Carelon Inpatient Mental Health Coverage in Florida

Table of Contents

  1. Carelon Inpatient Mental Health Coverage in Florida
  2. About Carelon Coverage for Inpatient Mental Health Treatment in Florida
  3. Does Carelon in Florida Cover Inpatient Mental Health Treatment?
  4. Other Mental Health Programs in Florida Covered by Carelon
  5. Mental Health Therapies in Florida Covered by Carelon
  6. Types of Mental Health Disorders Covered by Carelon in Florida
  7. Inpatient Mental Health Services Covered by Carelon in Florida
  8. How Much Do Inpatient Florida Mental Health Programs Cost with Carelon?
  9. How to Check Your Carelon Coverage for Inpatient Mental Health Care in Florida
  10. Verify Your Carelon Coverage and Start Mental Health Treatment in Florida
  11. Frequently Asked Questions
  12. Sources

Carelon Inpatient Mental Health Coverage in Florida

Updated Last March 31, 2025
Published By: Facility Staff

When you’re struggling with your mental health, getting treatment shouldn’t be complicated. Insurance coverage makes mental health treatment more affordable, so you or your loved one can focus on healing.

If you have Carelon Behavioral Health Insurance, formerly Beacon Health Options, you may have coverage for inpatient care in Florida. From therapy and psychiatric care to counseling and beyond, Carelon makes mental health treatment more accessible.

Mark Behavioral Health works with insurance providers like Carelon to connect more people with mental health care.

When you’re struggling with your mental health, getting treatment shouldn’t be complicated. Insurance coverage makes mental health treatment more affordable, so you or your loved one can focus on healing.

If you have Carelon Behavioral Health Insurance, formerly Beacon Health Options, you may have coverage for inpatient care in Florida. From therapy and psychiatric care to counseling and beyond, Carelon makes mental health treatment more accessible.

Mark Behavioral Health works with insurance providers like Carelon to connect more people with mental health care.

About Carelon Coverage for Inpatient Mental Health Treatment in Florida

Carelon Behavioral Health provides health plans that cover inpatient mental health treatment in Florida. 

They serve over 61.5 million members across all 50 states, helping more people access mental health treatment for depression, anxiety, PTSD, substance abuse disorders, and more.

Coverage includes treatment services like individual therapy, group counseling, and medication management. Many treatment plans also cover detox for those recovering from substance abuse or opioid addiction.

Coverage varies by health plan. Some require preauthorization, while others limit inpatient care stays. Using in-network providers lowers costs, but co-pays and deductibles may still apply. 

Mark Behavioral Health, a mental health treatment facility located in Florida, works with Carelon insurance plans to help Florida residents access crucial mental health care.

Does Carelon in Florida Cover Inpatient Mental Health Treatment?

Yes, Carelon Behavioral Health Insurance covers inpatient mental health treatment in Florida. This includes psychiatric care, counseling, and medication management during your stay at a treatment facility.

Coverage details vary by plan, but details to remember include:

  • Some Carelon plans limit inpatient stays to 2 weeks to 30 days.
  • Preauthorization may be required, so check with Carelon Behavioral Health before starting care. 
  • Using in-network providers lowers costs, but co-pays and deductibles may still apply. Out-of-network care may be covered, but it could come with higher out-of-pocket costs. Check to see if your preferred facility is in-network before starting treatment.
  • Carelon also covers dual diagnosis treatment, addressing both substance use disorders and mental health conditions.
  • Under the Mental Health Parity and Addiction Equity Act, mental health treatment is covered similarly to other medical care.

To fully understand your insurance coverage, review your health plan or contact Carelon Behavioral Health directly. Knowing your treatment options helps you get the care you need at the lowest possible cost.

Other Mental Health Programs in Florida Covered by Carelon

Carelon’s insurance plans in Florida may also cover various mental health programs, such as:

  • Partial hospitalization programs (PHP): Structured day programs offering intensive treatment while allowing you to return home in the evenings.
  • Intensive outpatient programs (IOP): Regular therapy sessions multiple times a week, providing support while you maintain daily responsibilities.
  • Outpatient treatment programs: Scheduled therapy sessions that fit into your routine without requiring a hospital stay.

Coverage for these programs depends on your specific insurance plan and its benefits. Some plans may require step-down treatment after inpatient care, transitioning to PHP or IOP for continued support. Understanding your options can help you plan for long-term recovery.

