Simply Healthcare Insurance Coverage for Drug Rehab
Explore Simply Healthcare’s Medicaid and Medicare plans, including addiction treatment coverage and specialty support for HIV/AIDS.
Simply Healthcare Insurance Coverage for Drug Rehab
Explore Simply Healthcare’s Medicaid and Medicare plans, including addiction treatment coverage and specialty support for HIV/AIDS.
Simply Healthcare began as a minority owned HMO and pioneered Medicaid specialty plans for those living with HIV/AIDS. It is now a wholly owned subsidiary of Anthem that continues to operate in Florida, contracting with the state government to offer Medicare and managed Medicaid plans. In addition to these, there are a few specialty plans you can get from them.
They have a Healthy Kids plan you can use to insure your non-Medicaid eligible children for affordable rates. If you’re eligible for Florida Medicaid and living with HIV, you can get a Simply Healthcare backed specialty plan from Clear Health Alliance.
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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.
I have been at this specific facility three separate times and each time I feel that I left with tons of incredible insight and resources to help me continue my mental health recovery journey. The staff is very nice and are always there to help when needed.
Madison Scheid
5 days ago
ICFR is an amazing treatment center. The group sessions are the best lve ever experienced. The group facilitators are educated and well experienced. The case management team lead by Caitlin Witcher and Megan Herald go above and beyond the call of duty to meet your needs, there amazing. The upper management support is extremely helpful and supportive of the amazing staff. ICFR is the best treatment center in all of America.
Bradley Czachor
1 week ago
This is a great place to be if you need help, recommended to all.
Staff is great and easy to speak with.
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.
I recently had the opportunity to experience this rehab facility, and I must say, it's a hidden gem!
This isn't a large facility, but it offers everything you need. You truly feel like an individual rather than just a chart. The staff takes the time to get to know you, which makes a significant difference in your recovery journey.
Instead of being overwhelmed with groups all day, the facility focuses on fewer, more impactful sessions. I particularly appreciated the trauma track, featuring EMDR sessions led by a fantastic facilitator who really understands the process.
The entire team here is exceptional. They genuinely care about your recovery and well-being, creating a supportive environment that fosters healing.
Lastly, the food is surprisingly good! The fridge is always stocked with sandwiches, parfaits, veggie cups, and a variety of snacks, ensuring you have options throughout the day.
Overall, I highly recommend this facility for anyone seeking a supportive, personalized approach to recovery. It truly feels like a place where you can heal and grow. 🌈
Tina
5 days ago
All the staff and therapist are wonderful and always available whenever you need to talk
Susan Roe
1 week ago
Upon arrival to the Haven, I was greeted by very friendly and helpful staff.
Ross, Roni, Ashley, Nick, Anthony were especially stand out and went above and beyond to make my stay very comfortable.
Groups facilitators such as Dr. Alvin, Dr. Harris, Pastor C, Andrew & Sarah were absolutely phenomenal in my process.
I would recommend this place to anybody needing that extra push for better health.
I would recommend evolution anytime,To anyone that needs treatment..They have a supportive staff..give clients there time love and support . I will highly recommend Jimmy//Hes a amazing Worker..He’s the king of guy that makes sure his clients are in best level of care./He is very loving caring and loyal to his work./My Son Omar was at treatment each time he would face challenges.He would go to Jimmy because he knew he had patience support and advice He need it…!!!He help him ever step away.///to do his best to get a solution for what my son was facing…!!
Joan Colon
4 months ago
This is my second time in treatment. I would recommend Tony as a therapist he helped me with a lot of past trauma and how to cope in residential. The staff is amazing and the facility is well kept.
Natali Rodriguez
5 months ago
This place works wonders and the staff members are truly amazing. Ask for Veronica she will take excellent care you and make sure the admission process is a breeze!
