain Health Insurance

Depending on your insurance plan, your covered inpatient treatment services with Meritain might include:

  • Screenings and Assessments
  • Psychiatric Evaluations/Mental Health Care Services
  • Individual Therapies
  • Medical Examination and Treatment
  • Detoxification
  • Inpatient Rehab Stay
  • Aftercare Services

In addition, Meritain Health generally covers most types of addictions, including:

Outpatient Rehab with Meritain Health Insurance Coverage

Outpatient treatment services with Meritain might include:

  • Partial Hospitalization (PHP)
  • Intensive Outpatient (IOP)
  • Individual Therapies
  • Group Therapies
  • Psychiatric Evaluations and Management/Mental Health Care Services
  • Screenings and Assessments
  • Medical Examinations and Treatment
  • Aftercare Services

How Is Mertain Different From Other Health Plans?

Meritain Health offers many benefits and added tools to keep your medical and treatment costs low by providing:

  • Telemedicine
  • 24-hour support via apps and customer service
  • Price transparency through their HealthCare BlueBook
  • Access to wellness programs, including fitness and nutrition
  • Nationwide access to providers through Aetna’s network

You Are Covered By Meritain Health

Regardless of if you are looking to enter into an inpatient or outpatient drug rehab treatment program or alcohol treatment facility for your addiction, Meritain Health will help to cover those expensive costs. You will potentially be able to receive the care you need with little to no money out of pocket. Meritain Health could also help to relieve the financial burden of treatment, allowing you to focus on getting well.

To determine your outpatient treatment coverage and expected out-of-pocket expenses, contact our rehab advisors. We are here to help you maximize your plan’s benefits and minimize your out-of-cost expenses.