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Doctors Healthcare Plans

Rehabs That Take Doctors Healthcare Plans

Doctors Healthcare Plans is a health plan named by treatment centers in Florida. Coverage for drug and alcohol treatment may be available, with benefits varying by plan, network and level of care.Florida centers on this page list Doctors Healthcare Plans on their own websites, sometimes spelled Doctors HealthCare Plans. Your member card lists a phone number for benefits questions. Use it to ask whether the facility is in network, whether prior authorization or a primary care referral is needed, and what deductible or copay applies. Contact the center as well, since accepted plans can change over time.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Doctors Healthcare Plans

Memorial Regional Hospital – Hollywood

3501 Johnson Street, Hollywood, FL, 33021

4.5★★★★★~~11,136~~

SAMHSA listed

InpatientWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

Co-occurring DisordersTeensSeniors+3

The listing gives 3501 Johnson Street, Hollywood, Florida as the location. On record, this provider offers residential treatment. Substance use is treated alongside mental health rather than separately. People stay on site for the duration, which is what inpatient care means here. SAMHSA holds the federal registration and the Florida Department of Children and Families the state license.

1.3 miTopeekeegee Yugnee Park4.0 miFort Lauderdale Hollywood International AirportServes11 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Smoking Cessation Medication · Stimulant Rehab · +2 more

Levels of care

Inpatient Rehab · Non-12-Step Rehab · Walk-In Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · Psychosocial Rehabilitation · Serious Emotional Disturbance · Serious Mental Illness Treatment

Groups served

Adult Rehab · Senior Rehab · Teen Dual Diagnosis Rehab · Teen Rehab · Young Adult Rehab

Support services

Health and Wellness Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

22Health · Aetna · Align Senior Care Florida · AmeriHealth · Avmed · Cigna Healthcare · Community Care Plan · Doctors Healthcare Plans · First Health · Freedom Health · +14 more

Mount Sinai Medical Center – Miami Beach

4300 Alton Road, Miami Beach, FL, 33140

4.0★★★★☆~~2,307~~

Federally certified

InpatientOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+3

SeniorsYoung adultsCouples+2

Spanish spokenDeaf and HoHTagalog spoken+2

Mount Sinai Medical Center occupies 4300 Alton Road in Miami Beach, Florida. Services on file are residential treatment and intensive outpatient. This provider is recorded for mental health rather than addiction treatment. This is residential provision, so someone lives at the facility throughout. Remote appointments appear on the record, useful where travel is difficult. Family involvement is listed as part of the provision. The facility is federally registered and licensed by the Florida Department of…

0.4 miPolo Park9.4 miMiami International AirportServes7 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Inpatient Rehab · Online Rehab and Telehealth · Outpatient Rehab · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · ECT Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · Psychosocial Rehabilitation · +1 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Young Adult Rehab

Support services

Case Management · Chronic Illness Management · Education and Job Training · Health and Wellness Support · Housing and Employment Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Languages

Creole Speaking Rehab · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing Rehab · Russian Speaking Rehab · Spanish Speaking Rehab · Tagalog Speaking Rehab

Insurance accepted

Aetna · Align Senior Care · Ambetter (Centene) · Avmed · CarePlus Health Plans · Cigna Healthcare · Devoted Health · Doctors Healthcare Plans · GuideWell (Florida Blue) · HealthSpring · +10 more

Behavioral Aid Solutions Inc – Miami

1414 NW 107th Avenue, Miami, FL, 33172

4.4★★★★☆31

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersTrauma-informedTeens+5

Spanish spoken

The address on record is 1414 NW 107th Avenue in Miami, Florida. Listed provision covers intensive outpatient and outpatient care. The record shows mental health treatment only. People attend appointments and go home afterwards, which is how outpatient care works. Video appointments are recorded as an option here. The record notes group sessions alongside individual work. Registration is federal, through SAMHSA; licensing is held with the Florida Department of Children and Families.

