HealthSun Insurance Coverage for Alcohol & Drug Rehab
Explore HealthSun’s Medicare Advantage plans offering comprehensive addiction treatment coverage in Florida. Verify your plan today.
HealthSun Insurance Coverage for Alcohol & Drug Rehab
Explore HealthSun’s Medicare Advantage plans offering comprehensive addiction treatment coverage in Florida. Verify your plan today.
HealthSun is a managed care organization that offers Medicare Advantage insurance plans to Florida residents living in Miami Dade, Broward, and Palm Beach counties. It’s headquartered in Miami. HealthSun was founded in 2005 and was acquired by Elevance Health (formerly Anthem) in 2017. It’s now a wholly owned subsidiary of Elevance Health.
HealthSun sells HMO (health maintenance organization) insurance plans. As an HMO, HealthSun utilizes its own network of more than 8,200 doctors and specialists to provide services to its approximately 50,000 members.
Approved Medicare benefits are available through HealthSun for people who are eligible for Original Medicare due to age, health condition, or disability. HealthSun has maintained Medicare’s highest rating of 5 stars for seven consecutive years, from 2018-2024, for its Medicare Advantage plans.
This is an ad and Never Alone – Adolescent Addiction Treatment Center is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
My stay at the Haven was excellent! I came in broken and sick and everyday I am feeling better. Ashley, Roni Anthony and Jose have been super helpful. I am looking forward to my future !
Lisa Williams
2 days ago
I have nothing but gratitude for the Haven. The staff was supportive and accommodating in meeting my needs. I walked in feeling low and ashamed, I was never judged only encouraged. I left with my head high and with the knowledge and tools I need to live a better life.
Erin Woolard
2 days ago
The staff and techs are very caring. The speakers are interested in helping and your well being of seeing you succeed.
Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
Great people who provide invaluable support to families.
Geralis Rosario
6 days ago
I had a great experience with this place , the environment is friendly and everyone was very welcoming
T'chelle Lockhart
1 month ago
A younger family member of mine has gone through here and my experience with this inpatient rehab for youths has been incredibly positive. The leadership team is compassionate, professional, and truly committed to helping the kids succeed. The clinical team is knowledgeable, supportive, and treats each client with dignity and care. The direct care staff go above and beyond every day — they are patient, attentive, and genuinely invested in the well-being and recovery of the youths they work with. You can tell there is a strong sense of teamwork throughout the program, and the environment feels safe, structured, and caring. I’m very grateful for the support and dedication this team provides to both the clients and their families.
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This place saved my life!! I can’t say enough about the staff there!! I don’t even know where to start!! From the Dr’s (Larry & Ardrienne), to the nursing staff (Ms Dee, Sharlene, Kristy, Mia, Victoria, Jess, Jeff, etc) down to the techs. I definitely need to say a huge thank you to Shannel for looking out for me when I needed it most! Carla for always being a huge bright spot in the morning and always being chipper, aka The BeBop twins!! David for playing cormhole with us and always treating us like peers!! Everyone is amazing thought!! I will never be able to say enough about this place!! If you need help for ANYTHING pleases reach out and they will come get you!! If nobody has told you they love you today, I do!! It’s never to early or to late!!
Kevin Fry
1 week ago
Great experience, has been very helpful to my recovery. The techs are awesome, especially Chanel and Carla the super Mario sisters lol! There all great thought. Gonna miss you girls hope they give you a raise after this review haha. Sincerely bowser!! Bigjohn! Gonna miss all the staff. Almost forgot my boy David you the man give him a raise too!
john Francis
1 week ago
I want to start by saying this place saved and changed my life due to the excellent text the housekeepers are great the food's even better and the therapist have got what it takes and I can't say anything but thank you Jesus for this place don't think twice about coming come on
Great place. Great people. Recommend for anyone struggling with an addiction.
Kenneth Rohrman
3 days ago
Absolutely amazing
Kaitlynn Wanke
6 days ago
A great experience overall. I’m so grateful for the services and a staff (nurses, techs, case management) that really cares about clients.
I’m also grateful for the cleanliness of the facilities—the custodial staff is excellent.
This is an ad and The Haven Detox – New Jersey is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
Excellent coordination of care team. Communication was timely, professional, and client focused. The staff were easy to work with and helped ensure smooth transitions and continuity of care. Highly recommend Haven Detox!
