HealthSun Insurance Coverage for Alcohol & Drug Rehab
Explore HealthSun’s Medicare Advantage plans offering comprehensive addiction treatment coverage in Florida. Verify your plan today.
HealthSun Insurance Coverage for Alcohol & Drug Rehab
Explore HealthSun’s Medicare Advantage plans offering comprehensive addiction treatment coverage in Florida. Verify your plan today.
HealthSun is a managed care organization that offers Medicare Advantage insurance plans to Florida residents living in Miami Dade, Broward, and Palm Beach counties. It’s headquartered in Miami. HealthSun was founded in 2005 and was acquired by Elevance Health (formerly Anthem) in 2017. It’s now a wholly owned subsidiary of Elevance Health.
HealthSun sells HMO (health maintenance organization) insurance plans. As an HMO, HealthSun utilizes its own network of more than 8,200 doctors and specialists to provide services to its approximately 50,000 members.
Approved Medicare benefits are available through HealthSun for people who are eligible for Original Medicare due to age, health condition, or disability. HealthSun has maintained Medicare’s highest rating of 5 stars for seven consecutive years, from 2018-2024, for its Medicare Advantage plans.
By Rita Milios
Rita Milios, The Mind Mentor, is a recently retired psychotherapist, freelance author (recovery, mental health, spiritual growth), seminar leader, and podcaster from Kissimmee, FL. She provided counseling in rehab facilities in Ohio and Florida, as well as in her private practice. Rita also served as a DOT Substance Abuse Professional (SAP) consultant.
Medically Reviewed by Eli Wood
Eli Wood is a content writer and content strategist specializing in healthcare, mental health, and LGBTQ+ sexual health and wellness. They have written for American Addiction Centers providing health insurance resources and information, as well as writing and reviewing detailed medical insurance and product pages for various platforms.
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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.
nice and friendly staff who put client care first and super nice and clean facility
Cade Jackson
1 week ago
Great facility and even better staff!
Anna Allen
2 weeks ago
Oh my goodness, this was the best treatment facility. After they take me to Chattanooga, I feel it will be my last. I'm going to miss the staff; Mrs V has been so awesome, and Ms. Mechell, and Mrs, Tamiyah, and Desmond just a few that have made it a great experience.
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
Ya era hora que esta Isla contara con un centro completo e integral. Un salvavidas para los que de VERDAD BUSCAN Y QUIEREN un cambio en sus vidas. Un faro de esperanza para sus familias. Un personal muy dedicado. Un lugar muy agradable. El centro esta en fase de crecimiento y en desarrollo de sus facilidades lo que les permitira mas pacientes y mas servicios. Aqui encontraras los 28 dias que marcan un buen comienzo a aquellos con mente y corazon dispuestos a un cambio de rumbo.
Remax Zone Puerto Rico
1 month ago
Excelente lugar, gran servicio y el personal realmente se preocupan por ti.
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 admitted myself for mental health. I was beyond terrified about seeking help that I had so desperately needed. But the beautiful people at ICFR helped me feel comfortable. The group facilitators were well beyond amazing. They have taught me so many skills that I can now take out into the world and continue my journey of mental health recovery. And the resident community is amazing. Everyone advocates for each other, and no one judges anyone. I want to give everyone at ICFR Bloomington a huge thank you for everything they have taught me. Keep doing the work that you do.
Dylan Shelton
2 weeks ago
Very helpful for mental health. I will say you get as much out of here as you put in. My therapist and the staff have been wonderful and I’ve learned a lot of useful tools for my life moving forward. I’m not fixed, but I have more balance.
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.
Phenomenal place! All of the staff are very helpful and friendly. Anthony, client care coordinator is always checking in to make sure you are ok and if anything is needed, helps with a smile! Jason(therapist) is great, more in tuned than most I have seen. . Karen (EMDR) is gifted and am privileged to have been able to work with her. Magic Mike will blow your mind with his knowledge and things he can do. Food is good. Facility is clean. Beds on residential side are comfy.bon detox they are average. Such an amazing group! The only reason I gave 4 stars is this is not the place for residential treatment ....groups are aa ..lecture type no real interaction
LEA
3 weeks ago
Drivers picked me up, they were very professional. No judging, staff is friendly and all here to help and the kitchen is great ! And they even have ice cream !
erik bailey
3 weeks ago
I was so scared and nervous upon just asking for help. Thank you God I came here the staff are so caring and understanding no judgment was passed at. Morning noon or night they are here for you. The facility its self is 10/10 the staff is 109% on your side ready to listen and help. Most places you have to tell half truths here NOPE the all understood where you are coming from and are so. Amazing and down to earth and couldn’t be better. This has been the best experience of my life and after detox they make all the arrangements for you and are more than happy to do. Thank you so much to all the staff for the loving care
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.