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Serenity Springs Recovery truly saved my life. When I went through their inpatient program, I gained the strength, guidance, and tools I needed to finally turn things around. I have been sober ever since my stay there, and I continue to use the lessons I learned every single day. The staff genuinely cared and went above and beyond to support me on my journey. I am extremely grateful for my time at Serenity Springs and for the new life it helped me build. I highly recommend them to anyone seeking real recovery.
Anthony Gomez
6 months ago
Beautiful Facility, Staff was mostly friendly, professional & helpful. Most patients were nice; few bad apples; but expected. Learned a lot & really glad I went. I would highly recommend it to others. 👍😎 Martin
Martin Dodge
10 months ago
This place was amazing it really changed my life 70 days sober now
Serenity Springs Recovery truly saved my life. When I went through their inpatient program, I gained the strength, guidance, and tools I needed to finally turn things around. I have been sober ever since my stay there, and I continue to use the lessons I learned every single day. The staff genuinely cared and went above and beyond to support me on my journey. I am extremely grateful for my time at Serenity Springs and for the new life it helped me build. I highly recommend them to anyone seeking real recovery.
Anthony Gomez
6 months ago
Beautiful Facility, Staff was mostly friendly, professional & helpful. Most patients were nice; few bad apples; but expected. Learned a lot & really glad I went. I would highly recommend it to others. 👍😎 Martin
Martin Dodge
10 months ago
This place was amazing it really changed my life 70 days sober now
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.
These are great folks here. A close friend of our family (Single Mother) approached me about her Son. He was in bad shape with drugs and had been on the Street for 24 months. It was life or death. I was totally helpless until I got the # for Never Alone. We were able to get James (Her Son) in treatment almost immediately, followed by after care programs. James is now clean and sober and counseling other youths struggling with drugs. They saved his Life!!
A D
1 month ago
As a parent, choosing treatment for your child is incredibly difficult, but sending them to Never Alone was the best decision we could have made. The staff showed genuine compassion and truly cared about my child’s well-being, not just their recovery but their emotional growth too. We saw positive changes that gave our family hope again. Communication with parents was great, and my child felt safe and supported the entire time. I’m so grateful for everything they did for our family.
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An awesome place for recovery! The therapist was awesome and very helpful. A smaller facility with lot’s of individual attention.
Darron Cummings
1 week ago
I spent 35 days at ICFR Indy, and the experience was great. They provide an environment that promotes healthy recovery, and I feel my time there was well spent. The staff from therapists to techs all care and are very attentive. If you are from the Indianapolis area and are struggling, give them a call and get in ASAP!
Connor Harding
1 week ago
Absolutely amazing place. They take such good care of you and make you feel so comfortable. They keep track of everything medically and psychological, great food, and I made a close freind with a staff member and some people in detox. The best thing is they don't force religion down your throat, which was a really big reason I never checked into rehab or AA. If you need help and are close by this is the place. (They drove two and a half hours to pick me up and take me home )
My experience at the haven has been one that I will always remember. The people,nurses and staff are all kind and compassionate! I have been made to feel welcome, and have felt at home the entire time. This is a place I would recommend to anyone who is looking for help.
Miranda Brewer
1 month ago
Great place definitely recommend it's a wonderful stepping stone to the next adventure of ur life...food on point x box cigarette and the best part of it is the respect from staff and the help and care for ur plan here and after 10/10 can't beat it
Samuel Pletka
1 month ago
This place is a life savior. I wouldn't go anywhere else but here. I live y'all everyone that works at the haven. Y'all are awesome.
I absolutely loved this place “Sierra Peate” I was welcomed with open arms treated as a human being and idk this place just had the best employees and programming!
Alex Peate
3 weeks ago
It's a great recovery program and the groups are very informative. All staff have been very nice and understanding. Love that it doesn't push religious beliefs. A bit more information being provided on what can and cannot be brought to the facility would be much appreciated. Outside of that, no complaints.
