Treatment Centers in South Dakota That Accept Aetna

Aetna covers drug and alcohol rehab in South Dakota mainly through employer plans and the federal employee plans it administers, since it left the individual marketplace in 2026. In western South Dakota its network is supplied by First Choice Health, a regional network that lists addiction medicine among its specialties.

Each program listed on this page shows a phone number, the levels of care it offers and any accreditation from The Joint Commission or CARF, based on government treatment registers and state licensing records. Browse the listings below and sort them by town or by the type of care, whether outpatient counseling, detox or a residential stay.

Rehab Centers Near You

6 Drug and Alcohol Rehabs in South Dakota Take Aetna Insurance

Southeastern Behavioral Healthcare – Sioux Falls
2000 South Summit Avenue, Sioux Falls, SD 57105
4.8★★★★★5
SAMHSA listed
OutpatientTelehealthWalk-in
Accepts InsuranceAccepts MedicaidAccepts Medicare+5
Co-occurring DisordersTrauma-informedTeens+6
Spanish spoken

Southeastern Behavioral Healthcare operates from 2000 South Summit Avenue in Sioux Falls. The site sits in Minnehaha County, which shapes which public funding routes apply. Nearby communities include Anderson, Canton and Harrisburg. South Dakota draws people across long distances for…

View facility(605) 271-8544

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Smoking Cessation Medication · Stimulant Rehab · +2 more

Levels of care

Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Walk-In Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · +1 more

Mental health

Assertive Community Treatment (ACT) · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Crisis Services · +9 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · Rehab for Domestic Violence Survivors · Senior Outpatient Rehab · Senior Rehab · +11 more

Support services

Case Management · Education and Job Training · Housing and Employment Support · Housing Assistance · Intensive Case Management · Peer Support · Recovery Support Services · Suicide Prevention Services · Supported Employment · Vocational Rehabilitation

Languages

Spanish Speaking Rehab

Insurance accepted

Administrative Concepts · Aetna · Allied Benefit Systems · American Healthcare Alliance · American Republic · Assurant Health · Assured Life Association · Avera · BCBS (Blue Cross Blue Shield) · Benefit Management · +34 more

Buffalo Plains Recovery – Rapid City (405 East Fairlane Drive)
405 East Fairlane Drive, Rapid City, SD 57701
4.7★★★★★24
Joint Commission
DetoxHospital detoxInpatient+3
Accepts InsuranceAccepts MedicaidAccepts Medicare+2
Co-occurring DisordersMATTrauma-informed+8

Buffalo Plains Recovery operates from 405 East Fairlane Drive in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Box Elder and Colonial Pine Hills. Distance matters here, and…

View facility(605) 600-6985

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +48 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +56 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Detox · +64 more

Support services

Case Management · Community Outreach · Employment Support · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · +3 more

Insurance accepted

Aetna · Avera · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Evernorth Health Services · HealthPartners · Medicaid · Medicare · Sanford Health Plan · TRICARE

iRecover US – Howard
103 South Main Street, Howard, SD 57349
4.3★★★★☆19
CARF accredited
DetoxHospital detoxInpatient+5
Accepts InsuranceAccepts MedicaidAccepts State Insurance+2
MATTrauma-informedSeniors+4

iRecover US operates from 103 South Main Street in Howard. The site sits in Miner County, which shapes which public funding routes apply. Nearby communities include Madison. The practical catchment runs wider than the city limits, taking in people who…

View facility(888) 212-1627

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +47 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · +52 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Motivational Interviewing · +1 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Adult Rehab · HIV and Hepatitis Care · HIV Support Services · Men's Inpatient Rehab · Men's Outpatient Rehab · Men's Rehab · Men's Residential Rehab · Men's Telehealth · Men's Trauma Rehab · Senior Detox · +16 more

Support services

Case Management · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Recovery Support Services · Self Help Groups

Insurance accepted

Aetna · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Medicaid · TRICARE · UnitedHealthcare (UHC)

Keystone Treatment Center – Sioux Falls
3800 South Kiwanis Avenue, Sioux Falls, SD 57105
3.6★★★★☆14
CARF accredited
IOPOutpatientAftercare
Accepts InsuranceAccepts MedicaidAccepts Medicare+4
VeteransYoung adultsWomen+3