8.8 miNorth Fork Miami River5.0 miMiami International AirportServes7 towns

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · First Episode Psychosis · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation · Psychosocial Rehab Services · +4 more

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Legal Advocacy Support · Rehab for Domestic Violence Survivors · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · +7 more

Support services

Case Management · Education and Job Training · Housing and Employment Support · Housing Assistance · Recovery Support Services · Suicide Prevention Services

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Anthem / Elevance Health · Avmed · BCBS (Blue Cross Blue Shield) · Carelon Behavioral Health · Children's Medical Services (CMS Health Plan) · Cigna Healthcare · Community Care Plan · +18 more

Southern Winds Hospital – Hialeah

4225 West 20th Avenue, Hialeah, FL, 33012

3.3★★★☆☆~~188~~

SAMHSA listed

InpatientPHPOutpatient+1

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersTrauma-informedVeterans+4

Spanish spoken

The site sits at 4225 West 20th Avenue in Hialeah, Florida. The record shows residential treatment and partial hospitalization. What is recorded here is mental health provision. The model is residential: people move in for the length of the program. Registration is federal, through SAMHSA; licensing is held with the Florida Department of Children and Families.

2.4 miMilander Park4.2 miMiami-Opa Locka Executive AirportServes7 towns

Substances treated

Nicotine and Tobacco Treatment

Levels of care

Inpatient Rehab · Outpatient Rehab · Partial Hospitalization Program (PHP) · Rehab Transfers · Walk-In Rehab

Therapies

Activity Therapy · Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Alzheimer's and Dementia Care · Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · +6 more

Groups served

Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered Medicare Rehab · Court Ordered Rehab · Court Referral Accepted · Senior PHP · Senior Rehab · Trauma Informed Rehab · Trauma Survivor Programs · Veterans and Military Rehab · +1 more

Support services

Case Management · Health and Wellness Support · Nutrition and Fitness Counseling · Recovery Support Services · Suicide Prevention Services

Languages

Spanish Speaking Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Avmed · BCBS (Blue Cross Blue Shield) · Bright Health Plans · Carelon Behavioral Health · CarePlus Health Plans · Carisk (Concordia Behavioral Health) · Centene corporation · +22 more

HCA Florida North Florida Hospital – Gainesville

6500 West Newberry Road, Gainesville, FL, 32605

4.1★★★★☆~~4,858~~

SAMHSA listed

InpatientOutpatientWalk-in

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

SeniorsYoung adultsCouples+2

HCA Florida North Florida Hospital occupies 6500 West Newberry Road in Gainesville, Florida. Provision here is recorded as residential treatment and intensive outpatient. This provider is recorded for mental health rather than addiction treatment. This is residential provision, so someone lives at the facility throughout. Family involvement is listed as part of the provision. The provider appears in the federal treatment register, with state licensing through the Florida Department of Children and Families.

11 miNewnans Lake8.6 miGainesville Regional AirportServes2 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Smoking Cessation Medication · Vaping Cessation

Levels of care

Evening Treatment · Inpatient Rehab · Outpatient Rehab · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Mental health

Groups served

Adult Rehab · Couples Rehab · Court Ordered Rehab · Senior Outpatient Rehab · Senior Rehab · Young Adult Rehab

Support services

Case Management · Education and Job Training · Housing and Employment Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · Align Senior Care · Ambetter (Centene) · American Health Plan of Florida · Avmed · Capital Health Plan · Carelon Behavioral Health · CarePlus Health Plans · CareSource · Cigna Healthcare · +23 more

HCA Florida Largo West Hospital – Largo

2025 Indian Rocks Road, Largo, FL, 33774

3.1★★★☆☆~~193~~

SAMHSA listed

InpatientPHPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

Co-occurring DisordersTrauma-informedVeterans+5

This provider is listed at 2025 Indian Rocks Road, Largo, Florida. According to the federal listing this provider runs residential treatment, partial hospitalization and intensive outpatient. This is recorded as treating co-occurring conditions rather than one in isolation. This is residential provision, so someone lives at the facility throughout. Telehealth is listed, so some contact can happen without traveling in. Federal registration is held through SAMHSA, and licensing sits with the Florida Department of Children…

5.6 miPasadees Key8.4 miSt. Petersburg Clearwater International AirportServes9 towns

