Does Humana Florida Medicaid Pay for Rehab?

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Does Humana Florida Medicaid Pay for Rehab

Humana is one of the largest health insurance companies in America and is in-network with many addiction treatment centers across the nation. Humana Healthy Horizons, or Humana Medicaid, is a Medicaid plan specifically designed for individuals who are eligible for Medicaid benefits. If you have Humana Florida Medicaid, your insurance may cover a variety of substance abuse treatment services in Florida.

In this article, you will learn:

  • About Humana Florida Medicaid insurance
  • What addiction treatment services Humana Medicaid plans will cover
  • How to understand your coverage
  • How to find an in-network treatment provider

About Humana Florida Medicaid

Humana Florida Medicaid, better known as Humana Healthy Horizons in Florida, is a Medicaid health insurance plan through Humana offering high-quality insurance coverage to qualifying low-income individuals in Florida. They have contracted with the Agency for HealthCare Administration (AHCA) to provide healthcare services to Medicaid beneficiaries through MMA plans.

Humana Healthy Horizons provides coverage for low-income eligible children, seniors, pregnant women, and disabled adults. It is funded by both state and federal government funds. Members have access to:

  • Medical, vision, and hearing coverage
  • Prescription drug coverage
  • Behavioral health benefits
  • COVID-19 coverage
  • Telehealth services
  • Expanded benefits

Some Healthy Horizons plans also offer long-term care coverage.

Humana Healthy Horizons Florida plans provide coverage for both non-emergent and emergent mental health and substance abuse treatment services, helping low-income individuals get the care they need to achieve recovery.

Does Humana Healthy Horizons Pay for Drug and Alcohol Rehab in Florida?

The Affordable Care Act (ACA), also known as Obamacare, was signed into law in 2010 with the aim of expanding healthcare coverage and improving the quality and affordability of health insurance in the United States. As part of the ACA’s Essential Health Benefits, health insurance plans, including those within Medicaid, are required to cover substance abuse treatment services.[1] This includes coverage for a range of services such as:

  • Inpatient and outpatient treatment
  • Detoxification services
  • Behavioral therapy
  • Medication-assisted treatment
  • Counseling and support services

Additionally, the Mental Health Parity and Addiction Equity Act (MHPAEA), passed in 2008, requires all health insurance plans that provide mental health or substance use disorder benefits to offer coverage that is comparable to coverage for medical and surgical benefits.[2] MHPAEA aims to ensure that insurance plans do not impose more restrictive limitations on mental health and substance abuse treatment than they do on medical and surgical treatments.

As per the ACA and MHPAEA, Humana Medicaid plans provide coverage for mental health and addiction treatment services. The coverage provided by Humana Healthy Horizons can vary depending on the specific plan and the state regulations.

In Florida, Medicaid plans typically offer coverage for substance abuse treatment, including drug and alcohol rehab services. However, the exact coverage details, including which rehab facilities are included in-network and any copayments or limitations, can vary. It’s important to review the specific details of your Humana Healthy Horizons plan or contact Humana directly to understand your coverage for drug and alcohol rehab in Florida.

What Addiction Treatment Services Does Humana Florida Medicaid Cover?

Humana Healthy Horizons, the Medicaid plan offered by Humana in Florida, typically covers a range of addiction treatment services. These services may include:

  • Inpatient Treatment – Coverage for residential or inpatient rehab programs where individuals receive 24/7 intensive treatment and support in a supervised environment.
  • Outpatient Treatment – Coverage for outpatient programs, which may involve counseling, therapy sessions, group therapy, and medication management, among other services.
  • Medication-Assisted Treatment (MAT) – Coverage for medications used to manage withdrawal symptoms and cravings, such as methadone, buprenorphine, or naltrexone, often in combination with counseling and behavioral therapies.
  • Medical Detox – Coverage for medically supervised detox programs to help individuals safely withdraw from drugs or alcohol under medical supervision.
  • Behavioral Therapy – Coverage for various types of therapy, including cognitive-behavioral therapy (CBT), motivational interviewing, dialectical behavior therapy (DBT), and other evidence-based approaches to address addiction and co-occurring mental health disorders.
  • Counseling and Support Services – Coverage for individual counseling sessions, family therapy, support groups, and peer support programs to help individuals recover from addiction and maintain sobriety.

Coverage for addiction treatment services may vary depending on the specific Humana Healthy Horizons plan, state regulations, and individual needs. Prior authorization or referrals from a primary care physician or behavioral health provider may be required for certain services. You should review the specific details of your Humana Healthy Horizons plan or contact Humana directly to understand your coverage for addiction treatment services in Florida.

Navigating Your Humana Florida Medicaid Coverage

Before enrolling in an addiction treatment program in Florida, make sure you understand the details of your Humana Healthy Horizons plan. Review your plan documents, including the Summary of Benefits and Coverage (SBC), member handbook, or online resources provided by Humana. Pay close attention to what services are covered, any copayments or coinsurance you may be responsible for, and any limitations or requirements for accessing care.

Once you understand your coverage, you may choose to use Humana’s provider directory or online search tools to find drug and alcohol rehab centers in Florida that are in-network with your Humana Healthy Horizons plan. Using an in-network provider like Archstone Behavioral Health can help you save money on out-of-pocket costs and ensure that you receive the maximum benefits available under your plan.

If you have questions about your coverage, need assistance finding a provider, or are experiencing any issues with accessing care, don’t hesitate to reach out to our team at Archstone Behavioral Health. We can provide guidance, answer your questions, and help resolve any concerns you may have about your Humana Healthy Horizons coverage.

Get Addiction Help at an In-Network Drug and Alcohol Rehab Facility

Archstone Behavioral Health is proud to be an addiction treatment provider that is in-network with several Florida Medicaid plans, including Humana Healthy Horizons. We make the processes of understanding your coverage and starting treatment simple with our three-step admissions process. Simply pick up the phone and call us, let us verify your insurance, and conduct a risk-free assessment to match you with the right treatment program for you. Don’t wait any longer–call now to get started.

1. Health benefits & coverage

2. Centers for Medicare & Medicaid Services: The Mental Health Parity and Addiction Equity Act (MHPAEA)