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The Haven has meant more to me and my family than I can truly put into words. From the very beginning, it was clear that the staff genuinely care about the people they serve. They go above and beyond to support those who are struggling and simply need the chance, guidance, and encouragement to get back on track.
I want to especially recognize the BHTs like Felicia and Marcus in particular—who made such a meaningful difference in my brother’s life. While my brother was battling addiction, Marcus not only supported him through his journey but also became a bridge for our family, giving us peace of mind and reassurance that he was safe and truly cared for. He didn’t stop there Marcus also helped ensure my brother had a solid plan after leaving The Haven, assisting him in transitioning into a PHP program with supportive living.
Today, I’m incredibly proud to say my brother is not only sober, but he’s himself again—the man our family always knew he could be.
I would also like to give a heartfelt thank you to the campus director, Azucena. She took the time to connect with me regularly, making sure our family stayed informed and reassured every step of the way. That level of communication and compassion meant everything to us.
Having been through treatment myself, I know how rare it is for staff to reach out and support families in this way. It truly shows that The Haven is a place that cares not just for the individual, but for their loved ones as well.
If you’re looking for a treatment center where people are treated with compassion, respect, and genuine care, The Haven is that place.
Moses Robles
3 weeks ago
I highly recommend this place for anyone struggling with mental health or addiction. I can give no higher commendation: This place quiet literally saved my life. They confirmed a bed for me, drove 2 HOURS to pick up me up and make sure I was safe. The nurses, case workers, BHTs, group leaders, therapists, all staff really, made sure that even at my lowest i was looked after, provided for, and as informed on my care as possible. If there was any mistakes, they amended them. Fellow patients were determined and kind. This place gave me the confidence, the tools, and the foundations I need to live my life with purpose. The food is also the best. If you're looking for a place to recover, give them a call. There is help. You are not alone.
Moth
1 month ago
There is no doubt that there are flaws in the system but the good that comes from this program is incredible. The people here not only care about their jobs but about each client. Thank you Haven!!
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Frequently Asked Questions
Does Simply Healthcare Cover Addiction Treatment?
Simply Healthcare subcontracts their behavioral health benefits to a company called Carelon Behavioral Health. Through this arrangement, if you or your family have Simply Healthcare insurance, you’ll also have coverage for addiction treatment.
Both Medicare and Medicaid plans through Simply Healthcare provide access to addiction rehab and mental health treatment. The specific details of your coverage, including any deductibles or other out of pocket costs, will vary depending on your plan. It’s important to verify your coverage before committing to a treatment program.
Is Simply Healthcare Accredited?
Yes, many of their programs have been accredited by the NCQA. All of their Medicare Advantage programs have received accreditation. Accreditation extends to their Medicaid programs, including the Clear Alliance program for folks living with HIV.
The NCQA evaluates health insurance plans and accredits them if they reach certain quality benchmarks. They do that by looking at how their network measures up to industry and government standards in many different areas, including behavioral health.
What Type of Plans Does Simply Healthcare Offer?
Simply Healthcare offers a variety of Medicaid and Medicare plans to meet the unique needs of people living in Florida. The Medicaid plans include Managed Medical Assistance and long term care plans if you come from a low income family or are elderly or disabled. The plans provide health coverage for essential services like physician visits and hospital care along with prescription drugs.
Simply Healthcare also offers several Medicare Advantage plans to people who qualify for Medicare. These Medicare Advantage plans combine Medicare Part A and Part B with additional coverage. Many include benefits like dental and vision coverage along with prescription drugs. You can also get a Silver Sneakers fitness membership and coverage for hearing tests and hearing aids.
These Medicare Advantage plans include Health Maintenance Organizations and Preferred Provider Organizations along with Special Needs Programs.
Medicare HMO: Anyone eligible for Original Medicare can sign up for a Medicare Advantage HMO plan from Simply Healthcare. The program offers a stable and reliable network of doctors and care providers. You work with a primary care provider to help save money on visits and costs. Your primary care physician can help coordinate your care so you don’t make unneeded visits to specialists. HMO plans generally restrict coverage to the provider network except in an emergency. This structured approach helps control costs and ensures your care is well coordinated.