Keystone Treatment Center operates from 3800 South Kiwanis Avenue in Sioux Falls. The site sits in Lincoln County, which shapes which public funding routes apply. Nearby communities include Canton, Harrisburg and Tea. South Dakota draws people across long distances for…

View facility(605) 705-6874

Substances treated

Adderall Rehab · Alcohol MAT Friendly · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · Dexedrine Rehab · +32 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Outpatient Rehab · Post-Treatment Follow-Up · Recurrence Prevention · Weekend Rehab

Therapies

12 Step Rehab · Addiction Counseling · Brief Intervention · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Groups served

Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered MAT · Court Ordered Medicare Rehab · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · +25 more

Support services

Community Outreach · Health and Wellness Support · Health Education · Peer Support · Practical Support · Recovery Support Services

Insurance accepted

Aetna · Avera · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · HealthPartners · Indian Health Service · Iowa Total Care · Medica · Medicaid · +14 more

Keystone Treatment Center – Canton
1010 East 2nd Street, Canton, SD 57013
4.1★★★★☆89
CARF accredited
DetoxHospital detoxInpatient+2
Accepts InsuranceAccepts MedicaidAccepts Medicare+4
Co-occurring DisordersMATTrauma-informed+8

Keystone Treatment Center operates from 1010 East 2nd Street in Canton. The site sits in Lincoln County, which shapes which public funding routes apply. The practical catchment runs wider than the city limits, taking in people who travel in rather…

View facility(605) 987-2751 ext. 107

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Rehab · Ativan (Lorazepam) Rehab · Benzodiazepine Rehab · Carfentanil Rehab · Chronic Pain and Substance Use · Cocaine Rehab · Codeine Rehab · Concerta Rehab · +46 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · Abstinence-Based Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Buprenorphine-Assisted Detox · +51 more

Therapies

12 Step Rehab · Addiction Counseling · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Trauma Treatment

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Detox · Court Ordered Dual Diagnosis Rehab · +60 more

Support services

Health and Wellness Support · Health Education · Hepatitis C Treatment · Housing and Employment Support · Housing Assistance · Peer Support · Recovery Coaching · Recovery Support Services

Insurance accepted

Aetna · Avera · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Cigna Healthcare · HealthPartners · Indian Health Service · Iowa Total Care · Medica · Medicaid · +14 more

Buffalo Plains Recovery – Rapid City (330 Knollwood Drive)
330 Knollwood Drive, Rapid City, SD 57701
Joint Commission
PHPIOPOutpatient+2
Accepts InsuranceAccepts MedicaidAccepts Medicare+2
Co-occurring DisordersMATTrauma-informed+8

Buffalo Plains Recovery operates from 330 Knollwood Drive in Rapid City. The site sits in Pennington County, which shapes which public funding routes apply. Nearby communities include Ashland Heights, Blackhawk and Box Elder. Distance matters here, and the nearest option…

View facility(605) 600-6985

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +31 more

Levels of care

Aftercare and Continuing Care · Continuing Care · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient Rehab · Overdose Prevention Education · Partial Hospitalization Program (PHP) · Post-Treatment Follow-Up · +2 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +4 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and Trauma · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Social Skills Training · Trauma Treatment

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Dual Diagnosis Rehab · +62 more

Support services

Case Management · Community Outreach · Employment Support · Housing and Employment Support · Housing Assistance · Intervention Services · Peer Support · Practical Support · Recovery Coaching · Recovery Support Services · +2 more

Insurance accepted

Aetna · Avera · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Evernorth Health Services · HealthPartners · Medicaid · Medicare · Sanford Health Plan · TRICARE

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Does Aetna Cover Rehab in South Dakota?

Yes, on plans that include it. Aetna lists substance use among conditions its mental health benefits treat, and a 2026 Choice POS II plan document covers inpatient stays, partial hospitalization, intensive outpatient programs, outpatient detox and counseling for substance-related disorders. What a South Dakotan has depends on the employer or plan behind the card at rehabs that accept Aetna.

Aetna has no individual marketplace plan in South Dakota for 2026 and runs no South Dakota Medicaid plan; its Aetna Better Health states do not include it. The coverage that remains comes through employers, the Mail Handlers Benefit Plan for federal and postal workers, the Rural Carrier Benefit Plan and employer plans that rent the Aetna Signature Administrators network.

