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.
By Michelle Tavares
Michelle Tavares is a registered nurse with over 15 years of experience in mental health nursing. She has worked in inpatient and outpatient settings as well as in bedside and administrative roles. She is a fighter of stigma and an advocate for getting people the mental health services they need.
Medically Reviewed by Katie Price
Katie Price has extensive experience writing finance and home, auto, life and health insurance web pages and articles. Her true passion is in mental health disorders such as psychotic disorders, anxiety and depression, and neurodivergent disorders. She has extensively researched and written about many medical procedures and conditions, including cancer, cosmetic procedures, heart disease and diabetes.
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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Todo fue especial. Muy agracecido con todo el personal. Todos muy amables comprometidos. Muchas gracias
Michael Gordillo
4 weeks ago
Haven Detox ha sido un lugar de bendición para nuestro familiar. Todos sus empleados, desde terapias, trabajadores sociales, médicos, los cocineros y todo el personal en general tiene la vocación y la empatía para hacer más q su trabajo, hacen que se sientan en familia. No tengo como agradecer el cambio q hemos obtenido.
Es el mejor lugar para tratar la adicción de un ser querido! Que DIOS los siga usando de forma poderosa!!! Gracias Josefina por ser la persona que nos ayudó a llegar a este lugar!
BlancaPor Perez
2 months ago
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
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.
ICFR was just what I needed to learn about my addiction and learn about ways to recover successfully. The clinical staff and support staff are outstanding in every way. The accommodations are comfortable and they do everything they can to address your needs.
Michael Pritchard
1 week ago
Great place would recommend to anyone in need.
Joseph Hickman
1 month ago
Really changed my life. Feel like a completely different person leaving than when I first got here. The group facilities are fantastic and really are able to help you on a deep level. The community overall is phenomenal and recommend it to anybody who is struggling
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.
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.
Staff is amazing!!! Please come here if you looking into rehabs it’s a great place and all the staff is amazing especially the client care will take care of you or any concerns but please come to the haven if you are seeking help they treat you like family!
Tance 870
2 months ago
This is my first time in a treatment facility. I was nervous about what it would be like but was ready to beat my addiction to alcohol. I picked the most perfect place. I love it here! I’m learning so much not only about myself but others in here and their lives, struggles and addictions. I’m happy here. Smiling and laughing as my true sober self. Thank you, Haven, for providing my such good care and support.
Patricia Bettis
2 months ago
The staff was excellent and took care of my every need. I met life long friends here and I couldn’t speak more highly of the staff. I highly recommend the Haven.
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.
Staff is very friendly and accommodating. Definitely received the help I’ve been needing. Good community
Poopy Dickbutt
1 week ago
I've had an excellent experience here. The staff has met all of my needs. The accommodations are very comfortable. The nursing staff has been very understanding and kind. I have had several one on one sessions with therapists and the group sessions have been very productive. There will probably be negative reviews about this rehab but this isn't my first and there are always people who complain. In my opinion this treatment center will meet your needs if you are truly ready for sobriety. You just have to realize that these centers aren't here to hold your hand but are here for guidance. You have to do the work. If you're truly ready than The Haven is a great place to start.
Brandon Reid
1 week ago
This facility has given me the time I needed to get my mind and body back into a place of health and peace. The staff was friendly, amenities caring and food good. Grateful for the opportunity to complete treatment there.
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 wanted to share my quick experience with the facility and the team. First I want to thank James ( first contact) for his kindness, guidance and professionalism. He is very helpful and always here for people. The place is perfect for people looking for quietness and relaxation, the scenery is beautiful. The team is lovely, polite and welcoming with full discretion. They make you feel comfortable right away without any pressure and judgement.
I highly recommend this rehab facility for any person in distress, you will love it!
I am very grateful for your help and support
sebastien piquemal
3 weeks ago
Ira (the Admissions Coordinator) saved my life today and I can’t thank him enough for his patience, guidance and explanations as he assisted me in getting into their PHP program. I have nothing but GREAT things to say about him and this program.
I’ll never forget what he taught me today:
“Take life one day at a time because an inch is a cinch but a yard is hard”.
Thank you Ira!!!!
