Using your Aetna plan for virtual outpatient treatment in California.
Aetna PPO, Aetna Choice POS II, and Aetna-administered self-funded employer plans are some of the cards we see most often. If you live in California and your plan has out-of-network behavioral benefits, that benefit usually covers virtual intensive outpatient with us. Your plan is unique. We verify yours specifically, and give you the real number, before you commit to anything.
The honest version.
We are out of network with commercial carriers. In-network credentialing is in progress. We verify your out-of-network benefits and tell you the real out-of-pocket number before you start.
What we will and will not tell you about cost.
We do not waive cost-shares. We do not tell you treatment is free. We verify your OON benefits, give you the real number, and if cost is a genuine barrier we will talk about it case by case.
A short overview, no fine print.
Plans vary widely, so the numbers below are intentionally not on this page. Yours are unique, and we pull them with you on the phone or in a two-minute form.
The pieces of the plan
- An allowed amount for each kind of visit or day of care.
- A deductible you meet before the plan starts splitting the cost.
- A coinsurance split after the deductible.
- An out-of-pocket maximum for the year, after which the plan covers more or all.
- An authorization step for intensive outpatient and PHP-intensity hour expansion, which we handle.
What we do for you on the benefits side
- Call Aetna on the back of your card and pull the actual out-of-network behavioral numbers for the level of care you need.
- Translate them into the dollar cost of a week of treatment, so there are no surprises.
- Submit the authorization and stay on the case through review and renewal.
- Bill what the plan considers reasonable, so there is no balance-bill surprise later.
If your employer self-funds and Aetna processes the claim.
A lot of large employers self-fund their health plan and use Aetna as the administrator. The employer's plan document sets the rules; Aetna handles the paperwork. The benefits side works similarly, and we pull your specific plan's numbers the same way.
Use it as your first call
Many Aetna-administered plans include an Employee Assistance Program. Tell the counselor you are considering virtual intensive outpatient or partial hospitalization-intensity care. Send us the referral and we take it from there.
Start the benefit check Going straight to the planWe open the case ourselves
Send us the member ID and group number on the front of your card and we will pull your benefits, request authorization, and confirm what the program will cost you before your first session.
Start the benefit checkTwo minutes. The real number, before you commit.
Send your name and the best way to reach you. We pull your specific Aetna out-of-network behavioral benefits, deductible, coinsurance, and out-of-pocket maximum, translate them into the dollar cost of a week of intensive outpatient, and confirm it before your first session. No commitment until you decide.
- California, virtual. No facility visit required.
- We open the authorization and stay on the case.
- No cost-share waivers, no surprise balance bills.
Prefer to talk? Call (805) 815-6777, book an intro call, or email admin@shiftsupportnetwork.com.
Thanks. We have got it.
Someone from Shift Support Network will follow up shortly with your Aetna benefit check. If it is time-sensitive, reach us directly.
Call (805) 815-6777If you or someone you are with is in immediate danger, call or text 988 (the Suicide & Crisis Lifeline) or call 911. Shift Support Network is an outpatient program and is not an emergency service.