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.

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.

By Michelle Tavares

Medically Reviewed by Katie Price

Name / Address / Rating	Description	Treatments / Payments / Programs	Review / Contact	Images
Memorial Regional Hospital 3501 Johnson St Hollywood, FL 33021 4.5 (9594 reviews)	Memorial Regional Hospital in Davie, Florida, is a clinical alcohol and drug treatment facility for adults. They provide an array of programs, including medication assisted treatment and outpatient treatment. Their Behavioral Health Transition of Care program is part of a continuum of care starting with treatment in an emergency room or an inpatien	Treatments Programs Payment Options Dual DiagnosisMental HealthAlcoholismDrug AddictionOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramTeen Program MedicaidPrivate insuranceSelf-Pay OptionsFinancial AidMedicareMilitary InsurancePrivate InsuranceSliding Scale Payment Assistance+1	Memorial Regional is definitely #1 . From the ER staff to the employers on the 7th floor where i was a patient. I want to specially thank the ER Dr Tommy and my Nurse Daisy, Resheena, Natalie and my very Compassionate and very competent PCA's Sydoney not sure if it's the correct spelling,Casheem and just about everyone. Great Hospital ,Excellent Care. Thank you very much for all you do God's Blessing on you all. Pauline Daley 1 week ago Everyone was welcoming and caring! Wookiee Lee 1 week ago Amazing staff!!!! Luis 1 week ago	4
Evolutions Treatment Center 16565 NE 4th Ave Miami, FL 33162 4.6 (560 reviews)	Evolutions Treatment Center is an alcohol and drug addiction treatment center located in Miami, Florida. Their programming provides a deliberate and slow progression from detox to sober living to create a stable path toward recovery. Evolutions Treatment Center offers detox, residential, partial hospitalization, intensive outpatient, outpatient, an	Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance Abuse Adult ProgramYoung Adult Program Private InsuranceSelf-Pay OptionsFinancial AidMedicaidMilitary Insurance	Evolutions Treatment in Miami is truly a life-changing facility. The staff is wonderful—attentive, compassionate, and genuinely invested in your recovery. A special thanks to Tonya in alumni for reaching out and offering continued support. This place really cares and makes a difference! Kevin Y 1 month ago I've heard mixed experiences from other but I can speak for myself that treatment has been intense and careful from staff. I personally recommend it. William Bryant 5 months ago The staff here is very caring. Especially the therapists, they are super talented. Jaden Donovan 5 months ago	6 6
Serenity Springs – Men’s Residential 1555 Cow Creek Road Edgewater FL, 32132 4.5 (53 reviews)	The Serenity Springs Recovery Center is located in Edgewater, Florida. The center is accredited by CARF and The Joint Commission. They’re also LegitScript certified. Their inpatient residential treatment for men is on 38 acres of a lakefront property. Men struggling with a substance use disorder, mental health disorder and a co-occurring disorde	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult ProgramLGBTQ ProgramMilitary ProgramYoung Adult Program Private insuranceSelf-Pay OptionsMonthlySliding Scale Payment AssistanceMilitary Insurance	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 3 months ago This place was amazing it really changed my life 70 days sober now John Dasher 8 months ago Thee best experience in recovery I've ever had. If anyone needs help with drug or alcohol addiction please call Serenity Springs. Their staff is amazing. Daniel Flesch 8 months ago	6 6
Serenity Springs Recovery Center 1555 Cow Creek Rd Edgewater, FL 32132 4.4 (51 reviews)	For many who choose the Serenity Springs Recovery Center, it is seen as a place of not only drug and alcohol addiction recovery but also self-discovery. The center is CARF-accredited and carries accreditation from the Joint Commission. It can be found in Edgewater, Florida, and treats men who need residential treatment, intensive outpatient treatme	Treatments Programs Payment Options Drug AddictionMental Health and Substance Abuse Adult ProgramYoung Adult ProgramMilitary Program Private InsuranceFinancial AidMedicareMilitary Insurance	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 3 months ago This place was amazing it really changed my life 70 days sober now John Dasher 8 months ago Thee best experience in recovery I've ever had. If anyone needs help with drug or alcohol addiction please call Serenity Springs. Their staff is amazing. Daniel Flesch 8 months ago	5 5
Evolutions Treatment Center 2901 W Cypress Creek Rd #123 Fort Lauderdale, FL 33309 4.7 (955 reviews)	Evolutions Treatment Center is an alcohol and drug addiction treatment center located in Fort Lauderdale, Florida. Their programming focuses on outpatient services that range from day treatment to sober living. Evolutions Treatment Center offers partial hospitalization, intensive outpatient, and outpatient. The partial hospital program is the most	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult ProgramYoung Adult Program Private insuranceSelf-Pay OptionsSliding Scale Payment AssistanceMilitary Insurance	Evoluchion salvo mi vida Luis Valdes 3 weeks ago Great place Trent and David and Beano are greatly Patrick Tyler 1 month ago What an incredible place to have your life changed! I am so happy they have helped me out so much! Mike 4 months ago	6 6
