Are You in Need of a Rehab Facility?

You have most likely found us because you — or someone you love — suffers from an addictive mental disorder. Taking this first step is quite courageous. You may feel that there is some sort of societal stigma attached to treatment. However, treatment has undergone many advancements over the past few decades. You will encounter no stigma or derision at Emerald Isle Health & Recovery. You will find that the atmosphere here is just the opposite of that.   

Factors to Consider When Choosing a Rehab Facility

Each person is unique, and their needs are unique as well. There are several factors you should consider when choosing a rehab facility.

Your Specific Needs

The first factor you should consider is what type of treatment program will best fit your needs. Will an inpatient program be the best option for you? Or will an outpatient program be a better fit for you?

One of the benefits of an inpatient program is that it offers a safe and structured environment. These programs typically have onsite care available around the clock. These programs have the added benefit of separating you from the people and places that may have contributed to your addiction. In other words, you will not have outside influences competing for your attention. This should allow you to concentrate fully on your recovery. The drawback is that this type of program typically requires the patient to stay at the facility for an extended time. This sometimes results in the patient feeling cut off from those they know and love. 

A benefit of an outpatient program is that it allows you to stay at home with your loved ones. Living in a familiar environment is a definite plus. The drawback is that you may need to deal with those outside influences while you are working towards recovery. That can impede your progress, thereby delaying your recovery.

Does the Treatment Facility Offer Specialized Care?

The second factor you should consider is whether a facility offers specialized care. Some examples of specialized care are listed below. 

This is not an entire list of specialized care that may be available to you. If you have any questions or concerns about the types of specialized care we offer, please do not hesitate to contact us. We will do our best to help you locate the specialized care you need. 

Does My Aetna Health Insurance Policy Cover This Facility?

Aetna Health Insurance Policy

If you carry Aetna insurance, you may wish to contact them to determine exactly what they will and will not cover. They can be reached on their website, or even by calling and speaking with someone directly. Not all their policies have rehab coverage, but the ones that do work with many different Aetna rehab centers around the U.S. The level of coverage and care all depend on the specific policy that each person has. Many states – such as Florida – require clients to receive authorization from their primary care provider before checking into a rehabilitation facility.

Aetna Insurance customers can usually find approved treatment centers online by simply searching for Aetna rehab centers. Aetna wants to help those struggling with an addiction get the help they need. Them polices often carry options for both inpatient rehab programs, as well as outpatient programs. They also help with other services that can better guide people towards long-term recovery. Depending on the type of insurance plan, Aetna will authorize inpatient stays ranging from 28 days to one year. 

Many Aetna plans cover all costs of inpatient rehabilitation treatment after the client meets their deductible. In addition, Aetna clients can check into rehabilitation facilities in other states when the out-of-state facility is in Aetna’s network. Aetna’s network includes “luxury” rehabilitation centers for clients seeking private rehabilitation facilities. Aetna’s network also includes “executive” rehabilitation centers which cater to clients with significant duties and responsibilities.

Generally, many Aetna policies will provide at least partial coverage for the following services:

  • Detoxification
  • Inpatient rehabilitation
  • Residential rehabilitation
  • Partial hospital treatment
  • Intensive outpatient treatment
  • Continuing care programs

Aetna provides quality screenings and lower costs for in-network rehabilitation facilities. Some out-of-network rehabilitation centers will not be covered at all, and the rest will cover thirty to fifty percent of the costs. Also, Aetna often requires its clients to complete certification checks for out-of-network facilities, which includes:

  • Inpatient admissions
  • Outpatient detoxification
  • Residential Treatment Center admissions
  • Intensive Outpatient Programs
  • Partial Hospitalization Programs

The most important factor determining the availability and costs associated with out-of-network care is the nature of the insurance plan itself:

  • Point-of-Service (POS) plans offer reduced out-of-pocket expenses for clients using in-network services, though clients require referrals to see specialists.
  • Exclusive Provider Organization (EPO) plans require clients to use in-network providers except for emergency services.
  • Preferred Provider Organization (PPO) plans allow clients to use out-of-network services, though clients will pay more out-of-pocket expenses.
  • Health Maintenance Organization (HMO) plans limit clients to in-network services and are occasionally associated with geographical restrictions.

Clients who wish to check into a specific rehabilitation facility should call the facility. Rehabilitation centers often have in-house insurance specialists that can answer questions regarding accepted insurance plans and their associated expenses. Though these in-house specialists may not be as familiar with Aetna policies as Aetna employees, they can answer basic questions and set up payment plans for interested clients.

Does the Facility Support My Recovery?  

Another factor to consider is how the treatment center will support your recovery. Some treatment programs follow the prevailing treatment protocol of 28 days. The actual time required to recover from your addiction may be more or less than the 28-day standard. You may even need a facility that offers long-term treatment. Long-term treatment can last anywhere from three to twelve months. The 28-day standard is typically not long enough for the majority of those who suffer from addiction. 

What Treatment Approach Does the Facility Use?

Something else you should consider in your search is the treatment approach a rehab facility uses. There are several scientifically based approaches that a rehab facility may use. Treatment options include, but are not limited to:

Does the Facility Offer Medication-Assisted Therapy?

Does the Facility Offer Medication-Assisted Therapy

Medication-Assisted Therapy (MAT) is used to treat substance use disorders and help sustain recovery and prevent overdose. MAT is typically used in combination with counseling and behavioral therapy. MAT can be used to treat both opioid and alcohol addictions. The medications that are used in MAT are approved by the FDA and are safe to use for years.


We understand that this is a lot of information to process. All these things are important to consider when choosing a rehab facility. Here at Emerald Isle Health & Recovery, we take all these things seriously because your treatment and recovery are our most important goal. Please remember to check with Aetna for coverage, as it is an integral part of your choice. If, for whatever reason, you are unable to check with Aetna, we will contact them on your behalf. Thank you for considering Emerald Isle Health & Recovery.!