Does Aetna Cover Inpatient Rehab in South Dakota?

Yes, with precertification. Aetna’s behavioral health list counts a stay in a hospital, psychiatric hospital, substance use disorder facility or residential treatment center as an inpatient confinement that can be covered under the member’s plan. Admission to residential rehab centers in Rapid City or Sioux Falls follows the same list.

How long will Aetna pay for residential rehab in South Dakota?

As long as Aetna’s reviews find the stay medically necessary under the member’s plan. Aetna judges addiction treatment against the ASAM Criteria, Third Edition, with its own Clinical Policy Bulletins and MCG guidelines as supplements, and its list applies only to services the plan covers. No fixed number of days for South Dakota was found.

Does Aetna need precertification for rehab in South Dakota?

Yes, for inpatient stays, residential treatment and partial hospitalization. Aetna’s precertification list, dated August 2024 and still linked in 2026, names those levels; intensive outpatient and outpatient detox have not needed it since January 2019. Providers call 1-888-632-3862 for commercial plans or 1-800-624-0756 for Medicare plans; federal plans are outside this list.

Does Aetna Cover Detox in South Dakota?

Yes. Aetna covers ambulatory detox with medication administration in the 2026 Choice POS II document, and outpatient detox has been free of precertification since 2019. Inpatient detox counts as an inpatient confinement, so a stay at medical detox taking insurance in South Dakota needs precertification first.

Does Aetna Cover Outpatient Rehab in South Dakota?

Yes. The 2026 Choice POS II plan document covers outpatient office visits and therapies, partial hospitalization, intensive outpatient programs and peer counseling by supervised peer support specialists for substance-related disorders. Intensive outpatient with insurance no longer needs precertification, while partial hospitalization with insurance still does.

Aetna members can also reach counselors and psychiatrists by video, which matters across South Dakota’s ranch counties. Aetna names CVS Virtual Care and Teladoc Health, both open seven days a week, though CVS Virtual Care is not available on every plan. Online rehab and telehealth programs are listed for members far from a city.

Does Aetna Cover Suboxone, Methadone and Other Addiction Medications in South Dakota?

Generally yes, with the details set by each plan. Aetna stopped requiring prior authorization for buprenorphine products such as Suboxone on its commercial plans in March 2017, and CVS Caremark, a sister company, manages Aetna pharmacy benefits. A South Dakota member checks a drug in the plan-year search at aetna.com before filling it.

Does Aetna cover Suboxone in South Dakota?

Yes, on commercial plans, without the prior authorization Aetna once required. Suboxone covered by insurance is filled through the plan’s CVS Caremark pharmacy benefit, and the tier and copay come from the employer’s formulary. Federal employees on the Mail Handlers Benefit Plan use that plan’s own drug list.

Does Aetna cover methadone in South Dakota?

For Aetna Medicare members, yes: Medicare covers methadone, buprenorphine and naltrexone through enrolled opioid treatment programs, along with counseling, drug testing and peer support, and Medicare Advantage plans are told to cover at least that. For employer plans, methadone coverage follows the plan. Methadone maintenance programs show up in listings.

Does Aetna cover naltrexone and alcohol medications in South Dakota?

Usually, depending on the formulary. Aetna’s drug lists vary by plan and year, so a South Dakota member searches the plan name for naltrexone covered by insurance or acamprosate. Medicare members can get naltrexone through an opioid treatment program under Part B, and Part D may cover some of these drugs too.

Aetna Rehab Centers in the Black Hills, Spearfish Canyon and Along the Big Sioux River

Aetna’s South Dakota network changes with the side of the state. In western South Dakota, Aetna members use the First Choice Health network, which serves as Aetna’s network there; in the east, the network named on the member’s plan applies. The rest, precertification and ASAM review, works the same in both halves.

Aetna rehab in the Black Hills

The Black Hills cover Pennington, Custer, Lawrence and Meade counties, from Rapid City and Custer to Lead and Sturgis, inside First Choice Health’s western South Dakota territory. Rehabs near mountains here are in network for Aetna members when they contract with First Choice Health, whose behavioral program is run in house.

