Nearly all Aetna Behavioral Health plans cover therapy for mental and behavioral health conditions. The Affordable Care Act requires that health insurance offered through the health insurance marketplace or small employers cover mental health services. While not required by federal law, most large employers also cover mental health services.
While rare, your Aetna plan may not cover therapy services if you work for a large employer that doesn’t include mental health benefits in its insurance coverage or your health insurance plan was created before 2014 when the ACA enacted its mental health coverage requirement.
In other situations, your Aetna plan may not cover the specific type of therapy service you’re seeking, or your coverage may not apply until you spend a certain amount on medical services.
To determine your copay log in to your member account, select “Find Care & Pricing”, then type “Behavioral Health” to find providers in your network.
You don’t need a referral when you visit any doctor in the Aetna network.
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