Does Seminole Tribe insurance cover Alcohol and Drug Rehab?
With Seminole Tribe insurance, members can seek behavioral health services, including alcohol or drug rehab. The Seminole Tribe of Florida insurance is located in Florida and works with the local community to deliver healthcare to Seminole Tribe members and other eligible persons.1 Some of the services and plans offered with Seminole Tribe coverage include:1
- Seminole Tribe of Florida health plan (Tribal members only).
- Health services for needs outside of the Seminole Tribe of Florida.
- Behavioral health care guided by the Health and Human Services department.
If you contact the rehab center you plan to participate in, they can verify your Tribe insurance benefits while you wait on the phone. Also, check the back of your card for more information about your specific plan, or call the number listed there.
Check Seminole Tribe Insurance Coverage for Addiction Treatment
The fastest, most effective way to find out about your Seminole Tribe Insurance substance abuse treatment coverage so that you can get started with rehab is to verify your benefits instantly over the phone or online. There are two simple ways to do this that are confidential, fast, and easy.
- You can contact American Addiction Centers (AAC). They will do an immediate check of your Seminole Tribe insurance benefits. AAC is a well-known addiction treatment provider with locations in Florida and throughout the United States. With top-rated substance abuse facilities, an admissions navigator can guide you in finding an appropriate rehab location. They can also give you information about your insurance benefits.
- You can fill out the form on this page with the requested information and get an immediate answer about in-network status.
Who else will be notified when I verify my Seminole Tribe insurance benefits?
You can rest assured that your medical and mental health information is confidential when you call to inquire about insurance verification. All the admissions navigator will be doing is checking to see if your benefits are in-network with certain Seminole Tribe Insurance rehab centers. Everything is private, and you may not even have to disclose your name until you’re ready to move forward with admission.
What is Seminole Tribe?
Seminole care and rehab serves the Seminole Tribe, who has lived in Florida for thousands of years.2 The descendants of the Seminoles were some of the first people to come to Florida, starting out with only 200 people. The Seminole Tribe is still strong today, with over 5,000 Tribal members. They belong to their own sovereign government and have an established Seminole Health Department.2
To assist the people of the Seminole Tribe, the Seminole Health Department is committed to delivering healthcare and wellness within the communities.1
What will Seminole Tribe insurance cover?
When participating in a Seminole care and rehabilitation center program, you will encounter several types of programs. These program levels are staggered so that people get the care that helps them gradually transition back into life without too sudden a change. Your Seminole Tribe benefits will likely cover some of the following types of treatments:
- Inpatient residential rehab program: An inpatient rehab is the first line of treatment if you’re just starting the journey to sobriety. This program will give you adequate support from clinicians, including medication when needed.3
- Partial hospitalization program (PHP): After completing inpatient rehab, you may want to consider a PHP. Some people might start treatment here. It consists of a full regimen of therapy and services, but you return home in the evening.4
- Intensive outpatient program (IOP): During IOP, you will be moving along the continuum of care to more independence. This program does give some independence while still providing a full day of therapy and other customized care services.3
- Outpatient rehab and therapy: An outpatient program consists of regular therapy, but it is less intense in the time spent. You will have more time on your own. So, you need to be sure you’re ready for this step before taking it.3
Be sure to discuss which program is best at every step in the journey. Don’t assume that after a brief stay in an inpatient rehab that it’s fine to reenter society without the support of an outpatient program. You may need to continue with a moderate amount of services for some time.
Does Seminole Tribe cover behavioral health?
Evidence-based therapy is a foundational part of substance abuse treatment. Your Seminole Tribe insurance for addiction treatment has a behavioral health component. Some of the behavioral therapies that are commonly used with substance abuse treatment include:5
- Cognitive-behavioral therapy.
- Contingency management interventions.
- Community reinforcements.
- The Matrix Model program.
- Motivational enhancement therapy.
- Family therapy.
- A 12-Step program.
Does Seminole Tribe Insurance Cover Mental Health Care Treatment Facilities?
You can rest assured that mental health and substance abuse is a focus of Seminole Tribe rehabilitation coverage. Co-occurring disorder is a common problem among people with substance misuse issues.6 Due to the correlation between the 2 conditions, you can use your Seminole Tribe mental health to access co-occurring disorder treatment. By treating both conditions together, you will have better success with long-term sobriety.6
If you’re concerned about the coverage for both conditions together, there are laws in place to protect you. Insurance companies can’t discriminate against someone for having a substance abuse problem.7 The 2 laws that protect your rights for treatment include:
- Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008. This states that insurers can’t reject claims just because they are for addiction needs.7
- The Affordable Care Act (ACA), passed in 2010. This mandates marketplace insurance plans to provide essential benefits to its members. One of the benefits is coverage for mental health substance misuse disorders.8
How Long Does Seminole Tribe Insurance Cover Rehab?
The length of your Seminole Tribe rehab insurance will vary depending on your policy specifics. You can contact the number on the back of your card for further details. It’s also vital to find out how long you need for treatment and whether you need inpatient or outpatient care. These factors can affect the cost of services and how much your Seminole Tribe insurance rehab may pay.
It’s important to take the length of time you need in rehab and not get out too early. Experts say that you really need at least 3 months in an inpatient treatment center to get the minimum amount of benefit.9
What if my Seminole Tribe policy does not cover rehab?
You may find out that not all your Seminole Tribe Insurance drug treatment services are covered by the insurance plan. If this occurs, you can still move forward and begin your treatment plan. Call the Seminole Tribe hotline and talk to an admissions navigator to find out if they offer any scholarships, grants, or financial aid. If so, fill out the paperwork to find out what your eligibility status is.
You can also inquire about a sliding scale arrangement, where the rehab may reduce the costs for people that can’t pay. Getting treatment right away is vital to your well-being. So, be sure to check all your options.
Seminole Tribe In-Network vs. Out-of-Network Rehab Centers
Seminole Tribe Insurance drug detox treatment will be covered by your provider when you stay in the network of providers. You can check whether a rehab facility is in the network or not by contacting AAC or calling the rehab directly. You can also call the number on the back of your insurance card.
In-network care providers work with your insurance to give you the best rates for services instead of charging you the full amount.
Seminole Tribe Plans
Seminole Tribe members and other eligible persons may have access to the plans and services offered with the Seminole Tribe coverage listed below:1
- Seminole Tribe of Florida health plan (Tribal members only).
- Health services for needs outside of the Seminole Tribe of Florida.
- Behavioral health care guided by the Health and Human Services department.
Sources
- Seminole Tribe of Florida. (n.d.). Health and human services.
- Seminole Tribe of Florida. (n.d.).
- National Institute on Drug Abuse. (2020). Types of treatment programs.
- National Institute on Drug Abuse. (2020). Treatment settings.
- National Institute on Drug Abuse. (2020). Behavioral therapies.
- National Institute on Drug Abuse. (2018). Comorbidity: Substance use disorders and other mental illnesses DrugFacts.
- FindTreatment.gov. (n.d.). Paying for treatment.
- HealthCare.gov. (n.d.). What marketplace health insurance plans cover.
- National Institute on Drug Abuse. (2020). Principles of effective treatment.