Substances treated

Levels of care

Evening Treatment · Inpatient Rehab · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Partial Hospitalization Program (PHP) · Rehab Transfers · Walk-In Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · ECT Therapy · Evidence-Based Therapy · Group Therapy · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Illness Management and Recovery · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Walk-In Clinic · +4 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Medicare Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Active Duty Military TRICARE Rehab · Adult Rehab · Court Ordered Rehab · +25 more

Support services

Case Management · Chronic Illness Management · Education and Job Training · Health and Wellness Support · Housing and Employment Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · Align Senior Care · Ambetter (Centene) · American Health Plan of Florida · AmeriHealth · Avmed · BayCare Health Plans · Carelon Behavioral Health · CarePlus Health Plans · CareSource · +29 more

Fair Oaks Pavilion – Delray Beach

5440 Linton Boulevard, Delray Beach, FL, 33484

2.1★★☆☆☆61

Joint Commission

DetoxHospital detoxInpatient+2

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

Co-occurring DisordersMATMethadone+5

Deaf and HoH

The facility is recorded at 5440 Linton Boulevard in Delray Beach, Florida. Listed provision covers residential treatment. This is recorded as treating co-occurring conditions rather than one in isolation. This is residential provision, so someone lives at the facility throughout. Registration is federal, through SAMHSA; licensing is held with the Florida Department of Children and Families.

14 miArthur R Marshall Loxahatchee National Wildlife Refuge17 miPresident Donald J. Trump International AirportServes9 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · +50 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Ativan (Lorazepam) Detox Program · Benzodiazepine Detox Program · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Cocaine Detox Program · Codeine Detox Program · Crack Cocaine Detox Program · Crystal Meth Detox Program · +32 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · ECT Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · +5 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment · Psychiatric Medication Management · Psychiatric Walk-In Clinic · Psychosocial Rehabilitation · Social Skills Training

Groups served

Adult Rehab · Men's Dual Diagnosis Rehab · Men's Inpatient Rehab · Men's Medicare Rehab · Men's Rehab · Men's TRICARE Rehab · Senior Detox · Senior MAT · Senior Methadone · Senior Rehab · +7 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Practical Support · Recovery Support Services · Self Help Groups · Suicide Prevention Services · +1 more

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Ambetter (Centene) · AmeriHealth · Avmed · BCBS (Blue Cross Blue Shield) · Bright Health Plans · Carelon Behavioral Health · Children's Medical Services (CMS Health Plan) · Cigna Healthcare · Clover Health · +23 more

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Common questions

Answered from what is listed here.

What is Doctors HealthCare Plans?

A Florida-licensed health maintenance organization based in Coral Gables that sells only Medicare Advantage plans, including Part D drug coverage, in Miami-Dade and Broward counties. Founded by brothers Rafael and Martiniano Perez, it received its HMO license in December 2017 and began enrolling members on January 1, 2019.

There is no parent company. Ownership sits with Perez family trusts plus employees and individual investors, and Brandon Haushalter is chief executive in 2026.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Does Doctors HealthCare Plans cover drug and alcohol rehab?

Yes. Doctors HealthCare Plans is a Florida Medicare Advantage HMO, so its plans cover the Medicare behavioral health benefit: outpatient treatment for mental illness and substance use at $0 copay in network on 2026 plans, plus inpatient psychiatric hospital care. Cost sharing for detox, residential care, PHP and IOP is not published.

Ask member services at 1-833-342-7463 (TTY 711), open 8 AM to 8 PM Eastern seven days a week, which level of care your plan covers and whether prior authorization applies.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Does Doctors HealthCare Plans cover inpatient rehab?

Yes, inpatient psychiatric hospital care is covered on all five 2026 plans. DrMax, DrSelect, DrPlus and DrExtraCare charge $0 per stay; DrElite-SFL charges $100 a day for days 1 through 6, then $0 for days 7 through 90. The hospital must be in network.

Medicare's 190-day lifetime limit on care in a freestanding psychiatric hospital appeared in older plan documents; it does not apply to a psychiatric unit inside a general hospital.

Medicare Inpatient Rehabhttps://rehabseekers.com/insurance-accepted/medicare/medicare-inpatient-rehab/

Does Doctors HealthCare Plans cover therapy?