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
1 month 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
curtis graves
1 month ago
Absolutely love the staff here at S.L.A
Thanks for the experience.
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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 facility saved my life. Not only is the treatment wonderful, but the staff and techs work hard to ensure a pleasurable experience for all. The small size of this place allows for an intimate and accommodating experience even through the tough times we all go through while attending. Shoutout Linda
Christopher Israelite
1 week ago
Staff goes out of their way to help.
Luke Terrell
1 week ago
This place saved my life!! I can’t say enough about the staff there!! I don’t even know where to start!! From the Dr’s (Larry & Ardrienne), to the nursing staff (Ms Dee, Sharlene, Kristy, Mia, Victoria, Jess, Jeff, etc) down to the techs. I definitely need to say a huge thank you to Shannel for looking out for me when I needed it most! Carla for always being a huge bright spot in the morning and always being chipper, aka The BeBop twins!! David for playing cormhole with us and always treating us like peers!! Everyone is amazing thought!! I will never be able to say enough about this place!! If you need help for ANYTHING pleases reach out and they will come get you!! If nobody has told you they love you today, I do!! It’s never to early or to late!!
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.
My stay was amazing I greatly recommend you will definitely get the help you need and want my case worker Micheal met every need I could possibly ask for and also assisted me with my legal issues good luck wish you the best thank you for all you all done for me
Kameron Davis
1 week ago
Love the Staff and Therapists. The Techs are also top bothxh
J h
1 week ago
I would recommend ICFR to anybody that wants to effectively recover. The groups and group facilitators were great and very informative. The nurses were amazing and made me feel very comfortable. Everyone from the case managers, BHT’s, cleaning staff and kitchen staff were very friendly and helpful. I made some great connections with people struggling with addiction. The camaraderie I experienced at ICFR was very helpful and very beneficial to my recovery.
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.
very peaceful , kind staff, and a hopeful environment. as a young person this place was amazing. very understanding and caring people. even the patients here have been supportive of my recovery. just a well rounded rehab.
Layla Khawaja
1 week ago
I highly recommend this facility. It provides comprehensive care for both substance use recovery and mental health. They were able to admit me the very next day and even traveled two hours to pick me up. The staff are compassionate, professional, and incredibly supportive, and the therapists are exceptional. My experience has been overwhelmingly positive, and I am truly grateful for the care I have received.
alyssa lawrence
1 week ago
Excellent coordination of care team. Communication was timely, professional, and client focused. The staff were easy to work with and helped ensure smooth transitions and continuity of care. Highly recommend Haven Detox!
This is an ad and The Haven Detox – New Jersey 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.
Its nice over here! They have an infinite hot chocolate and coffee machine! Also, therapy here has had a massive impact in helping me secure a better future for myself! Trust the process, they will take care of you.
Kevin _
1 week ago
My experience was really amazing, the people especially the workers are really great & understanding, shout out to Kenny for being there for me & trying everything in his power for me to get up on my feet & better myself. This place is really good & I recommend it for anybody who needs the help.
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Frequently Asked Questions
Does HealthSun Cover Addiction Treatment?
HealthSun HMO insurance covers mental health and substance abuse treatment as well as other medical treatments. Substance abuse treatment options differ depending on the individual policy chosen. Copays may apply, and some policies have limits on certain services.
It’s important to keep in mind that you’ll need to choose in network providers in order to use your HealthSun coverage. HMO plans do not offer coverage outside the network except for emergency care.
What Types of Inpatient Addiction Treatment Does HealthSun Cover?
Inpatient drug rehab treatment options that may be included in SunHealth’s behavioral health Medicare Advantage HMO insurance policies are the following:
Medically assisted detox that helps keep you comfortable and safe as substances leave your system may be covered if medically needed. Medical detox may use FDA-approved medication assisted treatment medications, such as methadone, naltrexone, and buprenorphine. The medication helps manage withdrawal symptoms. Detox would likely be administered during inpatient hospitalization.
Inpatient drug rehab in a clinic or a hospital, if medically necessary, may be covered by HealthSun. This feature is standard, as the same service is available through Medicare Part A. However your cost sharing is likely to be different with a HealthSun plan than it would through Part A.
Also, you’ll need to use a treatment clinic that’s part of the HealthSun plan’s network. Before you begin inpatient treatment, make sure you have checked your coverage details so there are no surprises when you’re supposed to be focused on your recovery.
