Catalina Behavioral Health is not in-network with Banner Aetna. Admissions can still review the member’s plan, explain whether out-of-network or other benefits may apply, and discuss adult addiction and mental-health treatment options in Tucson.
Call 520-999-2560 for a confidential benefits review. Benefits, authorization requirements, member costs, and coverage decisions differ by policy, and verification does not guarantee coverage, payment, availability, or admission.
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Getting Accredited Treatment at Catalina as a Banner Employee
Catalina Behavioral Health is in-network with Aetna, Cigna, Blue Cross Blue Shield, UHC/UMR, and Molina commercial plans, as well as other carriers. Because benefits differ by policy, admissions can confirm how a specific plan applies, explain expected costs, and assist with authorization requirements. Call 520-999-2560 for a confidential benefits review and to discuss adult treatment options.
But what does your Banner Aetna rehab coverage mean in terms of your resources and finding accredited treatment options for yourself or your loved one?
If you or an adult you care about needs support for a mental health or substance use concern, Catalina admissions can discuss appropriate treatment options and help you take the next step.
Fast and Free Insurance Verification – Call Now!
Using Banner Aetna Benefits for Care at Catalina
Catalina is not in-network with Banner Aetna. Admissions can still review the member’s plan, explain whether out-of-network or other benefits may apply, and discuss available adult treatment and payment options.
What Does the Aetna Banner Partnership Logo Signify?
The Banner Aetna or Banner Health logo identifies the member’s plan; it does not by itself confirm that a particular provider is in network or that a service is authorized.
The Affordable Care Act and Healthcare Benefits for Rehab
Under the Affordable Care Act put in place in 2010, things radically changed when it came to coverage for substance use disorders. Before 2010, these services were not guaranteed to be covered by your health insurance company.
Mental health and substance use disorder services are included among the Affordable Care Act’s essential health benefit categories for applicable individual and small-group plans, and federal parity rules may apply. Specific services, limits, network requirements, authorization rules, and member costs vary by plan.
3 Types of Variations in Coverage for Banner Health Aetna
There are no universal answers regarding what a Banner Aetna plan will cover. Catalina admissions can help identify authorization requirements, coordinate information needed for payer review, and explain the benefit information available for the proposed service.
Our admissions staff can help you determine what level of care is right for you and then discuss the coverage of those treatments.
1) Length of Treatment Time at Our Banner Aetna Rehab
Some adults may need medical detox or hospital-based stabilization through an appropriate outside provider before beginning treatment at Catalina. Others may be clinically appropriate for residential treatment, PHP, IOP, or outpatient care. The recommended level and length of care are individualized.
2) What are Co-Occurring Disorders or Dual Diagnoses?
According to the Substance Abuse and Mental Health Services Administration, 21.5 million people have a co-occurring disorder with their substance use disorder. This means that you might need help for more than just substance abuse.
Having other mental health concerns can influence what health care will cover for your treatment.
Catalina Behavioral Health offers more than just addiction treatment. Our service enables you to make a comprehensive, personalized health care plan with Banner Aetna’s benefits. We can help with anxiety, depression, mood disorders, and more. We also provide services for mental health and trauma treatment clients, with or without the presence of substance abuse.
Simply make a call to let us know your exact circumstances and allow us to help you figure out what you can expect to pay for treatment, quickly and confidentially.
3) In-State Treatment Facilities
Some adults prefer treatment close to home, while others value distance from familiar triggers or additional privacy.
Not to mention, being local enables you to continue connecting with loved ones and make an easy transition to outpatient programs.
For Arizona residents, Catalina Behavioral Health offers individualized adult treatment options in Tucson. Admissions can review whether Banner Aetna benefits may apply and help callers compare available next steps without assuming that an in-state location produces greater coverage.
What are the Levels of Services for Substance Use Disorders?
Catalina offers individualized residential, PHP, IOP, and outpatient treatment for adults. A clinical assessment helps determine which level of care is appropriate.
Banner Aetna Coverage for Medical Detox Before Admission
Some Banner Aetna plans may include benefits for medically supervised detox when it is clinically indicated and provided in an appropriate covered setting. Catalina does not provide on-site medical detox. Coverage depends on the individual plan, medical necessity, authorization requirements, network status, and the outside provider involved.
If detox, medical clearance, or hospital-based stabilization is needed before admission, Catalina’s admissions team can help discuss appropriate outside next steps. After those needs are addressed, an assessment can help determine whether adult residential treatment, PHP, IOP, or outpatient care at Catalina may be appropriate.
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Inpatient Rehab in Arizona at Catalina Behavioral Health
The cost of residential treatment can be significant, and a Banner Aetna plan may include applicable behavioral-health benefits. Catalina provides adult residential and outpatient levels of care rather than hospital inpatient or emergency services. Admissions can review possible benefits and costs before a treatment decision is made.
Our medical team can provide an assessment of your substance use or mental health to help you decide if this is the right step for you. From here, we can verify your Banner Health benefits to identify services that might give you the advantage you need to live life sober.
Outpatient Programs for Less Out-of-Pocket Spending
Catalina provides residential, PHP, IOP, and outpatient treatment for adults. Admissions can explain estimated costs and whether out-of-network or other Banner Aetna benefits may be available for the service being considered.
This is ideal for those who want to head home at the end of the day to see their kids and families or sleep in their own bed, whether at home or in a sober living residence. The good news is that there are several levels of outpatient you can enroll in to get the benefits you need: partial hospitalization and intensive outpatient.
Partial hospitalization takes six to eight hours each day, just as if you were enrolled in inpatient treatment. You will spend the day in our facility, returning home in the evenings. On the other hand, intensive outpatient is less restrictive and allows you to come and go between scheduled appointments. It may only require several hours per week instead of per day.
Finding Out Your Specific Plan Details for Addiction Treatment
Do not let uncertainty about insurance prevent you from calling Catalina. Admissions can explain estimated costs and discuss any self-pay or payment options that are currently available before admission.
We can help you figure it out with just a request for a few details from your member ID card. Have this information handy when you call in for confidential verification of your policy and we will help you make a plan for a brighter future without substance use disorder.
Catalina Offers Addiction and Mental Health Treatment Support
Review Benefits and Treatment Programs at Catalina
If you have Banner Aetna coverage, call to learn what benefits may be available for addiction or mental-health treatment. Although Catalina is not in-network with Banner Aetna, Catalina Behavioral Health admissions can review whether out-of-network or other benefits may apply and discuss adult treatment options.
Call 520-999-2560 to speak with the admissions team about adult treatment options and a confidential Banner Aetna benefits review.
References
- National Archives and Records Administration. (n.d.). Substance Abuse and the Affordable Care Act. National Archives and Records Administration.
- Co-occurring disorders and other health conditions. SAMHSA. (n.d.).