Yes, at $0 copay in network. All five 2026 plans (DrMax, DrSelect, DrElite-SFL, DrPlus and DrExtraCare) list outpatient individual and group mental health therapy with no member copay, and no visit limit was stated in the plan materials found. Psychiatrist visits were also $0 on earlier plans.

A 2019 Summary of Benefits listed a separate behavioral health phone line, (800) 424-1734, which may now be out of date.

Medicare Mental Health Treatmenthttps://rehabseekers.com/insurance-accepted/medicare/medicare-mental-health-treatment/

Does Doctors HealthCare Plans cover telehealth for mental health?

Yes, telehealth mental health visits were covered at $0 to $25 each on the 2022 DrValue-B plan, including mental health specialty care, psychiatric services and outpatient substance use sessions, individual and group. Terms for the 2026 plans were not published in the materials available.

Medicare Advantage plans commonly keep behavioral telehealth benefits, so call member services at 1-833-342-7463 (TTY 711) to confirm current virtual visit copays before you book an appointment.

Medicare Telehealthhttps://rehabseekers.com/insurance-accepted/medicare/medicare-telehealth/

Does Doctors HealthCare Plans cover opioid treatment programs?

Yes, opioid treatment program services appeared in the plan documents reviewed: the 2022 DrValue-B plan listed them at $0 to $25 per telehealth visit. All five 2026 plans include Part D drug coverage, though formulary status for buprenorphine, naltrexone and methadone was not published.

Medication costs depend on tier: generics are $0 at retail on all five 2026 plans, while non-preferred brand drugs run $55 on DrMax.

Medicare MAThttps://rehabseekers.com/insurance-accepted/medicare/medicare-mat/

Does Doctors HealthCare Plans need prior authorization for rehab?

Yes, for most services other than emergency, urgent and preventive care. Plan documents say certain services require prior authorization and mark them with an asterisk in the Summary of Benefits; specialist and outpatient hospital services carried that mark in 2019. No list of substance use levels was published.

Call 1-833-342-7463 before admission and ask the center to request authorization, since an HMO will not pay a non-contracted provider outside an emergency.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Does Doctors HealthCare Plans cover out-of-network rehab?

No, apart from emergency and urgent care. The 2026 plans are HMOs, and plan documents state that providers not contracted with the plan are under no obligation to treat you except in emergency or urgent situations. An older HMO-POS plan's out-of-network benefit specifically excluded behavioral health.

If the program you want sits outside the network, ask member services whether an in-network center in Miami-Dade or Broward offers the same level of care.

Medicare Residential Rehabhttps://rehabseekers.com/insurance-accepted/medicare/medicare-residential-rehab/

What states is Doctors HealthCare Plans in?

Florida only. The company sells Medicare Advantage HMO plans in Miami-Dade and Broward counties, and its chief executive said in May 2026 that it had begun expanding into Central Florida without naming counties. DrMax, DrPlus and DrExtraCare are Miami-Dade only; DrSelect and DrElite-SFL serve both counties.

Does Doctors HealthCare Plans have a Medicaid plan?

No. Doctors HealthCare Plans writes only Medicare Advantage policies in Florida, and the state regulator found no Medicaid, employer or marketplace business. Its DrPlus HMO D-SNP serves Miami-Dade residents who have both Medicare and Medicaid, but it is a Medicare plan, not a Medicaid managed care plan.

Florida Medicaid benefits for a DrPlus member still come through that member's own Medicaid coverage, which can pick up costs Medicare does not pay.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

What plans does Doctors HealthCare Plans offer?

Five Medicare Advantage HMO plans for 2026, all under CMS contract H4140: DrMax, DrSelect, DrElite-SFL, DrPlus (a D-SNP for dual-eligible members) and DrExtraCare (a C-SNP for individuals with chronic heart failure and/or diabetes). Each one includes Part D prescription drug coverage.

DrMax is the largest at roughly 6,304 enrollees, followed by DrSelect near 5,137, DrExtraCare around 1,391, DrPlus at 392 and DrElite-SFL about 220.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Is Doctors HealthCare Plans the same as Physicians Healthcare Plans?