Aetna rehab near Spearfish Canyon

Spearfish Canyon cuts through Lawrence County between Spearfish and Cheyenne Crossing, with waterfalls along the canyon road. Rehabs near canyons in Spearfish and Lawrence County fall under the same First Choice Health arrangement, and Aetna’s precertification line still decides any residential or partial hospitalization stay.

Aetna rehab along the Big Sioux River

The Big Sioux River runs south from Watertown through Brookings and Flandreau to Sioux Falls, where it drops over the falls in the city’s center. Rehabs near waterfalls and programs near rivers in this eastern corridor use the network on the member’s Aetna plan.

How Do I Find a Rehab That Accepts Aetna in South Dakota?

Browse the listings on this page. Each one shows the program’s phone number and the care it offers, so a member can call the program directly and ask whether it bills Aetna or First Choice Health. The filters narrow the list by town, level of care and payment type, including rehabs taking private insurance.

For an Aetna member in South Dakota, a residential, inpatient or partial hospitalization admission waits on precertification. The treatment program, or the member when the program is out of network, calls the precertification number on the Aetna card. Members of the federal plans call their own plan, and First Choice Health’s member line is 1-800-467-5281.

AreaCountiesNetwork for Aetna members
Rapid CityPennington, MeadeFirst Choice Health, western South Dakota
Spearfish and SturgisLawrence, MeadeFirst Choice Health, western South Dakota
Hot SpringsFall RiverFirst Choice Health, western South Dakota
Sioux FallsMinnehaha, LincolnNetwork named on the Aetna plan
Watertown and BrookingsCodington, BrookingsNetwork named on the Aetna plan
Federal and postal workers statewideAll countiesAetna Choice POS II network (Mail Handlers Benefit Plan)

Aetna rehab in Rapid City

Rapid City, the seat of Pennington County, sits inside First Choice Health’s western South Dakota service area, so Aetna claims for local programs typically run through that network. Residential care still needs Aetna precertification. Rapid City treatment centers and Rapid Valley rehab programs are listed.

Aetna rehab in Sioux Falls

Sioux Falls spans Minnehaha and Lincoln counties in eastern South Dakota, outside the First Choice Health area, so the network printed on the member’s Aetna card governs. Employer plans built on Choice POS II need no referrals for specialists. Sioux Falls rehab centers and treatment programs in Tea are listed.

Aetna rehab in Spearfish and Sturgis

Spearfish and Sturgis sit on Interstate 90 along the northern Black Hills, in Lawrence and Meade counties, and both fall inside First Choice Health’s western South Dakota network for Aetna. Members use the same Aetna precertification rules as anywhere else. Spearfish treatment options and Sturgis rehab programs are listed below.

Aetna rehab in Watertown, Brookings and Madison

Watertown, Brookings and Madison form a triangle of college and county-seat towns in eastern South Dakota, where the member’s Aetna plan sets the network. Plans with out-of-network benefits pay less outside it, and out-of-network providers may bill above Aetna’s allowed amount. Watertown treatment centers and Madison rehab options appear in listings.

Aetna rehab for federal and postal workers in South Dakota

Federal and postal employees in South Dakota can enroll in the Mail Handlers Benefit Plan, which Aetna administers on its Choice POS II network with the same benefits in every state. Rural letter carriers in the Rural Carrier Benefit Plan also get Aetna-run behavioral health. Federal workers in the capital can compare Pierre treatment programs below.

Can I use Aetna for rehab outside South Dakota?

Yes, on plans with a national network or out-of-network benefits. Aetna’s network is national, and a request to treat an out-of-network program at the in-network level needs precertification unless it is an emergency. HMO and EPO designs cover out-of-network care only in emergencies, so the plan type decides.

How much does rehab cost with Aetna in South Dakota?

Aetna rehab costs depend on the plan, and in a self-funded employer plan the employer sets the benefits, not Aetna. Out-of-network care usually has a separate, higher deductible and coinsurance, and charges above Aetna’s allowed amount do not count toward the out-of-pocket maximum. The member’s benefit summary gives the exact copays and coinsurance.

Aetna is one of several ways to pay for treatment in South Dakota. Listings also show rehabs across South Dakota that take Medicaid coverage, sliding scale fees or self-pay, which helps when an Aetna plan does not cover a particular program.