Insurance · Aetna
Phoenixville · Center City Philadelphia · Avondale · Virtual statewidePennsylvania Recovery Center is in network with Aetna for partial hospitalization and intensive outpatient addiction treatment at our Phoenixville, Center City Philadelphia and Avondale offices, with virtual IOP available statewide.
If you carry Aetna through an employer, the marketplace or a Medicare Advantage plan, one call tells you what is covered and what your share will be.
Treatment is billed at Aetna's contracted rate rather than out-of-network pricing.
We verify your Aetna plan directly and walk you through the numbers before you enroll.
Aetna often requires concurrent review for outpatient levels of care. We handle it.
Day, evening and virtual IOP tracks so treatment does not cost you your job.
Clinically reviewed by Andrea Kiotis, MA, LPC, CAADC — Clinical Director.
Last updated:
Choose the right schedule
Start with the support you need now, then step down as recovery becomes more stable.
About 6 hours a day · 5 days a week
Our most structured outpatient level of care, with a full clinical day at our Phoenixville, Philadelphia or Avondale office while you continue living at home.
Explore our PHP program →9–15 hours a week · Day or evening
A flexible in-person schedule for people who need substantial addiction treatment while balancing work, school, family or a step down from PHP.
Explore our IOP program →Secure online care · Statewide access
Clinically appropriate Pennsylvania residents can join structured groups and therapy from home without traveling to one of our three offices.
Explore our statewide virtual IOP →Aetna behavioral health benefits reach us through several product lines:
Plan names change and benefits vary by employer group, so the only way to know for certain is a live benefit check. We will run one for you at no cost and with no obligation.
Aetna covers substance use treatment as a behavioral health benefit under federal parity rules, which means PHP and IOP are covered services subject to your deductible, copay or coinsurance.
Aetna is generally strict about medical necessity documentation. Our clinicians write to that standard from the assessment forward, using the BARC-10 and PHQ-9 / GAD-7 to show measured progress.
Most Aetna plans require prior authorization for partial hospitalization and periodic review for continued IOP attendance. Admissions submits the initial request and our clinical team manages every review with you.
Aetna covers telehealth behavioral health broadly, which is why virtual IOP is available to clinically appropriate clients anywhere in Pennsylvania — including people two hours from Phoenixville.
Not sure what your Aetna plan covers? We will check it for you.
Call (610) 233-4342Free, confidential and usually finished the same day you call.
Call (610) 233-4342 or take the free level-of-care assessment. It takes a few minutes.
We need your member ID, date of birth and the name on the plan — nothing more.
Our admissions team runs the benefit check directly with the plan at no cost to you.
We explain what is covered, what your share may be, and when you can start.
Some Aetna plans apply a flat copay per outpatient day; others apply coinsurance after the deductible. Whichever yours does, we get the figure from Aetna and give it to you in plain numbers before your first session.
If you have already met your out-of-pocket maximum for the plan year, covered treatment is typically paid in full. If you are early in a high-deductible year, we will tell you that too — no surprise balances after admission.
We track every client from admission to discharge with the BARC-10 recovery capital scale and the PHQ-9 / GAD-7 mental health screens. These are our own program results.
53%
of clients complete our PHP and IOP programs — vs. a national average near 26% for similar outpatient programs.
+9
point average gain on the BARC-10 recovery capital scale from admission to discharge.
-5.95
point average drop in combined PHQ-9 / GAD-7 anxiety and depression scores during treatment.
2215 Kimberton Road, Phoenixville, PA 19460
Serving Phoenixville, Kimberton, Royersford, Collegeville, Spring City, Pottstown, King of Prussia, Norristown, Malvern, Exton, Downingtown and West Chester.
Learn about our Phoenixville office →1026 Winter Street, Philadelphia, PA 19107
Serving Center City, Chinatown, Washington Square West, Rittenhouse, South Philadelphia, Fishtown, Northern Liberties, University City and the Main Line.
Learn about our Philadelphia office →1284 Gap Newport Pike, Avondale, PA 19311
Serving Avondale, Kennett Square, West Grove, Oxford, Landenberg, Coatesville and the Route 41 corridor of southern Chester County.
Learn about our Avondale office →Aetna benefits typically apply across our full range of outpatient treatment programs. Learn more about the conditions we treat at our Phoenixville, Center City Philadelphia, and Avondale offices — or through virtual IOP anywhere in Pennsylvania.
Need detox or inpatient first?
If you need medical detox or a residential stay before outpatient care, call us — we'll help coordinate placement with trusted partners and plan your step-down into our PHP or IOP when you're ready.
Yes. We are an in-network Aetna provider for partial hospitalization and intensive outpatient addiction treatment. We still verify your specific plan before you start, because benefits vary by employer group.
Both are standard covered behavioral health services on most Aetna plans. Prior authorization is common for PHP, and our admissions team requests it as part of getting you started.
In most cases yes — Aetna covers telehealth behavioral health visits. We confirm your telehealth benefit during the free verification call.
Aetna authorizes care in blocks and reviews progress along the way rather than approving a fixed number of weeks up front. Because we document outcomes with validated measures, continued care decisions are based on your actual clinical picture.
Marketplace plans must cover substance use treatment as an essential health benefit. Deductibles are often higher, so the benefit check matters even more — we will show you the real numbers.
Yes. Aetna coverage applies at all three offices — Phoenixville, Center City Philadelphia at 1026 Winter Street, and Avondale — as well as virtual IOP.
Free, confidential and usually answered the same day you call. Admissions is available 24/7 at (610) 233-4342.