No. Physicians Healthcare Plans, Inc. was a separate Coral Gables managed care company covering Florida Medicaid and Florida Healthy Kids, and it was sold to AMERIGROUP in December 2002. Doctors HealthCare Plans, Inc. was incorporated in Florida in January 2017 and started enrolling members in 2019.

The names are easy to confuse because both operated out of Coral Gables, but there is no corporate link between the two companies.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

How much does Doctors HealthCare Plans cost?

$0 a month on most 2026 plans. DrMax, DrSelect, DrElite-SFL and DrExtraCare carry a $0 premium and $0 medical deductible; DrPlus, the D-SNP, is $4.80 a month. The in-network out-of-pocket maximum is $3,000 on DrMax and DrSelect and $3,400 on the other three.

With no medical deductible, behavioral health copays apply from the first visit: outpatient therapy is $0 and an inpatient psychiatric stay is $0 on four of the five plans.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

What is the phone number for Doctors HealthCare Plans?

Members call 1-833-342-7463 or 786-460-3427 locally, TTY 711, 8 AM to 8 PM Eastern seven days a week. Prospective members call 1-833-639-3427 or 786-420-3427. A behavioral health line, (800) 424-1734, appeared in the 2019 Summary of Benefits and may be out of date.

The plan website is doctorshcp.com and the member portal is called myDHCP, where benefit documents and the provider directory are posted.

How do I find a rehab that takes Doctors HealthCare Plans?

Start with the provider directory at doctorshcp.com, or call member services at 1-833-342-7463 (TTY 711) and ask for in-network behavioral health programs in Miami-Dade or Broward. Staying in network matters, because an HMO does not pay non-contracted providers except in an emergency.

Then call the program directly to ask whether it still takes the plan and whether it will request prior authorization before admission.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

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Doctors HealthCare Plans, Inc. is a Coral Gables health maintenance organization that sells one product and one product only: Medicare Advantage coverage in Miami-Dade and Broward counties. For anyone weighing addiction treatment, that single fact sets the rules, because every benefit, copay and authorization question runs on Medicare Advantage terms rather than employer or marketplace terms.

The company was incorporated in Florida on January 25, 2017, licensed as an HMO by the Florida Office of Insurance Regulation in December 2017, and began enrolling on January 1, 2019 when its contract with the Centers for Medicare & Medicaid Services took effect. It has no parent insurer; ownership sits with trusts tied to founders Rafael and Martiniano Perez along with employees and individual investors. Five plans run under contract H4140 in 2026: DrMax, DrSelect, DrElite-SFL, DrPlus (HMO D-SNP) and DrExtraCare (HMO C-SNP).

All five are HMOs, which means a network primary care physician and very little room outside the contracted network. This guide covers which levels of addiction care the plans pay for, where prior authorization applies, what the 2026 cost shares are, how medication is handled under Part D, and how to find a program in South Florida that holds a contract with the plan.

Does Doctors HealthCare Plans Cover Drug and Alcohol Rehab?

Yes, within Medicare Advantage rules. Plan documents list outpatient treatment for mental illness and substance use at a $0 copay in network for individual and group visits, and all five 2026 plans cover inpatient psychiatric hospital care. Cost sharing for detox, residential treatment, PHP and IOP is not published, so the Evidence of Coverage settles those.

A Medicare Advantage plan has to pay for at least what Original Medicare pays for, which puts hospital-based withdrawal management, inpatient psychiatric care, outpatient counseling and opioid treatment program services inside the benefit regardless of how the plan’s own summary is worded. Older plan documents also show the Medicare 190-day lifetime limit on inpatient mental health care in a freestanding psychiatric hospital, a limit that does not apply to the same care delivered in a general hospital.

Which plan is on the card? DrMax, DrPlus (HMO D-SNP) and DrExtraCare (HMO C-SNP) are sold in Miami-Dade County only. DrSelect and DrElite-SFL are sold in Miami-Dade and Broward. DrExtraCare is limited to enrollees with chronic heart failure, diabetes or both; DrPlus requires Medicare Parts A and B plus Medicaid eligibility. The plan name decides the cost share, so read it before calling an admissions team.