Jordan Garcia
4 days ago
The haven is the best place I have been to it’s easy to tell they truly care about your recovery wether it’s mental health or addiction the program is amazing and all the staff truly give it their all in wanting you to succeed not only in the program but in aftercare to it personally changed my life around all for the better and I can’t recommend this place enough and I hope anyone looking for help comes here you will feel a sense of community and care that you didn’t think was possible and know that this place will help you get over your struggles and the staff is amazing the best I’ve ever come across it’ll be worth it for you please give this place a chance and you won’t regret it!!!
Leland Marshall
1 week ago
I am a family member of a client here. Marcus was my contact and provided updates with compassion and efficiency by phone.
Incredible program with some of the best people around from top to bottom! Highly Recommend!! They go above and beyond to help those they serve 🙏
Scott McAlarney
2 weeks ago
Kenny P has been a great advocate and voice on my journey thus far and has giving me resources,support, hope, and inspiration.
Brandon Wilcox
2 weeks ago
RTN changed my life! CM Austin and Daphne the clinician were amazing and helped me get more sober time than I ever thought was possible. Recovery is a battle but I’m not alone in it thanks to this program and the resources and hope they’ve given me! 10/10 would recommend.
Such a fantastic outpatient location of the best recovery network in the state. Pam and Carmella are absolutely wonderful! Sometimes outpatient programs seem boring or pointless but Carmela and Pam work hard to keep interesting and meaningful topics for discussion! Nurse Practitioner Yfat (Eve) is the most intelligent and compassionate outpatient provider I have EVER had ! My time spent in virtual IOP at the Carmel location of ICFR really complimented my post inpatient treatment. If you are considering bettering your life, a choice of attending ICFR Carmel either virtually or in person will be a choice you do not regret!
Matthew Salmons
2 weeks ago
I’ve had a great experience doing IOP with ICFR. Pamela, Carmela and Dana have been lots of help and great listeners. Thank you everyone!
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I attended the virtual IOP with Trish and really had a wonderful experience. The content was revenant and thorough and just some worksheets to kill time and take your money. Trish was knowledgeable, kind, and patient without being a pushover. I had been to lots of other places in lots of areas but this IOP experience, I feel, really started me on the road to recovery which I couldn’t even fathom when I started. Thank you so much to the virtual IOP people, especially Trish!
michelle
4 months ago
My time at ICFR Lafayette has been such a positive experience for me. My therapist Patricia Wilkerson is like no other. She has given me the tools and confidence to go on after leaving treatment. You can tell she is passionate about helping others and she meets you exactly where you are.
Stephanie Bernethy
5 months ago
Tricia is an absolutely amazing therapist!!! She makes everyone feel important,seen, and heard! She makes me you feel like you matter and you are her top priority! Her groups are also well planned and very helpful to ser you up for success! Would highly recommend.
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Frequently Asked Questions
Does HealthSun Cover Addiction Treatment?
HealthSun HMO insurance covers mental health and substance abuse treatment as well as other medical treatments. Substance abuse treatment options differ depending on the individual policy chosen. Copays may apply, and some policies have limits on certain services.
It’s important to keep in mind that you’ll need to choose in network providers in order to use your HealthSun coverage. HMO plans do not offer coverage outside the network except for emergency care.
What Types of Inpatient Addiction Treatment Does HealthSun Cover?
Inpatient drug rehab treatment options that may be included in SunHealth’s behavioral health Medicare Advantage HMO insurance policies are the following:
Medically assisted detox that helps keep you comfortable and safe as substances leave your system may be covered if medically needed. Medical detox may use FDA-approved medication assisted treatment medications, such as methadone, naltrexone, and buprenorphine. The medication helps manage withdrawal symptoms. Detox would likely be administered during inpatient hospitalization.
Inpatient drug rehab in a clinic or a hospital, if medically necessary, may be covered by HealthSun. This feature is standard, as the same service is available through Medicare Part A. However your cost sharing is likely to be different with a HealthSun plan than it would through Part A.
Also, you’ll need to use a treatment clinic that’s part of the HealthSun plan’s network. Before you begin inpatient treatment, make sure you have checked your coverage details so there are no surprises when you’re supposed to be focused on your recovery.
What Types of Outpatient Rehab Are Available From HealthSun?
Outpatient rehab allows you to live at home or in a sober living environment while you attend treatment during the week.
Partial hospitalization, also known as day programs, are delivered as outpatient treatment in community mental health centers or community mental health hospitals.
