Rehabs That Take Align Senior Care Florida

Does Align Senior Care Florida Cover Rehab?

Yes, on Medicare terms, because these are Medicare Advantage plans. The plan’s own authorization charts name inpatient psychiatric care, partial hospitalization, intensive outpatient program services, opioid treatment program services and outpatient substance use services, which is how those benefit categories are shown to be covered. No free-standing residential treatment benefit appears in the documents behind this page.

That absence is worth stating plainly rather than reading around. A member looking for residential rehab outside a hospital will not find a named benefit line for it in the published summaries, and a program should not assume one exists. What the plan does carry is the Medicare spine of care: hospital admission, structured day treatment, intensive outpatient, opioid treatment programs and ordinary outpatient visits.

Levels of Care on the Plan’s Lists

Inpatient mental health care is covered on both Florida options with authorization in advance. Partial hospitalization and intensive outpatient both appear, as do opioid treatment program services and outpatient substance use services. Medically managed withdrawal is not listed under its own heading; where it is needed it falls inside the acute inpatient hospital benefit, so a senior detox admission is read against the inpatient rules and the inpatient day charges rather than against a separate detox schedule.

What Needs Authorization and What Does Not

Authorization in advance is required for inpatient psychiatric admission, partial hospitalization, opioid treatment program services and outpatient substance use services. It is not required, in or out of network, for intensive outpatient program services, psychiatric services, mental health specialty services or the additional telehealth benefits. Acute inpatient hospital stays also need authorization.

Decisions follow a stated order: the national and local coverage determinations and manuals that govern Medicare first, then the medical coverage policies written by AllyAlign Health, then MCG Care Guidelines and the Medicare drug compendia. Neither the ASAM Criteria nor InterQual is mentioned in that hierarchy. Utilization review runs 8 a.m. to 8 p.m. local time, seven days a week, with requests faxed on 1-833-610-2399.

What Is Align Senior Care Florida and Who Runs It?

Align Senior Care Florida, Inc. is the licensed plan sponsor for contract H9917, and the brand above it is fully owned and operated by Curana Health. Curana was formed on May 3, 2022 when AllyAlign Health combined with Provider Health Services and Elite Patient Care, with Mark Price named chief executive. AllyAlign built the Align plans and its systems still host the plan files.

The corporate address for compliance is on Nuckols Road in Glen Allen, Virginia, the same address AllyAlign used as its headquarters, and member mail goes to a post office box in Glen Burnie, Maryland. Curana describes itself as a value-based care company working inside senior living, with on-site primary care, provider visits and round-the-clock provider support delivered in person or virtually in partner communities. Investors behind the group include New Enterprise Associates.

No behavioral health vendor or carve-out is named anywhere in the plan’s published material, and no separate behavioral or crisis telephone line is listed. Behavioral services sit on the plan’s own authorization charts, which points to review being handled internally. Florida member services answers on 1-844-788-8935, with TTY on 711, from 8 a.m. to 8 p.m. local time, seven days a week between October 1 and March 31 and on weekdays for the rest of the year.

Who Can Join Align Senior Care Florida?

An enrollee needs Medicare Parts A and B, residence inside the service area, and either more than ninety days of living in a participating nursing facility or a community placement in assisted or independent living together with an institutional level of care. The Florida service area runs across twelve counties: Alachua, Broward, Miami-Dade, Hillsborough, Lee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Seminole and Sumter.

Because enrollment depends on where someone lives, availability is tied to partner communities as well as to county lines, and two addresses in the same county can sit on opposite sides of the rule. Enrollment is small: published figures drawn from federal data show roughly 391 beneficiaries in the Senior Care option across the state. The Florida contract also carries no meaningful federal star rating, which reflects too little data rather than a poor score.

Network Rules and Referrals

Members choose a primary care provider and must use network providers; care taken outside the network without authorization may be denied, leaving the member owing the whole bill. The exceptions are emergency and urgently needed care, dialysis while temporarily away from the service area, and Medicare-covered care the network cannot supply, which is paid at in-network cost sharing when it is cleared in advance.

How Much Does Rehab Cost With Align Senior Care Florida?

On Premier Care in 2026 the premium is $0, the medical deductible is $0, the in-network out-of-pocket maximum is $2,200, and inpatient hospital and inpatient mental health care cost $100 a day for days one to six and nothing from day seven to day ninety. Outpatient therapy is $20 for an individual visit and $10 for a group one.

