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.
This place is like no other facility I’ve been to tons of freedom not locked down to a specific hallway. Has a full gym basketball court arcade 2 bowling alley lanes pickleball courts barber and more. Staff is incredibly helpful friendly and most are in recovery as well so they truly understand what we’re going through I recommend ICFR.
Timeye76
6 days ago
Great place to go for help and services.
Garrison McMillian
1 week ago
Christina is an amazing tech she helped me through so much.
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.
The staff are great. They're always courteous and accommodating to your individual needs. They are also very helpful in regards to your making the transition to PHP.
Marcus O'Rear
1 week ago
I had a great experience at haven. The staff was very interested in what I needed. Ms Lauren especially she has been a great help. .Ms Ashley,I have great respect for her because she won't lie to you,and will call you out if needed
. The staff as a whole was great.
Donald Ingram
1 week ago
My experience was nothing short of life changing. The staff are very supportive and encouraging and will help with whatever your needs may be. The counselors and very helpful and insightful, especially Sarah and Mike. Ashley and Roni are also very helpful with assisting you with aftercare plans and support while you’re here and moving on. A good place to become and stay sober. Thank you
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
6 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
7 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
8 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
1 year 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.
I had a great experience with this place , the environment is friendly and everyone was very welcoming
T'chelle Lockhart
3 weeks 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.
Daniel Schiller
3 weeks ago
As a mental health provider, I feel confident referring patients with substance use challenges to Never Alone. Feedback from former residents consistently highlights the quality of the staff, clinical care, and overall environment. The facility offers a well-rounded program that combines a variety of therapeutic groups with meaningful recreational activities, supporting both recovery and personal growth.
I highly recommend Never Alone, both personally and professionally, to anyone supporting a teen struggling with substance use.
Beyond grateful that I found this place. There is a solution!! This isn't a rehab focused on how many people they stuff into treatment, the quality of care is wonderful. My life is much better and I owe it to Serenity Springs
Bradley Guthrie
1 month ago
I have been to SSRC twice in 2/25 and 3/26. After my first stay there I put together 10 months before going to the hospital and getting morphine thru the IV. When that happened I went back and graduated 2 days ago. I currently have 57 days and if I ever relapse that's where I would go again. It is solution based. We spend a significant time in the big book of Alcoholics Anonymous. It is on a beautiful piece of land. There are outings to go bowling, put put, AA speaker meetings and the Beach.
The initial phone call is with a gentleman named Ira and he genuinely seems to care. The Recovery Advocates Jeremiah, Mike, Drew and Ryan are incredible gentleman and help guide you thru the steps. The BHTs Thomas and Dakota are great as well. They are always there if your going thru something or just need someone to talk, to they made me feel extremely comfortable and welcomed. The nursing staff lead by Mille with John, Lisa, Carmon, Jennifer and Blaine are always there to m.ake sure your comfortable. And the Director Jason and office staff Michelle and Elena are 5 star A+++++
Overall it'd just an amazing experience. If your struggling with alcohol or drug addiction this is hands down the best treatment center and I have been to around two dozen
Trust Good...Clean House...Help Others!!!!!
Jeremy White
1 month ago
Phenomenal experience. The staff, facility and care was incredible. Highly recommend.
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Staff is very helpful. Best nursing staff and best group staff. Linda is the best out of all
William Stevens
1 month ago
First I would like to say how amazing all the counselors are and staff. Would love to point out the awesome therapist Arie( Drill Sgt) Bre, and Courtney. They've been amazing amd truly care...straight to the point and no sugar coating. All the techs were awesome especially a big shout out to Carla, David, Eric (Ray Ray), Kristi, and Shannel...thanks for everything you've helped me out with and showing me love during my recovery. Now the nursing team and Drs were fantastic. Greatful for the Gene Testing and putting me on the right meds....Love you Larry. Shout to Tony (Big T) for dealing with all are shenanigans amd having fun. Now to my favorite instructor Linda who I felt a huge connection with and understand my past addiction. You truly was God Sent and helped me in ways I will never forget....I Love You and from the bottom of my ❤️ thank you so much for being so real and understanding, I will never forget you.
Jeremiah
1 month ago
This place is great the staff is great it really helped me
Lacey and Dana are they best and they are beautiful people that want the best for you. They will make sure you get the help you need. The groups are great and helpful. Austin is the best thanks for everything. Much love from Art
The One love
2 days ago
The people here really care
Brian Hughes
1 week ago
I was very pleased w staff and cleanliness and groups. Was disappointed that there were no options for any types of recovery meeting options or an H&I panel. I also had a hard time communicating between different staff members without feeling like I was harassing them. “The squeaky wheel gets the grease.” Overall, my needs were met and it is a great client based care center. Would recommend for recovery.
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Amazing facility with a comprehensive program. Markus did an excellent job of communicating with us and letting us know how our son was doing. The staff that we met were friendly, professional, and compassionate. Our son was very happy with the care that he received and felt that it gave him the tools necessary to continue on with a drug free life. I would highly recommend the Haven.
Lisa Smith
1 day ago
Our family recently experienced exceptional care after a very scarey time; especially from Marcus during a very emtional experience we faced. Marcus showed kindness and welcoming demeanor, as well as keeping the family informed of progress. especially during a new and challenging time which made all the difference. We are incredibly grateful for Marcus who provided ability to start our journey of healing as well as our loved one. We are so thankful to the dedicated support of Marcus and all the staff at Haven of Green Valley Rehabilitation.
Amber Sayre
1 day ago
My son needed the services provided by a facility such as Haven in Green Valley. After considerable research online, we were compelled to choose Haven because of the compassion and content of their speech. This seemed like the right place for a very uncertain time. Marcus was transport for my son and became my point of contact. His kindness and willingness to help was a testament to this facilities level of care. We are absolutely pleased with every aspect of care that my son received here including the aftercare provided. We are utilizing all the resources to better our lives. Marcus has continued to active in our recovery and for this reason we thank you! Good luck to all who choose recovery over the life of submission!
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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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