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.
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.
Jaylen was an amazing case manager.
Ezett really helped me as well.
Great experience, thanks to all
Chase McGill
4 days ago
Had a positive experience during my 3 week stay inpatient!
Ian Julian
5 days ago
If you are looking to truly stop your addiction and do it safely with medical attention and care this place is perfect. They will make sure you are safe and comfortable while you go through your withdrawals which can be life threatening. You do not have to do it on your own. The staff is very kind and care about where you are at physically and mentally while you go through the program. The house keeping is well maintained and the team is non stop working to keep the facility clean and comfortable. Please get help if you need it and choosing ICFR is a great choice!
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 place with staff that really care about you. They went above and beyond to make sure I was completely taken care of. Very professional, great food, excellent therapy groups, and special activities that were a lot of fun! 5 out of 5 stars!
John B
5 days ago
Great staff! Beautiful facility! 🥰
Kelsey Sides
1 week ago
The facility is fantastic! Very clean and organized. The staff is wonderful, esp: Ms. Janell, Desmond and Meachi. Honestly the staff was always helpful and chipper when you are at your worst. I would definitely go back again and recommend it to anyone. I appreciate all the help I received. <3
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 has completely changed my life and for the better I came in high as a j bird and I hated my life and when I got here I really just wanted to do the detox portion but here I am 26 days later and I’m still here the classes they we do are amazing dbt classes helped me out a lot and I learned I can live a life that does not involve using drugs like meth or fentanyl and that I can honest be happy done the staff are wonderful very helpful and they really are here to help change lives there not after a paycheck heck they even take you to your appointments and they also make sure your safe when you leave and they find after care for you so you can continue to stay sober and live the life of a sober person and the best part is when you wake up in the morning you can go out side with your coffee and a smoke and watch the sun rise over the lake and sunset as well I’m truly going to miss this place and if I ever relapse again I know where I will come back to
Thank you to all the staff at HAVEN DETOX
Nathan Schibline
3 weeks ago
The haven has been one of the greatest experiences I’ve ever had the pleasure of going to. From the staff to the clients I’ve been here since September and I coin out on Thursday. Every step of the way I have learned something new. I wouldn’t trade my experience for anything. I highly recommend the haven detox for detoxing or residential treatment.
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.
First and foremost I would like to take the time and thank all of the staff at the West Palm Beach phacility for being so kind, caring and understanding of my needs during my time in detox and residential. From clinical to the therapist, chefs, nursing and senior staff, my time did not go unattended or unnoticed. If you're in need of help and looking for a treatment center that truly cares, please don't hesitate and give The Haven Detox a call.
Sincerely...Thomas F.
Thomas Fallis
1 week ago
Learned so much about myself. It was a blessing. And David is the best!!!
William Grappy
1 week ago
Treatment and continued support here was very helpful
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
1 month 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
4 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.
Evolutions Miami has exceeded my expectations and has been an extraordinary experience in my recovery journey. From the moment I arrived I was welcomed and felt at ease. From intake and management to the bhts everyone was friendly and kind. Amelia ,jeff,Peter,ahkila are just a few of the wonderful people that I met while I was there. I am forever grateful for everything I learned while at evolutions.
Eddie Almeida
2 weeks ago
What a wonderful place to rediscover myself and get clean. Shout out to gedale fenster , Surrender is a great book! And the groups!! wow, My experience was great cuz I made it about me. I have realized I didn't know what I was doing and that's ok. You live and you learn. I learned good things and didn't focus so much on my bad assumptions.The undermining of a facility's capability to operate is unnecessary. We are suppose to build each other up not tear each other down. Soo thank you all for showing me a new way of life.
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
1 month 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
4 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.
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.
Ive been to treatmeant a couple different times. I can honestly say that this been the best experience I ever had. The staff here actually cares for their clients. It's not just a job fot them they understand its life or death for us. If you are someone that is struggling or know someone that is struggling. Please pick up the phone and call the haven. Special call out for my therapist Jennnnnnn I love you thanks for everything you done.
Steven
3 days ago
I cannot say enough good things about this place. I came into the Haven a broken person and am leaving with new hope, confidence and determination in my recovery.
y p
5 days ago
The Absolute Best — Exceptional People, Exceptional Care
I cannot say enough wonderful things about The Haven Detox in New Jersey. From beginning to end, my experience was nothing short of exceptional.
What truly sets this facility apart is its people. Every single staff member I encountered was genuinely caring, compassionate, helpful, and extraordinarily patient. From food service and housekeeping to the nursing staff, therapists, counselors, and group leaders, everyone contributed to an atmosphere of kindness, dignity, respect, and understanding.
What impressed me most was that this level of care extended throughout the entire facility. Regardless of their position or responsibilities, the staff consistently went above and beyond to make a difficult experience as comfortable, positive, and supportive as possible. Their compassion never felt forced or routine — it felt genuine.
The nurses were attentive and reassuring, the therapists and group leaders were knowledgeable and encouraging, and even the people working behind the scenes made a meaningful difference every day.
Recovery is not an easy journey, but being surrounded by people who genuinely care makes an enormous difference. The Haven Detox has assembled a truly remarkable team of individuals who clearly take pride in helping others.
I give The Haven Detox my highest possible recommendation. If you or someone you love needs help, I cannot imagine a more caring and supportive environment in which to begin the journey toward recovery.
To everyone at The Haven: Thank you. You are absolutely the best!
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:Â 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:Â 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:Â 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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