What Types of Outpatient Rehab Are Available From HealthSun?
Outpatient rehab allows you to live at home or in a sober living environment while you attend treatment during the week.
Partial hospitalization, also known as day programs, are delivered as outpatient treatment in community mental health centers or community mental health hospitals.
Partial hospitalization programs using Medicare guidelines require direct supervision by a physician, and treatment must follow an individualized care plan that’s ordered by the doctor.
Patients enrolled in these programs typically attend sessions during the day and return home at night. Typical sessions last 4-8 hours a day, three to five days a week. A total of 20 or more hours of treatment each week for 3-4 weeks are common. However, treatment can last several months, depending on your specific needs. Programs usually include individual, group, and family counseling, as well as addiction and relapse prevention education. It may also include mental health medication, if needed.
Intensive Outpatient Programs (IOPs) often involve 9-20 hours of treatment a week, with the hours spread across 3 to 5 days. A typical recommendation is for 90 days of intensive care. Treatment includes individual, group, and family counseling sessions. Addiction and relapse prevention education are included as well.
Some intensive outpatient programs are medication assisted treatment (MAT) clinics, which treat opioids and/or alcohol use with FDA-approved medications while also providing addiction treatment counseling. MAT has been covered by Medicare since 2020.
Medicare Advantage plans also cover telehealth (phone or internet) services if these are provided by a physician or mental health counselor with a Medicare contract. Telehealth services such as mental health and substance use treatment can be accessed anywhere, including in your home. Other types of telehealth may require you to be in a rural medical clinic.
Are There Additional Benefits Available From HealthSun?
Healthsun Medicare Advantage plans provide additional benefits for you intending to keep you healthy and lower your healthcare costs. HealthSun offers several Medicare Advantage plans including different types of Health Maintenance Organization (HMO) plans and Special Needs Plans (SNPs). Premiums start from as low as $0 and several offer monthly premium reimbursement for Medicare Part B.
You also get a monthly allowance on a prepaid credit card so you can pay for groceries, home and pet care supplies, and utilities. You also get an allowance to use for over the counter items. Many plans also provide a yearly allowance for vision care and hearing aids. The amount of the allowance varies depending on the Medicare Advantage plan you choose.
Thousands of gyms and community centers participate in the SilverSneakers program. With your Medicare Advantage Plan you receive a basic membership at participating gyms so you can use the cardio and strength equipment and other amenities such as pools and walking tracks. The program requires you to download the app to your phone to access your digital membership card.
Each Medicare Advantage Plan also includes dental care and prescription drugs. Drug coverage levels are based on the plan’s drug formulary which is a list of medications the insurance plan covers.
Added benefits if you are part of a special supplemental program if you are chronically ill may include therapeutic massages, a monthly Healthy Meals Program, and transportation to medical appointments.
What Should I Do if HealthSun Won’t Cover the Cost of Rehab?
Not all alcohol and drug rehabilitation centers accept Medicare Advantage plans. You may also choose to use an out of network provider for your plan or may want to pay out of pocket. Whatever the reason if you do not have insurance coverage for addiction treatment there are several avenues you can explore to pay for drug and alcohol rehabilitation.
Sliding Scale Fees: Some addiction treatment centers offer sliding scale fees. This helps adjust the cost you pay based on your income and your financial situation. Typically you must submit documentation demonstrating your income and ability to pay. The programs vary depending on the facility and your eligibility requirements.
Payment Plans: When a treatment center lets you set up a payment plan, that means you don’t have to pay the full amount right away. Instead, you can break up the costs into multiple payments that make it more manageable. This can be a great way to get the care you need.
Grants and Scholarships: You might not realize it, but there are a lot of grants and scholarships available for rehab. You can get them from local, state, or national organizations. Sometimes a treatment center will offer scholarships directly. Scholarships and grants are helpful because you don’t have to repay them.
Financing/Loans: Finding some way to finance your rehab such as getting a loan can let you get started on treatment right away. Some treatment centers partner with third party lenders that specialize in medical financing and offer flexible repayment terms. Explore personal loans from your bank or credit unions and consider personal loans from friends and family. Finally programs like CareCredit can spread your payments out over time with a low interest rate.
Faith Based Programs: Local faith based programs may offer low cost or scholarship funded drug rehabilitation that usually emphasizes spiritual growth, prayer, and community support as part of your recovery. Many are provided by churches or religious organizations.
Community Based Programs: Community based programs are designed to provide addiction treatment and support within your community. They often partner with non profit organizations, government agencies, or health care providers. They may offer a range of services including therapy, counseling, peer support, and medical detox.
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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