Note that Mark Behavioral Health does not offer outpatient treatment or addiction treatment, but we can refer you to providers that do.

Mental Health Therapies in Florida Covered by Carelon

Carelon covers many evidence-based therapy interventions for mental health treatment in Florida.

At Mark Behavioral Health, the following therapies may be covered by Carelon:

These therapies are designed to address various mental health conditions. Having access to a variety of evidence-based therapies allows you to receive treatment for your specific needs and build healthier coping strategies over time.

Types of Mental Health Disorders Covered by Carelon in Florida

Carelon’s insurance plans generally provide coverage for a wide range of mental health conditions in Florida, including:

Coverage for treatment of these disorders depends on your specific insurance plan. 

Inpatient Mental Health Services Covered by Carelon in Florida

Carelon’s insurance plans typically cover the following mental treatment services in Florida:

  • Psychiatric care: Medical supervision for people with severe mental health disorders.
  • Trauma-informed care: Specialized treatment for PTSD and past trauma.
  • Psychoeducation: Education on mental health conditions, coping strategies, and recovery tools.
  • Nutritional counseling: Guidance on how diet impacts mental health and well-being.
  • Aftercare planning: Assistance with transitioning from inpatient care to long-term support.

These services provide comprehensive care for those needing mental health or substance abuse treatment. Inpatient care at Mark Behavioral Health offers a safe, supportive environment with medical professionals and licensed therapists.

How Much Do Inpatient Florida Mental Health Programs Cost with Carelon?

The cost of inpatient treatment in Florida with Carelon Behavioral Health Insurance varies.

Factors that can affect coverage and your out-of-pocket costs include:

  • Your health plan: Coverage depends on deductibles and copayments.
  • Length of stay: Some insurance plans cover only a certain number of days.
  • The rehab center: Costs differ between facilities.
  • Treatment services: Programs like detox or opioid addiction treatment may have different coverage rates.
  • Aftercare and additional support: Some plans cover aftercare services to aid in the long-term recovery process.

Insurance coverage can reduce out-of-pocket costs and make mental health treatment more affordable.

How to Check Your Carelon Coverage for Inpatient Mental Health Care in Florida

If you’re not sure what your Carelon insurance plan covers for treatment in Florida, here’s how you can check:

  • Call Carelon: Use the number on your insurance card to ask about coverage, in-network providers, co-pays, and deductibles.
  • Contact Mark Behavioral Health: We can verify your insurance and explain your benefits.

Knowing your health coverage before starting treatment helps you avoid unexpected costs and choose the best treatment options.

Verify Your Carelon Coverage and Start Mental Health Treatment in Florida

If you’re struggling with your mental health, insurance can ease the cost, so you can focus on your well-being instead of worrying about money. 

Carelon Behavioral Health insurance makes inpatient treatment more affordable, covering residential treatment, detoxification, and other behavioral health services.

Find hope and healing with the right care. At Mark Behavioral Health, we work with Carelon to help people in Florida access quality care through evidence-based treatment. 

Contact us today to verify your insurance and start your recovery journey.

Frequently Asked Questions

How much is inpatient Florida mental health treatment without insurance?

Without health insurance, inpatient care can range from thousands to tens of thousands of dollars. Costs depend on the treatment center, services, and length of stay. Some recovery centers offer financial aid or payment plans.

Does Florida Carelon cover multiple treatment stays for mental health?

Carelon may cover multiple treatment stays if deemed medically necessary. However, prior authorization may be required, and coverage depends on your insurance plan and specific needs.

Does Florida Carelon cover inpatient treatment and outpatient mental health treatment at the same rate?

No, residential treatment (inpatient treatment) and outpatient treatment are usually covered at different rates. Inpatient treatment involves 24/7 care and is typically more expensive, while outpatient programs like IOP or PHP may have lower costs.
Health coverage varies, so check your insurance plan to understand your benefits.

Sources

Carelon Behavioral Health. “About Us”. Retrieved on February 17, 2025 from:<br />
https://www.carelonbehavioralhealth.com/about-us
Centers for Medicare & Medicaid Services (CMS). “The Mental Health Parity and Addiction Equity Act (MHPAEA)”. Retrieved on February 17, 2025 from:
https://www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity