By working directly with Ambetter marketplace plans, we help clients use their behavioral health benefits for detox and inpatient treatment through partner programs, Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), standard outpatient therapy, and long-term sober living support. Our admissions team focuses on clarity and speed so you can step into structured care rather than get stuck in red tape.
Addiction rarely affects only one person. It strains families, jobs, health, and any sense of stability. At the same time, Florida has started to see real progress. Recent state reports show that overall drug-related deaths and opioid fatalities dropped in 2024, with deaths caused by fentanyl falling by about 35 percent across the state.
At Real Recovery, we believe access to quality treatment should move in the same direction as those numbers.
Trying to sort out insurance while you are already worn down from substance use can feel impossible. Ambetter plans are sold on the Health Insurance Marketplace and must include mental health and substance use services as part of the Affordable Care Act’s essential health benefits.
Coverage varies by state and plan tier, but Ambetter members usually have benefits for:
✅Medical detoxification
✅Inpatient or residential addiction treatment
✅Partial Hospitalization Programs (PHP)
✅Intensive Outpatient Programs (IOP)
✅Standard outpatient counseling and therapy
✅Co-occurring mental health treatment
✅Medication-assisted treatment (MAT) when clinically appropriate
✅Individual, group, and family therapy or psychiatry
Ambetter from Sunshine Health in Florida states that mental health and substance use disorder services are covered at parity with medical and surgical care, which means behavioral health benefits must be offered on similar terms to your physical health coverage.
Exact benefits depend on your Ambetter plan, including metal level, network, and deductible. Our team can review your policy with you and give clear answers before you decide on a level of care.
Ambetter plans that include behavioral health benefits can often help pay for a wide range of addiction treatment services when they meet medical necessity criteria and any required prior authorizations.
Here is how Real Recovery’s continuum of care often lines up with Ambetter coverage:
| Level of Care | Program Description | Key Feature/Setting |
|---|---|---|
| Medical Detox | 24-hour monitoring, medication support, and a safe environment to manage withdrawal, provided through partner facilities. Prepares clients to transition directly into Real Recovery programming. | Stabilization/withdrawal management |
| Residential Treatment | Inpatient programs offering round-the-clock care, individual and group therapy, relapse prevention planning, and psychiatric support. Provides space away from triggers. | 24/7 inpatient care |
| Partial Hospitalization Program (PHP) | Full-day clinical programming with supportive sober living housing in the evenings. Clients focus on therapy, skills groups, and recovery activities during the day. | Full-day clinical, structured housing |
| Intensive Outpatient Program (IOP) | Several sessions per week, combining therapy, process groups, and relapse prevention work. Ideal for clients ready to return to work, school, or family responsibilities while remaining connected to support. | High-frequency outpatient, flexible |
| Outpatient Services | Standard outpatient therapy focusing on relapse prevention, mental health stabilization, and ongoing life skill development. The frequency of sessions decreases as clients grow more stable and independent. | Ongoing therapy and skill development |
| Sober Living and Transitional Housing | Real Recovery operates Florida’s largest sober living communities, offering up to a year of structured housing, nightly meetings, curfews, random testing, and peer accountability. | Structured housing, community and accountability |
From the first days of detox through sober living and alumni support, our goal is to keep clients surrounded by structure, community, and accountability long enough for recovery to stick.
| Key Feature/Benefit | Description |
|---|---|
| A true step-down continuum | Clients can move from detox and residential care through partner programs into PHP, IOP, outpatient therapy, and supportive housing without losing momentum. |
| Evidence-based treatment | Includes CBT, DBT-informed care, trauma-informed therapy, MAT when appropriate, and individualized clinical plans focused on long-term recovery. |
| Florida’s largest sober living communities | Structured housing, curfews, nightly meetings, and peer mentorship grounded in the 12 steps. |
| A Florida recovery environment | Sunshine, beaches, and outdoor activities support a healthy routine and a strong local recovery community. |
| Dedicated Ambetter support | Includes benefit checks, authorization coordination, and ongoing communication, ensuring insurance does not become a barrier to care. |
Real Recovery is designed for clients who are ready to do the work and want structure, accountability, and community, not just a short stay in treatment.
Most families worry about cost, and that concern is valid. The good news is that Ambetter plans are built to be affordable marketplace options, and many members receive subsidies that lower monthly premiums.
Your actual out-of-pocket costs for addiction treatment will depend on:
When you contact us, our admissions team will:
✅Call Ambetter on your behalf
✅Confirm exactly what is covered at each level of care
✅Estimate your likely out-of-pocket costs based on current benefits
✅Discuss payment arrangements if there is a remaining balance
The aim is simple: remove financial surprises so you can focus your energy on getting and staying healthy.
Checking your Ambetter benefits with Real Recovery is simple, confidential, and free.
Here is what the process usually looks like:
Every question is answered up front so that entering treatment feels clear and manageable, not confusing.
Treatment is a serious step, but you do not have to figure it out on your own.
At Real Recovery, our team verifies Ambetter benefits, explains coverage in straightforward language, and helps you move into care as soon as you are ready. Clients gain access to Florida’s largest sober living network, a strong 12-step focused community, and up to a year of structured support that bridges the gap between inpatient treatment and independent living.
Along the way, case managers work side by side with clients on the practical aspects of rebuilding their lives, including identification, résumés, employment, housing, continuing education, and food assistance.
This is not just about getting through detox. It is about building a life that feels worth staying in recovery for. Call 813-373-6762 today to verify your Ambetter coverage and take the first step.
Real people. Real solutions. Real results.
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