-Trojan
Trojan
3 months ago
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
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 the best therapist Maria. The staff were very attentive and the nurses were very professional! The kitchen staff were amazing! I would recommend this place to anyone who needs help!
Kimberly DelGrego
3 months ago
Great place to learn a new you & recover with great peers and staff around you ! Maria was my therapist and she was the best . I will recommend this place to many people in need .
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 wanted to share my quick experience with the facility and the team. First I want to thank James ( first contact) for his kindness, guidance and professionalism. He is very helpful and always here for people. The place is perfect for people looking for quietness and relaxation, the scenery is beautiful. The team is lovely, polite and welcoming with full discretion. They make you feel comfortable right away without any pressure and judgement.
I highly recommend this rehab facility for any person in distress, you will love it!
I am very grateful for your help and support
sebastien piquemal
3 weeks ago
Ira (the Admissions Coordinator) saved my life today and I can’t thank him enough for his patience, guidance and explanations as he assisted me in getting into their PHP program. I have nothing but GREAT things to say about him and this program.
I’ll never forget what he taught me today:
“Take life one day at a time because an inch is a cinch but a yard is hard”.
Thank you Ira!!!!
-Trojan
Trojan
3 months ago
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
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.
Curriculum will challenge and develop you to improve your recovery ! Caring staff and course faculty who care about making a difference in the community!
Carlos Risco
1 week ago
I have been in 4 rehab and sober living facility's in the past 10 years. The 30 days I have spent at The Recovery Team has been by far the the most beneficial program I have been apart of. The group facilitators are very knowledgeable and deeply invested in the care of there clients. The facility is well maintained and has many recreational activitys. There living quarters are comfortable and cleaned by staff daily. The staff is attentive and empathetic too there clients. The Recovery Team has the best resources for long term recovery of any rehab facility I have experienced.
Josh Cleveland
1 week ago
The people here are so caring, they attend to each patients needs immediately and with a smile. They truly care about each patient. The staff knows every patients name which made me feel comfortable and at home right away. All of my needs were met here anytime I needed anything. It was taken care of right away.
The atmosphere is very upbeat and positive. The rooms are very clean and well taken care of and the grounds are beautiful! I would recommend this facility very highly!!!
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 Haven is a wonderful place for rehab. The staff is amazing and so caring and helpful! Yoga every morning is fantastic! If you need help I would definitely recommend The Haven!
Jennifer Reilly
1 week ago
The five stars on this place is earned and deserved i came in with the wrong mindset but sobriety only comes if youll do anything and everything to achieve it … go here if you are willing to put in the work
Sawyer
1 week ago
I really enjoyed all the services provided at The Haven. All the staff was wonderful. I want to highlight the following people from each department because without the staff here I would have not exceled. In Client Care, Melanie and Jack took a vested interest in my recovery journey from start to finish. In nursing, Susan and Sierra were so sweet and were always there when I needed someone to listen and assisted me with anything I needed regarding my medication. Medical staff, Cindy was by far one of the best provider's I have ever met in a treatment setting. She was patient with me, addressed all my concerns and did not push any medication on me which was very much appreciated. Sabriya was an amazing recreational therapist and she found creative ways to bring me out of my shell and was always there when I needed someone to talk to. As far as facilitators, John and Michelle were absolutely top tier. The behavioral techs were amazing at the Haven. Bridget was wise beyond here years and became one of my main sounding boards during second shift. I also want to mention Angie, Tim, Cheena, and Zaahir who were instrumental in my recovery. I want to give a separate shout out to Amethyst who started working for the Haven during my stay. I was able to see her quickly adapt in her new role and how passionate she is to assist others, I can tell she has a drive for this and will most defiantly succeed. Last but certainly not least I want to recognize Rosie. She was the one who completed my intake. From our first interaction she promised my I was safe and she would be with me the whole way. Not only did she keep her promise but any time I panicked or had any concerns she was right there by my side. Even on her days off she checked in on me and let me know she was thinking of me and how I was doing in this brand new community. It's because of the dedication of these people and all the other staff that I was able to not only complete my treatment but also feel prepared and ready to tackle the real world, moving here to Jersey for a new start.
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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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
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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