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Paying for Rehab in Florida: Insurance, Costs and Your Options

Paying for Rehab in Florida: Insurance, Costs and Your Optionsfloridarehab.net
Most people pay for residential rehab in Florida with commercial health insurance. Plans that cover substance use treatment must follow federal parity rules, and Marketplace plans must cover it as an essential health benefit. A benefits check before admission tells you what's covered and what you'll owe.

What insurance usually covers

Medically necessary detox, inpatient and residential treatment, partial hospitalization, intensive outpatient and outpatient care are commonly covered, subject to your deductible, coinsurance and network. Under the Affordable Care Act, Marketplace plans can't set yearly or lifetime dollar limits on substance use treatment and can't deny coverage for a pre-existing condition.

Your parity rights

The Mental Health Parity and Addiction Equity Act requires plans covering substance use benefits to apply copays, deductibles, day limits and rules like prior authorization no more restrictively than for medical and surgical care. Plans must share their medical necessity criteria on request and explain any denial.

Not sure what to do next?

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Questions to ask your insurer

  • Is this program in network? If not, do I have out-of-network benefits?
  • Is pre-authorization required, and for how many days?
  • What is my deductible, coinsurance and out-of-pocket maximum?
  • How are continued-stay reviews handled?

See carrier-specific guides on our insurance page.

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