Medicare PPO: A Preferred Provider Organization offers more flexibility than an HMO. Members of a Medicare Advantage PPO can see any health provider but using an in network doctor or hospital will help reduce cost. You don’t need a referral to see a specialist. This makes it easier to access medical services but a PPO plan typically has higher premiums and out of pocket costs than an HMO.
Medicare SNP: Special Needs Plans are tailored to help when you have specific healthcare needs including chronic illnesses or dual eligibility for Medicare and Medicaid. These Medicare Advantage plans provide specialized coordination including access to a network of healthcare providers with experience treating your specific condition. SNP provides benefits like care management and additional support services to help improve your health.
Does Simply Healthcare Offer Specialty Coverage For Those Living with HIV/AIDS?
Yes if you have HIV/AIDS and qualify for Medicaid you can get Clear Alliance Health Plan by Simply Healthcare. The program offers a team approach to care and has been helping members since 2010 get access to services. When you qualify for the program you get a personalized treatment plan designed by a highly trained physician. You also work with one of the case managers to develop a customized plan to meet your health goals.
The plan benefits include those commonly found in Medicaid including medical care and vision care along with non emergency transportation services. The program also includes expanded benefits such as the Healthy Behaviors rewards program and the Taking Care of Baby and Me Healthy Rewards program. The Healthy Rewards program allows you to earn reward dollars when you complete certain activities, including weight management and smoking cessation.
What Types of Inpatient Rehab Does Simply Healthcare Cover?
Simply Healthcare provides coverage for inpatient rehab when it’s medically necessary. Your first step is to see your healthcare provider to ensure that not only is substance use disorder treated but also any underlying health conditions that may be associated with addiction. Your physician may include screenings for depression and other mental health conditions as well as assessments for alcohol and substance use.
Many times the next step is medical detoxification in an inpatient or residential care setting. Medical detox includes 24/7 monitoring and support alongside medications that help reduce the symptoms of withdrawal. This can help make you more comfortable and can reduce the potential for dangerous side effects that can occur during the withdrawal of certain substances.
Your inpatient or residential care is customized based on a comprehensive assessment of your addiction and drug use taking into account the severity of symptoms and the presence of any co occurring mental health conditions. Simply Healthcare typically offers coverage for co occurring disorders. Treatment is specialized and both mental health and substance use are addressed together to maximize your chance of recovery.
Your out of pocket expenses depend on the length of your treatment and insurance coverage. Many times substance use disorder treatment centers help verify your insurance coverage with Simply Healthcare. They can also estimate your potential out of pocket costs based on an initial assessment.
What Type of Outpatient Rehab Does Simply Healthcare Cover?
Coverage for outpatient rehab will be based on your medical need and treatment plan. There are multiple kinds of outpatient programs that can help you address substance use disorder and co occurring mental health conditions. Therapies can include cognitive behavioral therapy and motivational interviewing. You may also get dialectical behavior therapy and trauma informed care.
Your out of pocket cost will depend on several factors. Chief among them are your policy benefits and limitations. Other factors that affect your cost include the length of your treatment plan and the types of treatment you receive. Your insurance plan will focus on covering medically necessary care so it’s crucial you work with your primary care physician to develop a care plan that includes substance use disorder treatment.
Does Simply Healthcare Cover Methadone & Suboxone (MAT)?
Medication assisted treatment is a therapeutic approach to reducing symptoms of withdrawal from opioids or alcohol by using prescription medication to help control cravings and other drug triggers. These MAT programs help create a foundation for sustainable recovery and lower the chances of relapse.
Both Medicaid and Medicare plans offer some coverage for medication assisted treatment. MAT can be used during the detoxification process and throughout inpatient and outpatient therapy. Methadone and Suboxone are two commonly prescribed medications for opioid addiction.
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