Senior Care is built the other way around. Its 2026 premium is $4.80 a month and it leaves medical cost sharing at Original Medicare amounts, which means a $1,736 hospital deductible per stay, nothing for days one to sixty, $434 a day for days sixty-one to ninety, and $868 for each lifetime reserve day used. Outpatient therapy is 20% coinsurance, specialists are 20%, primary care is $0, and the in-network out-of-pocket maximum is $9,250.

Those are national billing ranges before any coverage applies. In Florida specifically, detox runs $1,750 to $5,600 a week, residential care $6,000 to $35,000 a month, partial hospitalization $8,000 to $15,000 a month, intensive outpatient $3,000 to $10,000 a month and standard outpatient care $1,500 to $5,500 a month. A Medicare Advantage plan pays on its contracted rates rather than at those numbers, which is why the copay columns above matter more than the sticker price.

One gap is worth naming. The 2026 summaries of benefits do not print separate copays for outpatient substance use services, opioid treatment programs, partial hospitalization or intensive outpatient; those rows sit in each plan’s evidence of coverage benefits chart instead. The Senior Care document does record that the plan deductible is not applied to opioid treatment program services or intensive outpatient program services.

Part D and Medication Treatment

Premier Care sets a $450 Part D deductible on tiers three to five and charges $0, $10, $45, $95 and 27% coinsurance across the five tiers for a thirty-day retail supply. Senior Care carries a $615 Part D deductible with 25% coinsurance, and drug spending stops at $2,100. The Florida formulary itself is only searchable online, so whether a particular medication treatment is listed has to be checked there or with the pharmacy help line.

Is Align Senior Care the Same as Alignment Health?

No. Alignment Health Plan is a separately owned Medicare Advantage company with no connection found to this one, and the similar names are the whole of the resemblance. Sanford Health Plan also markets Medicare products using the word Align, and those are unrelated as well. The owner of the plan on this page is Curana Health.

Checking the owner is the fastest way to settle it. A card for the plan described here will say Align Senior Care, and the Florida sponsor named in the plan documents is Align Senior Care Florida, Inc. under contract H9917. If a card names a different company, the benefit schedule and the authorization rules on this page do not apply to it.

Which Names in Its Own Family Are Related?

Four, and none of them is the insurer. Curana Health is the parent that owns and operates the plan. AllyAlign Health is the company that built it, still visible in the medical coverage policies and the systems serving the plan files. Provider Health Services and Elite Patient Care combined with AllyAlign in 2022 to form Curana. Align Senior Clinic is a sister on-site clinic brand.

Two vendors also appear on member paperwork without being the plan. Pharmacy help runs through Navitus on 1-866-270-3877, and Florida dental benefits run through a separate dental network. A compliance line answers on 1-844-317-9059. None of those numbers handles a benefit question about treatment, which goes to Florida member services instead.

How Do I Find a Rehab That Takes Align Senior Care Florida Near Me?

Use the plan’s search network tool, which covers providers, hospitals, pharmacies and covered medications, or call Florida member services on 1-844-788-8935. Ask the program two things: whether it holds a contract with this plan rather than with Medicare generally, and who will file the authorization request for partial hospitalization, an opioid treatment program or outpatient substance use care.

Programs that accept Medicare Advantage coverage like this are gathered on the Medicare rehab page, with related pages for senior rehab in Florida, senior rehab generally and Medicare mental health treatment. Each listing shows the levels of care offered, the payments the program says it accepts, licensing and accreditation shown where The Joint Commission or CARF lists the facility, and how far the site sits from the nearest airport. Listings are built from government treatment registers, state licensing records, accreditor listings, and details supplied by the providers themselves.

References and Citations

• Align Senior Care — 2026 summaries of benefits for the Florida Senior Care and Premier Care institutional special needs plans: premiums, deductibles, out-of-pocket maximums, inpatient and inpatient mental health day charges, therapy copays and Part D tiers.
• Align Senior Care — prior authorization charts and medical necessity page: the behavioral and substance use categories requiring authorization, those exempt from it, the order in which coverage rules are applied, and utilization review hours and fax.
• Align Senior Care — plan, contact and service area pages: the Florida plan sponsor and contract number, the twelve counties served, eligibility for an institutional special needs plan, member services and compliance numbers, network rules and the provider search tool.
• Curana Health and AllyAlign Health — corporate pages and 2022 combination announcement: ownership of the plan brand, the companies that merged to form the parent, the on-site care model in senior living, and the Virginia corporate address.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.