Addiction Treatment With Seminole Tribe Health Plan
The Seminole Tribe Health Plan provides quality medical healthcare providers to the Tribal Community in Florida. The Seminole Tribe Health Plan is not an insurance company but an administrative office that works with insurance providers to help Tribe members access cost-effective healthcare, including addiction treatment.1
Does Seminole Tribe Cover Drug & Alcohol Rehab?
Yes. While the Seminole Tribe Health Plan is not itself an insurer, they are able to coordinate with your insurance company on your behalf to help you obtain coverage for addiction treatment. Thanks to the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act (MHPAEA), most insurance plans are required to provide the same level of coverage for substance use disorder treatment that they do for other medical benefits.2,3
Complete our to see if your plan will cover treatment at Recovery First Treatment Center in Hollywood, Florida.
How to Use Seminole Tribe Coverage to Pay for Rehab
If you or a loved one is ready to enter rehab for addiction, there are a few things to do to ensure insurance covers at least some of your treatment. Depending on your plan, addiction treatment may require a pre-authorization from your insurance company before you start treatment. Generally, your provider can obtain that on your behalf before beginning the admissions process.5,6,7
Though your insurance plan might cover part of the cost of treatment, you may also have some out-of-pocket expenses, including:
- A deductible: The amount you pay for healthcare services before the insurance company begins to pay. For example, you may have a $1,000 deductible. Once you’ve paid $1,000 in medical expenses, your insurance provider will begin to pay for qualifying health services.8
- Copayments: A fixed amount you pay for a healthcare service at the point of service. For example, you may have to pay a fee each time you visit the doctor.9
- A coinsurance rate: The percentage of costs you are responsible for paying for certain services, while insurance covers the rest. The percentage of your coinsurance varies, depending on your plan.10
Most insurance plans also have an out-of-pocket maximum, which is the total amount you can be charged for qualifying health services within a year. Once this limit is reached, your insurer will cover 100% of the remaining costs of qualified services for the rest of the plan year.11
The specifics of your particular health plan and how they apply to treatment for substance use disorders will be listed in your summary of benefits and coverage.
Navigating insurance coverage for addiction treatment can be daunting. You don’t have to go through it alone. Call us at to speak with one of our admissions navigators who can verify your insurance while you’re on the phone and discuss the next steps.
Or you can fill out the form below, and we’ll email you back with more details about insurance coverage for rehab.
Which Types of Rehab Are Covered by Seminole Tribe Health Plan?
There are several different Seminole Tribe Health Plan addiction treatment options. However, the options available may vary according to your specific insurance plan.
It is important that addiction treatment is unique and tailored to fit your individual needs.13 Each patient is evaluated by staff at Recovery First prior to starting treatment to identify areas of concern and outline a clear path to recovery.
Benefits of Seminole Tribe Coverage for Addiction Treatment
Addiction is a prevalent problem throughout Florida and particularly troubling for the Native American community. According to the Substance Abuse and Mental Health Services Administration, American Indians have the highest rate of substance abuse compared to any other population group in America. Though Native Americans comprise approximately 2% of the United States population, they account for over 12% of substance abuse cases.14
Fortunately, addiction is a treatable illness.13 In 2016, 430 members of the Seminole Tribe of Florida received substance abuse services, and more recent data indicates that those numbers have increased.14
If you or a loved one is battling addiction, you’re not alone and there is hope. To get started on the road to recovery, enter your contact information and insurance policy number into the HIPAA-compliant 2-step form below, and we will email you right back with more details about your coverage at Recovery First addiction rehab in Hollywood Fl.