Peace River Center – 1260 Golfview Avenue 1255 Golfview Avenue Bartow, FL 33830 3.2 (125 reviews)	Peace River Center - 1260 Golfview Avenue in Bartow, Florida, is a behavioral health center that provides substance use treatment to adults and adolescents. They are licensed and certified by the State of Florida to provide substance user services. They offer assistance to individuals who are struggling with addictions to illegal drugs, alcohol and	Treatments Programs Payment Options Dual DiagnosisMental Health and Substance AbuseAlcoholismDrug AddictionOpioid AddictionSubstance Abuse Adult ProgramYoung Adult ProgramTeen ProgramChild ProgramSeniors Program Private InsuranceSelf-Pay OptionsMedicaidMedicareMilitary InsuranceSliding Scale Payment Assistance	So far everything is fine Tammy Roth 1 month ago MH patient was treated there several times. Always have had a positive experience. The staff are great. Ashley Carnley 1 month ago Very thankful for the people that are helping me wanita schwarz 1 month ago	2
Aspire Health Partners – Fernwood Campus 237 Fernwood Boulevard Casselberry, FL 32730 3.6 (16 reviews)	Aspire Health Partners - Fernwood Campus is located in Casselberry, Florida. They offer short term outpatient counseling using evidence based and solution focused approaches such as cognitive behavioral therapy. These techniques are used in individual, family and couple counseling sessions to address alcohol and substance abuse and dual diagnosis m	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance Abuse Adult ProgramLGBTQ ProgramMilitary ProgramYoung Adult ProgramChild ProgramProgram For WomenProgram For Men Self-Pay OptionsPrivate insuranceFinancial AidSliding Scale Payment AssistanceMedicaidMilitary InsuranceMedicare	This is by far the absolute best clinic I've ever been to and the staff here are on point and always very pleasant and friendly and just make sure you are taken care of and I leave the clinic with a smile on my face every single morning. I'll definitely be missing these people since I moved out of the area. Donnie V 5 months ago The staff here is what made me have trust in this program. They want you to succeed. This specific location and the employees make this place actually feel how it should. If you have the option to go to this location over any other, please go here. David Myers 9 months ago I have moved to this location for my medical services. Very clean, pleasant staff and my appointment times are on point. Michelle Lucas 1 year ago
Aspire Health Partners – Addictions Receiving Facility – ARF 434 West Kennedy Blvd Orlando, FL 32810 4.4 (20 reviews)	Aspire Health Partners is a full service health care facility that offers drug and alcohol rehab. It is located in Orlando, Florida. They treat people of all ages for substance use disorder and alcohol use disorder. They treat people diagnosed with mental health conditions who also struggle with addiction problems. Located in a suburban community	Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction Adult ProgramLGBTQ ProgramMilitary ProgramYoung Adult Program Self-Pay OptionsPrivate insuranceFinancial AidSliding Scale Payment AssistanceMedicaidMilitary InsuranceMedicare	I want to thank the staff at the Michigan ave mens facility for all the help and care you gave my son Billy. He seems changed thank you Miss Cristina, Larry, Laz, and Sunday. You are all very special people thank you again William Moore William Moore 11 months ago Inspiring Troy Solano 1 year ago They really helped me with my issues. Anibal Vazquez 2 years ago
Mount Sinai Medical Center 4300 Alton Road Miami Beach, FL 33140 4.0 (1944 reviews)	The Behavioral Health Department at Mount Sinai Medical Center provides behavioral health services for adults in Miami Beach, Florida. You can go here to find inpatient and outpatient treatment for a range of psychiatric and behavioral disorders, which may include addiction. They accept self pay, private insurance, Medicaid, and Medicare. There’s	Treatments Programs Payment Options Dual DiagnosisMental Health Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program Private insuranceSelf-Pay OptionsFinancial AidMedicareMilitary InsuranceMedicaid	The flavors were incredible. K B 1 week ago LaMigra2001INDIA Francisco Arellano 1 week ago The Nurses were great. Thank you so much. The doctors were fantastic. Thank you for a good experience at Mount Sinai Medical Center Rossana Hartnack 1 week ago	6 6
Serenity Springs – Intensive Outpatient Program 1555 Cow Creek Road Edgewater, FL 32132 4.4 (50 reviews)	Serenity Springs – Intensive Outpatient Program in Edgewater, Florida, provides 12 Step focused addiction treatment to adult men. They offer individual and group counseling and dual diagnosis care. You can also get experiential therapy, EMDR, and holistic treatments, such as amino acid IV therapy. They accept a variety of insurance plans, includ	Treatments Programs Payment Options Mental Health and Substance Abuse Adult ProgramYoung Adult Program Private insuranceSelf-Pay OptionsSliding Scale Payment AssistanceMilitary Insurance	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 3 months ago This place was amazing it really changed my life 70 days sober now John Dasher 8 months ago Thee best experience in recovery I've ever had. If anyone needs help with drug or alcohol addiction please call Serenity Springs. Their staff is amazing. Daniel Flesch 8 months ago

Frequently Asked Questions

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.