Meritain Health Provider Overview

Meritain Health, an Aetna company, provides health insurance to many Americans.¹ If you have coverage through Meritain Health and are living with a substance use disorder (SUD), you may be curious about Meritain Health coverage for rehab. While overcoming addiction can be difficult, working with a qualified treatment team and attending inpatient or outpatient rehab can set you on the path to recovery. In this article, we explore different treatment options, how some or all of your Meritain Health alcohol or drug rehab may be covered by insurance, and how you can get started with the recovery process today.

This page is intended to be a general overview of how Meritain Health covers addiction and mental health services, not a comprehensive guide on the subject. For specific questions about your plan and Meritain Health coverage for addiction treatment, contact a Meritain Health representative directly and learn about how to pay for rehab.

Does Meritain Health Cover Drug and Alcohol Addiction Treatment?

Meritain Health covers drug and alcohol addiction treatment. The Affordable Care Act requires that all major health insurance companies offer coverage for SUD and other mental health conditions, as treatment for these issues falls under the umbrella of essential health benefits (EHBs).²

Which Types of Addiction Treatment Does Meritain Health Cover?

Your exact Meritain Health coverage for alcohol or drug treatment will depend on your individual health insurance plan. People who are living with an SUD have varying needs, and your healthcare provider or addiction counselor will work with you to determine the level of care that makes the most sense for you.

Generally, treatment moves through 3 phases:³

Detoxification. During a medically supervised detox program, you’ll get medical and psychological support as drugs and alcohol leave your body. For many people, detox is the first step toward lasting sobriety.
Rehab. After you complete detox, you may go through inpatient or outpatient rehab, where you’ll get the help you need to develop skills and habits that will help you maintain your sobriety after you complete formal treatment. Inpatient rehab requires you to live at the facility while you receive treatment, while outpatient care offers varying levels of support that allow you to sleep at home while receiving treatment, including partial hospitalization programs and intensive outpatient programs.
Aftercare. Toward the end of your formal treatment, your care provider will help you develop an aftercare plan to help you get the support that you need in daily life. Your aftercare program may include counseling, 12-Step meetings, and more.

How to Use Meritain Health for Addiction Treatment and Rehab

Unsure of how to use your Meritain Health coverage for alcohol or drug rehab? You’ve got options. You can call the number on the back of your membership card to speak with a Meritain Health Member Services representative to learn more about your coverage, including any applicable deductibles, co-pays, and out-of-pocket costs. You can also download the Meritain mobile app or use the Meritain website to learn about your plan.

Meritain Health Coverage for Co-Occurring Disorder Treatment

Co-occurring disorders are SUDs that occur in tandem with other mental health conditions. Many people who are seeking treatment for an SUD have additional mental health conditions. It’s important to treat both issues at the same time to maximize your recovery.

Start Your Recovery

If you or a loved one is ready to seek rehab for a substance use disorder, explore your options and reach out to a rehab center using our rehab directory tool today!

Sources

Meritain Health. (2023). Meritain Health.
HealthCare.gov. (n.d.). Health benefits & coverage.
U.S. Department of Health & Human Services. (2016). Facing addiction in America.

Drug & Alcohol Rehab Covered by Meritain Health