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.
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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.
Glad I came here to get help with my mental health. Employees really care about everyone and want to help you get better. The facility is clean and very nice. Highly recommend
Patrina Avila
2 weeks ago
nice and friendly staff who put client care first and super nice and clean facility
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.
This place was the best! I have been to multiple places for my mental health and this thankfully was my last stop. I was recommended this place by another mental health facility. And I truly am grateful for all of the techs, therapist, and doctors! But a big shout out to the personal trainer they have there! And to the lady in the barbershop without the courage from these two I would have went crazy without seeing my family for over a month. Even on days where I felt super depressed the trainer encouraged me to just get on the treadmill and walk. And so thankful that he did that because honestly it made me feel better. And the lady in the barbershop I went to when I was too overwhelmed to do anything with my hair and without judgment she helped. I wish I could remember their names but it’s been almost a year ago. But will be forever grateful for them, and this place!
Haley Pennycuff
1 day ago
Wonderful place full over extremely capable staff. I went in very rough shape, and their wrap-around services expediently straightened out multiple areas of concern and allowed for me to focus on my recovery.
Isaac Andrade
2 weeks ago
My time here has shown me the error of my ways also due to the surrounding of people that experienced the same or similar events
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.
The staff was very helpful the food the was good the facility was modern and very clean and the clinical staff was solid which positively aided in my recovery
Mark Petit
1 day ago
All of my needs were met at the haven! I had a great experience and would highly recommend it!
Cole MLL
1 day ago
This is a dicey review - only because everybody has their own different experiences with places like this. My personal opinion, don’t take reviews to heart. Everyone’s experience is different. Mine personally, was amazing. The staff was amazing. I’ve never stayed in a treatment center that long in my life… if you knew me, that would say a lot. I have been in and out of these facilities over 15+ years.
It was very clean, I love the food, The rooms in residential were like a hotel room. They were beautiful. Best of all, the staff. From the techs all the way up to leadership, great people! The cleaning staff were on point! Huge shout out to Jordyn, Ashley, Anthony, Nick V, Roni, Rick, Penny, Corey, Harriet, Shay, Matt, and most of all my therapist, Jason. I don’t think I’ve would’ve stayed the amount of time that I stayed without my therapist, Jason. Along with the support from the staff. It was a great group of people when I was there. Truly amazing people, that wanted better. The only cons I can say about this facility, is the lack of communication between the departments. Nursing, techs and leadership are all on different communication levels, which can be become very complicated for the client. They should be more aware of medications that people need daily, so clients are not running out of medication’s… The techs need to be trained across the board on what’s right and what’s not right. Each tech had a different opinion or decision on something, with certain people.. That was the only real negative experience I had at this facility. Everything else was great, the staff and the clients!
As I said, don’t take peoples reviews to heart. Everyone has a different experience when they’re going through this type of thing. I am very grateful for the support I had at The Haven in West Palm Beach. Truly. 🙏
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.
As a community partner, it has been incredible to watch the work Never Alone has done to create a welcoming, supportive environment for adolescents during an incredibly important period in their lives. The investment in the facility itself, from renovations to amenities like the gym and movie theater, reflects a larger commitment to making young people feel valued, safe, and cared for.
What stands out even more is the programming and the people behind it. Never Alone is helping adolescents learn self-care, build confidence, develop healthy coping skills, and understand that they do not have to internalize the stigma often associated with seeking help or going through a difficult chapter.
These young people are so much more than a brief period of struggle in their lives, and they deserve the opportunity to move forward without allowing that period to define who they are or who they can become. It has been meaningful to see a program committed not only to treatment, but to dignity, growth, and helping young people recognize their own potential.
I’m grateful to have Never Alone as a community partner and to see the positive work happening there firsthand.
Michael Burke
4 days ago
Great facility for a great cause. Beautiful location in the woods of New York State.
Margarita
1 week ago
Great staff, have heard only good things about this place
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 saved my life! I've been to many reheabs but this one by far the best program . Every one was nice and met my needs. Would recommend to anyone out there struggling.
Dallion Jay
2 months ago
Haven NLR Recovery Team PHP is one the most magnificent and effective programs I've been to over all my 30 years of suffering from addiction. The Team and / or Staff have the genuine care and concern for people seeking recovery. I highly recommend this RECOVERY PROGRAM for all those like myself who are suffering from a addiction and are now honest, open minded, and willing to put their lives back together. Thank you Recovery Team of Haven! I would love to be apart of this Team after my year of Sobriety
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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 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
1 month 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.
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
3 months 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
4 months ago
Phenomenal experience. The staff, facility and care was incredible. Highly recommend.
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.
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
2 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
Bradley Guthrie
3 months 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!!!!!
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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.
IDFC is a great place! They were extremely helpful in my addiction and recovery process. Carla the tech was especially helpful in providing me with necessary clothes I forgot at home and needed. The whole nurses staff was super supportive of my needs. The entire staff was amazing. I have been there twice and both times were exceptional!! I would recommend it to anyone who is struggling with mental health and addiction.
Samantha Cox
1 week ago
Spent 30 days at ICFR Indianapolis. This has been my first time seeking treatment and choosing self help on my own accord. Looking back I wish I would have done this years and years ago. I definitely could have and would be all the better for it. Things would be different however. I would have missed my chance to meet wonderful people. Between my peers and the staff there are many I will hold with me forever. However, there are two who I want to distinguish above all the others. Carla is my first. Her spirit is incredibly uplifting. When I came here in the mental state I was, she was a positive force that met me every single day with consistency and positivity. Between the silly and serious, I have enjoyed every encounter I have had with this woman. She made sure to do everything in her power to make me feel comfortable and help satisfy and wants or needs I had. She is an amazing person who offers kindness freely along with her goofy attitude. I will miss waking up in the morning to our interactions and will forever hold higher expectations when my morning sassy/snarky self is being handled so well. Pure gold this gal!!
Second, I have to shout out Brittany (the other Brittany) also for keeping it real and consistent. Her laughter carries through the building and every time I hear it I know that it will be a good night. She has always been absolutely nothing but fair and has had an excellent sense of humor. Without it my nights would have been lacking most certainly.
I will always remember this step of my journey and I encourage others to take the step if they are ready to do so.
Keagan Doran
1 week ago
ICFR Indy is an amazing place - small facility with plenty of individual attention and the entire staff is extremely friendly and helpful.
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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: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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