What Does Each Level of Care Look Like on a DHCP Plan?

The level is matched to clinical need at assessment, and on an HMO the contracted network decides where that care can happen. The plan publishes figures for inpatient psychiatric stays and outpatient therapy; the intermediate levels are quoted case by case, which makes the authorization call the first step rather than the last.

Medical Detox

Withdrawal management is covered where it is medically necessary, and no plan-specific copay for it appears in the documents available, so ask member services what applies to hospital-based and freestanding settings and which contracted sites in Miami-Dade or Broward take admissions. Options are listed on the Medicare detox page. Alcohol and benzodiazepine withdrawal can cause seizures, and acute withdrawal belongs in an emergency department, which an HMO covers without a network question.

Residential and Inpatient

Inpatient psychiatric hospital care costs $0 per stay in 2026 on DrMax, DrSelect, DrPlus and DrExtraCare, while DrElite-SFL charges $100 a day for days 1–6 and $0 for days 7–90. Cost sharing for residential substance use treatment is not published separately, so the question for the plan is whether a residential program is authorized at the inpatient rate or at another benefit level.

PHP, IOP and Outpatient

Outpatient individual and group therapy carries a $0 in-network copay on all five 2026 plans, and a 2022 plan showed the same $0 copay for outpatient substance use sessions. Neither partial hospitalization nor intensive outpatient is broken out in the 2026 plan listings, so ask how each is coded and what the per-day or per-week share comes to before the first session.

Does Doctors HealthCare Plans Need Prior Authorization for Rehab?

For inpatient and most specialty care, expect yes. The Summary of Benefits states that apart from emergency, urgent and preventive services, certain services require prior authorization and marks them with an asterisk, and specialist and outpatient hospital services carried that mark. No list naming which substance use levels require it has been published.

Referrals are a separate question. The 2019 and 2022 Summaries of Benefits say no referral is needed for a specialist office visit, while comparison sites describe HMO referral rules generally, so the current Evidence of Coverage is the authority. The plan keeps physicians, nurses and case managers on staff to coordinate care, and member services on 1-833-342-7463 (TTY 711), 8 AM to 8 PM Eastern, is where an admissions team starts. A separate behavioral health line, (800) 424-1734, appeared in 2019 documents and may be out of date.

Does Doctors HealthCare Plans Cover Out-of-Network Rehab?

Generally no. Plan documents state that providers not contracted with the plan are under no obligation to treat an enrollee except in emergency or urgent situations. Earlier HMO-POS products allowed limited out-of-network specialty care with prior authorization, but that point-of-service benefit specifically excluded behavioral health, and the 2026 lineup is listed as plain HMO. A program outside Miami-Dade or Broward, or outside Florida, is unlikely to be paid.

Four questions before admission

Does this program hold a contract for my specific plan under H4140?

Which levels of care need prior authorization, and what medical necessity criteria are applied?

What is the copay for detox, residential, PHP and IOP on my plan this year?

How much of my in-network out-of-pocket maximum have I already used?

How Much Does Rehab Cost With Doctors HealthCare Plans?

Less than the sticker price, because the plans use fixed copays with no medical deductible and an annual in-network cap. In 2026 DrMax and DrSelect carry a $0 premium, $0 medical deductible and a $3,000 in-network maximum out-of-pocket. DrElite-SFL and DrExtraCare cap at $3,400, and DrPlus has a $4.80 monthly premium with the same $3,400 cap.

Primary care and specialist visits are $0 on all five plans, the emergency room is $100 on DrMax, and inpatient psychiatric care is $0 per stay except on DrElite-SFL. Because detox, residential and intensive outpatient shares are not published, the out-of-pocket maximum is the figure to work with: once it is reached, in-network covered services cost nothing more for the rest of the plan year.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Those are the amounts a program bills without coverage. Dual-eligible enrollees on DrPlus may owe less again, since Florida Medicaid and Extra Help can pick up copays and drug costs that the Medicare side would otherwise leave; the Florida Medicaid side of that arrangement is handled by the enrollee’s Medicaid coverage, not by this plan.

Does Doctors HealthCare Plans Cover Suboxone, Methadone and Other Addiction Medication?

