Rehabs That Take Solis Health Plans

Does Solis Health Plans Cover Drug and Alcohol Rehab?

Solis plan material lists inpatient psychiatric hospital care and outpatient individual and group mental health therapy as covered benefits. Detox, residential treatment, partial hospitalization and intensive outpatient care were not itemized on any Solis page reachable for this guide, so member services on (833) 516-0475, TTY 711, is where a given plan’s substance use benefits are settled.

Solis has sold three named plans: the Solis Healthy Living Plan (HMO), the Solis Guardian Plan (HMO D-SNP) for members holding both Medicare and Florida Medicaid, and the Solis Wellness Plan (HMO C-SNP) for chronic conditions. Benefits and cost sharing differ between them, and because each one sits under Medicare Advantage rules, the plan year matters as much as the plan name.

What Does Solis Cover at Each Level of Care?

Medicare Advantage plans take the Medicare benefit as their floor, so the ladder from withdrawal management through outpatient counseling is paid where it is medically necessary and delivered in network. Solis publishes the two ends of that ladder clearly and leaves the middle rungs to the plan documents, which is why the admissions team should quote a benefit before a bed is held.

Medical Detox

Not named separately in the Solis material reviewed. Ask member services whether medical detox is paid under the inpatient hospital benefit or as an outpatient service, and whether authorization has to be in place first. Where withdrawal from alcohol or benzodiazepines is already underway, an emergency department is the right destination regardless of how the network question stands.

Residential and Inpatient

Inpatient psychiatric hospital care is covered. On the 2027 Solis Wellness Plan it carries $30 a day for days 1 through 5 and $0 a day for days 6 through 90. Freestanding residential rehab was not itemized, so ask how a non-hospital residential admission is classified and reviewed before the date is set.

PHP, IOP and Outpatient

Outpatient individual and group mental health therapy are covered, at a $20 in-network copay each on the 2027 Solis Wellness Plan. Partial hospitalization and intensive outpatient were not listed with their own cost share on the pages reviewed, which makes them the first two lines to ask about when a step down from hospital care is being planned.

Does Solis Health Plans Need Prior Authorization for Rehab?

Treat any inpatient or residential admission as needing authorization until Solis says otherwise. The Solis utilization management page was not reachable for this guide, so the authorization list, the clinical criteria and the continued stay review are open questions for member services on (833) 516-0475, or for the admitting program to put to Solis on the member’s behalf.

The HMO structure is the part that is published: Solis plans generally require in-network providers, and the Find a Provider tool on the Solis site is the tool the plan points to. Care taken outside that network, other than an emergency, may be paid at nothing at all, so the authorization call and the network call are really the same call.

Do I Need a Referral From My Primary Care Doctor?

Solis does not state its referral rule on any page reviewed here. HMO plans commonly route specialty care through the primary care physician, so the practical move is to ask member services whether a referral is required for behavioral health, whether it has to be on file before admission, and how long one takes to issue.

How Much Does Rehab Cost With Solis Health Plans?

On the 2027 Solis Wellness Plan the premium is $0 on top of the Part B premium, inpatient psychiatric hospital care costs $30 a day for days 1 through 5 and $0 a day for days 6 through 90, and an individual or group outpatient therapy visit costs $20 in network. Those figures belong to that plan alone.

Cost sharing for the Solis Healthy Living Plan and the Solis Guardian Plan was not available on the pages reviewed. A Guardian member holds Medicare and Florida Medicaid together, and how the Medicaid side absorbs the remaining share is worth asking about explicitly, because it changes the arithmetic of a long stay more than any other single answer. Below are the sums a program bills when no coverage is involved at all.

With a Solis plan in force the member pays the copay or coinsurance rather than those rates, up to the plan’s annual out-of-pocket maximum. Ask what that maximum is for the current year and how much of it has already been used, because for an extended stay that single number decides the total.

Does Solis Health Plans Cover Suboxone, Methadone and Other Addiction Medication?

Solis sells Part D prescription drug coverage alongside its Medicare Advantage plans, so medication-assisted treatment is paid either through that drug benefit or through the medical benefit, depending on where the dose is given. Formulary placement for buprenorphine, naltrexone and methadone was not listed on any Solis page reviewed, so the plan’s drug list is the document to check.

Where the Prescription Is Filled

A dose given during an inpatient stay sits with the medical benefit, and the 2027 Solis Wellness Plan shows other Part B drugs at 0% to 20% coinsurance in network. A pharmacy fill of Suboxone or another buprenorphine product runs through Part D tiers instead, with its own copay. Methadone for opioid use disorder is dispensed through licensed opioid treatment programs rather than retail pharmacies, so ask the clinic how it bills Solis for that service.

Which Rehab Centers in Florida Are In-Network With Solis Health Plans?

A program is in network when it holds a contract with Solis covering the specific plan named on the member card and is licensed in Florida for the level of care it delivers. Solis plans are HMOs and generally require in-network providers, and the Find a Provider tool on the Solis site for the current plan year is where that status is settled.

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 Solis Health Plans are gathered on the Solis Health Plans page, with level-of-care pages for Medicare detox and Medicare residential rehab. Each listing shows the payments the program states it accepts, its licensing and accreditation, and the distance to the nearest airport, so a shortlist can be drawn up before the call that settles network status. Counts updated October 2026.

How Do I Find a Rehab That Takes Solis Health Plans?

Search the Find a Provider tool on the Solis website for the plan year in force, or call member services on (833) 516-0475, TTY 711, open 8 a.m. to 8 p.m., seven days a week from October 1 to March 31 and Monday to Friday from April 1 to September 30. The Spanish and other language line is 1-844-447-6547, and new members can use (844) 200-0859.

Two checks save time on the Florida side. Confirm the plan is sold in the county where the program sits, since the county list shifts between plan years and between the Healthy Living, Guardian and Wellness plans. Then check the program itself against the Florida directory for the level of care needed. Benefit documents and claim history sit in the member portal at solismemberportal.com, and written questions go to info@solishealthplans.com.

Is Solis Health Plans the Same as Prestige Health Choice?

No. Prestige Health Choice is a separate Florida Medicaid plan that Doug Cook launched before founding Solis, so the link between them is a founder rather than a corporate one. Other businesses trading under the Solis name, including Solis Mammography, are unrelated companies, and a program that says it takes Solis should be asked which Solis it means.

References and Citations

• Solis Health Plans, Inc. — company, plan and member service pages, provider search and contact details, Doral, Florida, 2026–2027 plan years.
• Medicare plan broker listing for contract H0982 — 2027 Solis Wellness Plan (HMO C-SNP) premium, inpatient psychiatric, outpatient therapy and Part B drug cost sharing. Figures to be read against the Solis Summary of Benefits.
• Florida trade press coverage, October 2018 — CMS approval of Solis Health Plans for the 2019 plan year and the appointment of Doug Cook as president and CEO.
• National Committee for Quality Assurance — accreditation of Solis Health Plans as a Medicare-HMO plan.
• RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.