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.
Good people... Both the other clients and staff were supportive and caring...the food was terrible...and communication between departments could be improved. I feel my needs were met adequately and I was giving the tools and resources to continue in my recovery
This place gave me my life back! If you are ready to change & have a new chance at life this is the place to come.
Gabriel Lavigne
2 weeks ago
This place really does go above and beyond for people. I have never felt so understood and heard before. They made it feel so personal and real. They allowed me to find myself and really heal. Shout out the angel Cruz for all his help as well ✌️ I owe you guys my life.
I would recommend evolution anytime,To anyone that needs treatment..They have a supportive staff..give clients there time love and support . I will highly recommend Jimmy//Hes a amazing Worker..He’s the king of guy that makes sure his clients are in best level of care./He is very loving caring and loyal to his work./My Son Omar was at treatment each time he would face challenges.He would go to Jimmy because he knew he had patience support and advice He need it…!!!He help him ever step away.///to do his best to get a solution for what my son was facing…!!
Joan Colon
3 weeks ago
This is my second time in treatment. I would recommend Tony as a therapist he helped me with a lot of past trauma and how to cope in residential. The staff is amazing and the facility is well kept.
Natali Rodriguez
1 month ago
This place works wonders and the staff members are truly amazing. Ask for Veronica she will take excellent care you and make sure the admission process is a breeze!
Serenity Springs Recovery truly saved my life. When I went through their inpatient program, I gained the strength, guidance, and tools I needed to finally turn things around. I have been sober ever since my stay there, and I continue to use the lessons I learned every single day. The staff genuinely cared and went above and beyond to support me on my journey. I am extremely grateful for my time at Serenity Springs and for the new life it helped me build. I highly recommend them to anyone seeking real recovery.
Anthony Gomez
2 months ago
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
6 months ago
This place was amazing it really changed my life 70 days sober now
The experience with Never Alone was a breath of fresh air. My 16 year old son completed his journey 11/19 and came home with a whole new perspective on life and his future. His clinical technician Karissa was a wonderful aide in the process dealing with my son. The family sessions were a great opportunity for me, my son and his mom to work on communicating with one another which was hard to accomplish before our sessions but Karissa helped navigate that and allowed us to grow through our sessions. The weekly parent groups were a very helpful resource and tool as well. I appreciate all the support and encouragement the staff at Never Alone gave to my son and salute them for taking their time to guide my son through his journey.
Simione Corbett
2 weeks ago
My daughter spent over 2 months at Never Alone on her recovery journey. We can't say enough great things about the staff and the facility. The staff communicated well and provide support for the entire family. They have been the biggest step and help in her recovery, they provided her with tools she can use in her daily life to stay on tack to help cope with hard things that happen in life. She says now that this was the best thing that could have been provided to her while in addiction.
Lucy Vilamaa
1 month ago
Never Alone brought back the child that was lost in drugs and addiction. We can't say enough about the staff and the facility. They loved and cared for her so well provide her with all the things she needed in her recover and helped her find herself again and provided her with the knowledge she needed to start her recovery. The staff cares about their jobs, care for the kids their wellbeing and their success in recovery and it shows in their dedication and interaction with the kids. Never Alone has provided her a new opportunity at life.
Serenity Springs Recovery truly saved my life. When I went through their inpatient program, I gained the strength, guidance, and tools I needed to finally turn things around. I have been sober ever since my stay there, and I continue to use the lessons I learned every single day. The staff genuinely cared and went above and beyond to support me on my journey. I am extremely grateful for my time at Serenity Springs and for the new life it helped me build. I highly recommend them to anyone seeking real recovery.
Anthony Gomez
2 months ago
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
6 months ago
This place was amazing it really changed my life 70 days sober now
The faculty and staff are very helpful and caring!
jeremy batchelor
4 weeks ago
The Indy facility is the best rehab ever gone to outta more than I can count on my fingers. The staff there are super caring and will do everything they're allowed to help u get thru the process. The director there is one of the most understanding people I've ever met in all the rehab community. I would recommend going there. Most rehab I wouldn't send people I don't like to them but not here.