Partial hospitalization programs using Medicare guidelines require direct supervision by a physician, and treatment must follow an individualized care plan that’s ordered by the doctor.
Patients enrolled in these programs typically attend sessions during the day and return home at night. Typical sessions last 4-8 hours a day, three to five days a week. A total of 20 or more hours of treatment each week for 3-4 weeks are common. However, treatment can last several months, depending on your specific needs. Programs usually include individual, group, and family counseling, as well as addiction and relapse prevention education. It may also include mental health medication, if needed.
Intensive Outpatient Programs (IOPs) often involve 9-20 hours of treatment a week, with the hours spread across 3 to 5 days. A typical recommendation is for 90 days of intensive care. Treatment includes individual, group, and family counseling sessions. Addiction and relapse prevention education are included as well.
Some intensive outpatient programs are medication assisted treatment (MAT) clinics, which treat opioids and/or alcohol use with FDA-approved medications while also providing addiction treatment counseling. MAT has been covered by Medicare since 2020.
Medicare Advantage plans also cover telehealth (phone or internet) services if these are provided by a physician or mental health counselor with a Medicare contract. Telehealth services such as mental health and substance use treatment can be accessed anywhere, including in your home. Other types of telehealth may require you to be in a rural medical clinic.
Are There Additional Benefits Available From HealthSun?
Healthsun Medicare Advantage plans provide additional benefits for you intending to keep you healthy and lower your healthcare costs. HealthSun offers several Medicare Advantage plans including different types of Health Maintenance Organization (HMO) plans and Special Needs Plans (SNPs). Premiums start from as low as $0 and several offer monthly premium reimbursement for Medicare Part B.
You also get a monthly allowance on a prepaid credit card so you can pay for groceries, home and pet care supplies, and utilities. You also get an allowance to use for over the counter items. Many plans also provide a yearly allowance for vision care and hearing aids. The amount of the allowance varies depending on the Medicare Advantage plan you choose.
Thousands of gyms and community centers participate in the SilverSneakers program. With your Medicare Advantage Plan you receive a basic membership at participating gyms so you can use the cardio and strength equipment and other amenities such as pools and walking tracks. The program requires you to download the app to your phone to access your digital membership card.
Each Medicare Advantage Plan also includes dental care and prescription drugs. Drug coverage levels are based on the plan’s drug formulary which is a list of medications the insurance plan covers.
Added benefits if you are part of a special supplemental program if you are chronically ill may include therapeutic massages, a monthly Healthy Meals Program, and transportation to medical appointments.
What Should I Do if HealthSun Won’t Cover the Cost of Rehab?
Not all alcohol and drug rehabilitation centers accept Medicare Advantage plans. You may also choose to use an out of network provider for your plan or may want to pay out of pocket. Whatever the reason if you do not have insurance coverage for addiction treatment there are several avenues you can explore to pay for drug and alcohol rehabilitation.
Sliding Scale Fees: Some addiction treatment centers offer sliding scale fees. This helps adjust the cost you pay based on your income and your financial situation. Typically you must submit documentation demonstrating your income and ability to pay. The programs vary depending on the facility and your eligibility requirements.
Payment Plans: When a treatment center lets you set up a payment plan, that means you don’t have to pay the full amount right away. Instead, you can break up the costs into multiple payments that make it more manageable. This can be a great way to get the care you need.
Grants and Scholarships: You might not realize it, but there are a lot of grants and scholarships available for rehab. You can get them from local, state, or national organizations. Sometimes a treatment center will offer scholarships directly. Scholarships and grants are helpful because you don’t have to repay them.
Financing/Loans: Finding some way to finance your rehab such as getting a loan can let you get started on treatment right away. Some treatment centers partner with third party lenders that specialize in medical financing and offer flexible repayment terms. Explore personal loans from your bank or credit unions and consider personal loans from friends and family. Finally programs like CareCredit can spread your payments out over time with a low interest rate.
Faith Based Programs: Local faith based programs may offer low cost or scholarship funded drug rehabilitation that usually emphasizes spiritual growth, prayer, and community support as part of your recovery. Many are provided by churches or religious organizations.
Community Based Programs: Community based programs are designed to provide addiction treatment and support within your community. They often partner with non profit organizations, government agencies, or health care providers. They may offer a range of services including therapy, counseling, peer support, and medical detox.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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