Ambetter from Sunshine Health: Rehabs in FL That Take Ambetter

Updated Jul 11, 2025

Ambetter from Sunshine Health provides Florida residents comprehensive healthcare coverage, including coverage for substance use disorder (SUD) treatment. If you’re an Ambetter from Sunshine Health member struggling with drug or alcohol misuse, your insurance plan may be able to help cover the cost of detox, inpatient and outpatient rehab, and long-term residential treatment. This page will help you understand what your insurance plan may cover and how to check your coverage for rehab in Florida or out of state.

What Is Ambetter from Sunshine Health?

Ambetter offers affordable, high-quality health insurance throughout the U.S.³ In Florida, the insurance company is branded as Ambetter from Sunshine Health and provides healthcare coverage to residents throughout the state.

Ambetter from Sunshine Health is a subsidiary of Centene Corporation, which is a Fortune 500 company with over 30 years of experience in the Managed Care industry.⁴ Ambetter from Sunshine Health provides coverage for more than 1 million members and offers Medicare, Medicaid, and Individual plans.⁵

Does Ambetter from Sunshine Health Cover Rehab Treatment?

Yes, Ambetter from Sunshine Health may be able to provide full or partial coverage for rehab and other treatment in Florida and out of state, although coverage will vary.

The Affordable Care Act (ACA) mandates all marketplace providers to cover 10 essential health benefits for members.⁶ One of these essential health benefits is the treatment of substance use disorder (SUD).⁶ Keep in mind that coverage varies depending on the specific plan you have as well as factors like the type of addiction treatment you receive, where you receive it, and for long. It’s a good idea to check with your provider by calling the number on the back of your insurance card to verify your coverage. This way you’ll know exactly what will be covered and what you may be responsible for paying.

What Substance Addiction Does Ambetter from Sunshine Health Cover?

Addiction can take many forms. If you’re struggling with drug or alcohol use, you can use your Ambetter from Sunshine Health insurance to provide full or partial coverage for addiction treatment for substances such as:

Alcohol.
Cocaine.
Crystal meth.
Heroin.
Marijuana.
Opioids.
Prescription drugs.

What Types of Addiction Treatment Does Ambetter from Sunshine Health Cover?

Ambetter from Sunshine Health may be able to cover at least some of the cost of addiction treatment, such as:^{7, 8}

Detox programs: Although not always necessary, most treatment programs begin with detox. Detox is the process in which the body rids itself of substances (e.g., alcohol, drugs). Because detox can cause uncomfortable and even dangerous side effects, it’s often managed with medications administered by a physician.
Residential inpatient programs: With an inpatient program, patients live in a home-like setting at a facility full-time. While each program differs, patients can expect a variety of therapeutic approaches designed to help them examine destructive beliefs, patterns, and self-concepts.
Outpatient treatment programs: Outpatient treatment varies, but often involves a combination of group and individual therapy, as well as cognitive-behavioral therapy (CBT), motivational interviewing (MI), and other types of behavioral therapy.
Intensive outpatient programs (IOPs): For patients who need an outpatient treatment program with additional structure, an IOP can be a good fit. With an IOP, patients attend treatment for several hours each week and may transition to an outpatient program after.
Partial hospitalization programs (PHPs): In a PHP, patients live at home and attend treatment 5 or more days per week, for up to 6 hours per day.
Aftercare: Any ongoing treatment, such as 12-step meetings like A.A. is considered aftercare. Once a patient completes an inpatient or outpatient program, an aftercare program is designed to help them sustain their recovery and live a happier, healthier, more fulfilling life.

Does Ambetter from Sunshine Health Cover Mental Health & Dual Diagnosis Treatment?

Yes, Ambetter from Sunshine Health should cover some, if not all, mental health and dual diagnosis treatment as mandated by the Affordable Care Act (ACA).⁶

Co-occurring disorders exist when someone has a mental health disorder along with substance use disorder (SUD). Some common mental health disorders that occur alongside SUD include:⁹

Anxiety.
Attention-deficit hyperactivity disorder (ADHD).
Bipolar disorder.
Depression.
Personality disorder.
Schizophrenia.

Approximately half of the people who experience SUD also experience a co-occurring mental health disorder and vice versa.⁹ Research strongly suggests that patients who receive dual diagnosis treatment (e.g., treating both disorders at the same time), experience better outcomes.⁹

In-Network vs. Out-of-Network Drug Rehab Centers

Ambetter from Sunshine Health has a network of providers that offer a wide range of medical and mental health services. Ambetter from Sunshine Health contracts with these providers to get better pricing, making them in-network.¹⁰If you go to an out-of-network provider, the costs may not be covered, or you may need prior authorization.¹⁰ Whenever possible, it’s best to seek treatment at a facility that is in-network. Although in-network facilities can help you save money, it’s important to not let the cost of rehab deter you from getting the help you need. If you can’t find in-network treatment, you still have several options to help pay for the cost of rehab, including grants, loans, scholarships, and sliding scales.

Rehab Centers That Accept Ambetter from Sunshine Health

Deciding to seek addiction treatment is courageous, and you deserve all the help you can get. If you have Ambetter from Sunshine Health, you may be covered for a range of addiction treatment services, including detox, inpatient rehab, and outpatient programs. Use our search tool to find rehabs near you and filter by insurance provider, level of addiction treatment, and other factors to start your recovery journey.

Rehab Centers in Florida That Take Insurance

Sources

Ambetter. (n.d.). About us.
Florida Department of Health. (n.d.). Substance use dashboard.
Ambetter. (n.d.). What Is Ambetter Insurance?
Ambetter from Sunshine Health. (n.d.). About us.
Sunshine Health. (2019). Newsroom.
Ambetter from Sunshine Health. (n.d.). Essential health benefits.
National Institute on Drug Abuse. (2018). Types of treatment programs.
National Institute on Drug Abuse. (2019). Treatment approaches for drug addiction drugfacts.
National Institute on Mental Health. (2021). Substance use and co-occurring mental disorders.
Ambetter. (n.d.). Provider network design.