Seth Brown
4 weeks ago
Had an emergency they listened and willing to help. Thomas was great he called, sent text to make sure we were safe and able to make the next step.
To whom this may concern my name is Jamie Johnson I was a client at the Haven in West Memphis Arkansas I would just like to stay that the staff that they have there are top-tier crew everyone down and up from the nurses the bht's housekeeping dietary medical assistant case management and they have talked to your staff as well my experience there has changed my whole life I will tell anyone if you are going through anything mentally physically emotionally or even if you're going through a drug problem of addiction The Haven in West Memphis will be the best place for you to go I personally myself would like to think the whole staff from the top to the bottom because every last one of y'all have been a top-tier people for me God bless you all and God keep you all JJ.
Jamye Johnson
1 day ago
John Paul, I had a great experience here at the haven west Memphis!!! If you need a quite therapeutic medical detox from alcohol or substance, I highly recommend this place!! You have your own room with privacy , tv, nothing is required your meals are brought to you they have a kitchen with 247 drinks snacks ect! Like I said this isn’t the “old days” where they lock you in a room with know meds .. you are medical detox you see a dr every day what else is there to say .. it truly is a therapeutic environment with the kindest staff I’ve met in any facility , also they got me lined out with a sober living home and php my 3 rd day !!! So if yall are struggling please contact the haven west Memphis they will even come get you and drop you off ! Thank you haven west Memphis John p
John Paul
2 weeks ago
This place really is a nice vacation if you let yourself see it that way. Great, friendly staff. Good food. Really helpful in learning healthy communication and coping skills, and learning how to utilize them in the real world going forward. Only 4/5 because I had some mix ups with my meds but nothing too serious. I highly recommend the Haven.
This place is amazing. It truly saved my life. Thank you to all the staff at ICFR Bedford!!! You’re all amazing!
LongSpirit
1 week ago
Great staff, had some issues with the food but they were taken care of quickly. Felt safe and secure here and well taken care of. Definitely deserves the praise it gets, it's one of the best mental health facilities I've been to or even heard about.
This facility and The Haven Foundation has always been a stepping stone for me in kicking off my sobriety. The staff really care about you and truly want the best for you. One person in specific that stood out to me was Angel the alumni coordinator!
What makes him truly special is that the support doesn’t end when treatment does. He stays in touch, checks in, and follows you through every step of your recovery journey. Whether it’s a tough moment or a big milestone, he’s always the first one to reach out, cheer you on, or help guide you back on track.
His commitment to the alumni community is unmatched. You can feel that he cares , not just during your time in treatment, but long after you leave. Having someone like him in your corner makes all the difference.
If every treatment center had an alumni coordinator like him, recovery would feel a lot less lonely. I’m truly grateful for everything he does.
johvaun brower
1 week ago
To all who is dealing with mental health issues have I got the place for you this place I can honestly say save my life. And no its not for drug addicts or alcohol they actually have a a separate department just for mental health I got si much to say will dad more so I will say Heavendetox is the place for it all oh can't forget this the staffs are amazing and if transportation is a problem no worries they got you covered. Marcus and Kevin and Marquis are just a few of the the amazing staffs the and the chefs are amazing .
jesumene antoine
2 weeks ago
I have been to a few rehabs and Detox‘s only one different Detox, but The Haven Detox Center has gone above and beyond from the intake process all the way through to the BHT‘s to the janitorial staff the medical staff The meal prep kitchen, chef staff has created such a dynamic environment in under a year of their first year anniversary that has Made the people that are clients are patients full of hope, spirit morale, and just genuinely compassionate empathetic and loving towards each other naturally because of the environment that this staff has provided !!!!! And on a sidenote, I would definitely have to give a huge shout out to Marcus the Detox supervisor that guy is not only leading by example, but he’s leading from the front and that’s how you run up company enterprise any type of business transactional environment that’s the type of leadership you look for someone to willing to lead from the front and lead by example !!!
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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.
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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.
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