As Atlanta’s need for quality mental health and addiction care grows, you’ll find that The Summit Wellness Group stands out as a trusted provider. With two convenient locations—one in Atlanta and another in Roswell—you can access a full range of mental health services, no matter where you are in your recovery journey.
What sets our Aetna insurance for mental health treatment in Atlanta, GA, apart is how our team blends clinical expertise, holistic therapies, and a genuinely welcoming atmosphere. Here, you’re supported every step of the way, with a focus on real healing—not just checking boxes.
Overview of Aetna’s Insurance Plans
Aetna offers a variety of health insurance plans, each designed to meet different needs and life stages. Here’s an overview of the primary levels and types of plans you’ll find through Aetna, based on their current offerings:
ACA Individual & Family Plans
These are Affordable Care Act (ACA) compliant plans available to individuals and families who do not have employer coverage. They are available through the Health Insurance Marketplace and directly from Aetna. Metal tiers categorize these plans:
- Bronze: Lower monthly premiums, higher out-of-pocket costs. Good for those who want to protect against worst-case scenarios.
- Silver: Moderate premiums and out-of-pocket costs. Often, the best value for people who qualify for cost-sharing reductions.
- Gold: Higher premiums, lower out-of-pocket costs. Suitable for those who expect to need more regular care.
- Platinum: Highest premiums, lowest out-of-pocket costs. Best for those who need a lot of care.
Employer-Sponsored Plans
Aetna partners with employers to offer group health insurance. These plans can include a range of options, such as:
- HMO (Health Maintenance Organization): Requires members to use a network of providers and get referrals for specialists.
- PPO (Preferred Provider Organization): Offers more flexibility in choosing providers and does not require referrals.
- EPO (Exclusive Provider Organization): Similar to PPOs but with no out-of-network coverage except in emergencies.
- POS (Point of Service): Combines features of HMO and PPO plans.
How Your Aetna Insurance Works for You
Like most major health insurers in the United States, Aetna offers coverage for mental health and substance use disorder services as part of its health plans.
This is following the Mental Health Parity and Addiction Equity Act (MHPAEA), which requires that mental health benefits be offered on par with medical and surgical benefits.
What’s Typically Covered
Aetna plans generally cover a wide range of mental health services, including:
- Outpatient therapy and counseling (individual, group, and family)
- Inpatient psychiatric hospitalization
- Intensive outpatient programs (IOP) and partial hospitalization programs (PHP)
- Medication management and psychiatric evaluations
- Telehealth/virtual therapy sessions
- Substance use disorder treatment (detox, rehab, counseling)
Coverage specifics—such as copays, coinsurance, deductibles, and the number of covered visits—depend on the individual’s plan type.
In-Network vs. Out-of-Network Providers
Aetna encourages members to use in-network providers, who have agreed to negotiated rates with Aetna. Using in-network providers usually means lower out-of-pocket costs for the member. Depending on the plan, out-of-network providers may be covered at a lower rate or not at all.
Preauthorization and Referrals
Some Aetna plans require preauthorization (prior approval) for certain mental health services, especially inpatient or intensive outpatient care. For HMO plans, a referral from a primary care physician may be needed to see a mental health specialist. PPO and EPO plans typically do not require referrals.
Telehealth Options
Aetna offers telehealth services for mental health, allowing members to access therapy and psychiatric care remotely. This can be especially helpful for those in rural areas or with mobility challenges.
Steps to Access Mental Health Care with Aetna
- Check Your Plan Details: Log in to your Aetna member portal or review your Summary of Benefits to understand your mental health coverage, including copays, deductibles, and any limits. Our admissions team can also help you with this.
- Get a Referral (if needed): For HMO plans, contact your primary care physician for a referral to a mental health provider.
- Preauthorization: For certain services (like inpatient treatment), your provider may need to submit a preauthorization request to Aetna.
- Schedule and Attend Appointments: You can begin treatment with us once approved.
Your Mental Health Services and Programs
At The Summit Wellness Group, you can get help for a wide variety of mental health conditions, including depression, anxiety, trauma, bipolar disorder, and co-occurring substance use issues.
A team of licensed therapists, psychiatrists, and addiction specialists will build a treatment plan around your unique needs and goals. It’s never one-size-fits-all, so you get care that truly fits you.
Here are some of the key programs you can expect:
- Partial Hospitalization Program (PHP): This structured day program provides intensive therapy, psychiatric care, and medical monitoring. After a full day, you go home and sleep in your bed. PHP is ideal if you need strong support but don’t require full hospitalization.
- Intensive Outpatient Program (IOP): IOP is more flexible, letting you attend therapy, group sessions, and skill-building activities three to five days a week. It’s a great fit if you’re stepping down from higher levels of care or balancing treatment with work and family.
- Outpatient Therapy: For ongoing support, we offer individual, group, and family therapy sessions. These help you stay on track and tackle challenges as they come up.
- Dual Diagnosis Treatment: We are known for treating both mental health and substance use disorders at the same time. We understand it’s best to address both together, giving you a better chance at lasting recovery.
Evidence-Based and Holistic Therapies for You
The Summit Wellness Group’s approach is built on proven, evidence-based practices. You’ll have access to a range of therapies, such as:
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Motivational Interviewing
- Trauma-Informed Care
But it’s not just talk therapy. We also offer holistic and experiential services to help you heal as a whole person. You might try:
- Yoga and Mindfulness Meditation
- Art and Music Therapy
- Nutritional Counseling
- Fitness and Wellness Activities
- Adventure Therapy and Outdoor Activities
These extras help you manage stress, build resilience, and discover healthy ways to cope after treatment.
Our Facility Amenities and Environment
The Summit Wellness Group pays close attention to your environment. Both the Atlanta and Roswell centers feature modern, thoughtfully designed spaces that feel relaxing and encourage connection.
You’ll enjoy amenities like:
- Spacious group rooms and private therapy offices
- On-site fitness facilities and yoga studios
- Outdoor areas for reflection and recreation
- Gourmet coffee and healthy snacks
- Transportation assistance if you need it
We want you to feel welcome and safe so you can focus on your recovery.
Handling Insurance and Ensuring Accessibility
The Summit Wellness Group works with major insurance plans—Aetna, Cigna, UnitedHealthcare, and others. Our admissions team can verify your insurance for free and help you understand your benefits and coverage for mental health and addiction treatment.
We’re committed to making care accessible, so the stress of understanding insurance coverage shouldn’t hinder your treatment.
Treatment is a Phone Call Away
If you or someone you care about needs mental health support in Atlanta, The Summit Wellness Group offers a comprehensive, client-centered approach. You’ll benefit from clinical expertise, holistic therapies, and a nurturing environment.
To learn more about The Summit Wellness Group’s programs, services, or amenities, contact our admissions team at (770) 790-4510 for a confidential consultation.