All five 2026 plans include Part D drug coverage, so medication for opioid and alcohol use disorder is paid through the plan’s formulary. No formulary placement or authorization rule for buprenorphine, naltrexone or methadone was published in the documents available, which makes the drug list and the tier the first thing to ask member services about.

Generic tiers are $0 at retail on all five plans in 2026. DrMax has a $0 Part D deductible with non-preferred drugs at $55 and specialty at 33%, DrElite-SFL sets preferred brand at $47 and non-preferred at $100, DrExtraCare has a $0 Part D deductible, and DrPlus has a $615 Part D deductible with 25% coinsurance on brand tiers before Extra Help is applied. Programs offering medication-assisted treatment under Medicare are listed separately in the directory.

Where the Prescription Is Filled

Medication given during an inpatient stay falls under the medical benefit, while a buprenorphine or naltrexone prescription filled at a pharmacy runs through Part D with its own tier and any authorization attached. Methadone for opioid use disorder is dispensed inside a licensed opioid treatment program rather than at a retail counter, which is why it shows as a program service rather than a pharmacy fill; methadone clinics in Miami-Dade and Broward bill the plan directly.

Telehealth and Opioid Treatment Programs

The 2022 DrValue-B plan listed opioid treatment program services and mental health, psychiatric and outpatient substance use sessions by telehealth at $0 to $25 per visit. Those terms are from an older plan year, so ask what the 2026 plan pays for a virtual visit before booking one. Medicare telehealth options matter where transport is the obstacle, and the plan also runs member transportation through its affiliate DHCP Transportation Services.

Which Rehab Centers in Florida Are In-Network With Doctors HealthCare Plans?

A program is in-network when it holds a contract with Doctors HealthCare Plans for the particular 2026 HMO plan and is licensed in Florida for the level of care it delivers. Network status is settled in the provider directory at doctorshcp.com or by calling member services on 1-833-342-7463, and it changes as contracts are signed.

Florida has 740+ listed treatment programs, 404 of which accept Medicare, concentrated in Miami, FL, Orlando, FL, Fort Lauderdale, FL and Tampa, FL. Programs that accept Doctors Healthcare Plans are gathered on the Doctors Healthcare Plans page, alongside the wider list of rehabs in Florida. Each listing shows the payments the program says it accepts, its licensing and accreditation, and the distance to the nearest airport, so a shortlist can be drawn up before the phone call that settles network status. Counts updated October 2026.

How Do I Find a Rehab That Takes Doctors Healthcare Plans?

Start with the provider directory on doctorshcp.com or the myDHCP member portal, then call 1-833-342-7463 (TTY 711) and ask for contracted substance use programs in Miami-Dade or Broward. Prospective enrollees use the sales line, 1-833-639-3427. Because the plans are HMOs, a contracted program is effectively the only route outside an emergency.

When an admissions team is reached, give the plan name and the H4140 contract number rather than just the carrier name, since the cost share differs between DrMax, DrSelect, DrElite-SFL, DrPlus and DrExtraCare. The CEO said in May 2026 that the company had begun expanding into Central Florida without naming counties, so service areas outside the two southern counties are worth asking about directly.

Is Doctors HealthCare Plans the Same as Physicians Healthcare Plans?

No. Physicians Healthcare Plans, Inc. was a separate Coral Gables managed care company running Medicaid and Florida Healthy Kids business, and it was sold to AMERIGROUP in December 2002. Doctors HealthCare Plans was incorporated in 2017, holds no Blue Cross license and has no parent insurer. The names sit close enough that a program’s billing office may mix them up, which is worth catching early.

References and Citations

Florida Office of Insurance Regulation — financial examination reports on Doctors HealthCare Plans, Inc. (NAIC 16271), covering licensure, ownership, affiliates and lines of business.
Centers for Medicare & Medicaid Services — Medicare Advantage contract H4140 plan benefits, enrollment and star rating data for 2026, as published on a Medicare plan comparison site.
Doctors HealthCare Plans, Inc. — Summary of Benefits documents for DrMax (2019) and DrValue-B (2022), including behavioral health benefits, telehealth and contact lines.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.