The Skyland Trail residential treatment program for adults, day treatment program for adults (PHP), intensive outpatient program for adults (IOP), and residential program for adolescents are all in-network with most plans offered by Aetna insurance.
Full Answer
Does insurance cover residential treatment centers?
Apr 04, 2014 · Most of the top adolescent mental health treatment programs are designated as "out-of-network treatment providers" by the major healthcare insurance plans, such as Cigna, Aetna, UnitedHealthcare, UHC of California , HealthNet, and Pacific Source.
Do residential programs accept health insurance benefits?
May 07, 2018 · Psychiatric sessions. Group therapy. Family therapy. Reimbursement – Some mental health coverage plans require you to pay the initial costs. Only after these are covered can you submit a claim for reimbursement. Also, some plans only extend partial reimbursement. As troubled teen residential treatment centers have licensed and certified ...
Should you enroll your troubled teen in a residential treatment program?
Jan 13, 2022 · Contact your insurance company directly. Let them now what your child’s needs are and what they will cover. It is possible they will cover all of the residential treatment or just a portion of it. Once you know what they will pay for then you have a better idea of what you need to come up with on your own. If the insurance company initially ...
How to choose the right residential treatment center for your child?
Apr 28, 2014 · The Affordable Care Act requires a majority of health insurance policies to cover mental health services, addiction recovery services, and behavioral health services on parity with medical and surgical benefits.As a result, many private-pay therapeutic boarding schools, residential treatment centers and wilderness therapy programs have figured out how to help …
What is the purpose of submitting insurance information to the programs billing department?
The purpose of submitting insurance information is for the standard process referred to as "Verification of Benefits."
Does insurance cover mental health?
With the increase in mental health awareness over the last decade, the insurance industry has made significant moves to create a clearer path for benefits, to help parents struggling with teens in crisis. These changes have helped to create a much needed pathway towards understanding treatment coverage, and is beginning to be used more readily by professionals and patients alike. For young adults caught in the grip of mental or behavioral health trauma, these new changes can mean the difference between recovery and an endless struggle.
What should parents do when they have mental health insurance?
If their insurance does have mental health coverage, some of the criteria for insurance coverage of residential treatment can be more extensive than others.
Does California cover adoptions?
While not exactly coverage, there is a special type of benefit available to some parents of adopted teens. California, in particular, offers financial assistance when looking to place your adopted troubled teen into a residential treatment program. The process can take time, but should your family be approved, this benefit has the potential to cover all of your troubled teen’s residential treatment.
Can I use a credit card for a teen?
While it is not recommended to cover your teen’s entire stay with credit card usage, some parents utilize credit cards to pay for initial residential treatment center fees until other monetary sources are available.
Does insurance cover mental health?
Some health insurance providers offer coverage for mental health treatment. As residential treatment centers have licensed therapists and a robust therapeutic program, health insurance providers may cover your teen’s stay at the treatment center.
What is the Mental Health Parity Act?
The Mental Health Parity Act of 1996 requires insurance plans that offer mental health benefits to set limits equal to medical or surgical benefits. The law requires insurance plans that provide mental health coverage to cover any mental health disorder listed in the Diagnostic and Statistical Manual.
Does DSM cover mental health?
This law requires plans that have mental health coverage to cover any mental health disorder listed in the DSM ( Diagnostic and Statistical Manual) and it prohibits insurers and health plans from imposing treatment limitations on mental health benefits that are more restrictive than those applied to medical services.
Does insurance cover psychiatry?
In general, if insurance plans reimburse for services, they will typically cover some or all of the following: psychiatry sessions, prescription medications, individual therapy, group therapy, family therapy, or psychological testing. Insurance plans rarely cover food, spending money, housing, academics, personal activities and services.
Does the Affordable Care Act cover mental health?
The Affordable Care Act requires a majority of health insurance policies to cover mental health services, addiction recovery services, and behavioral health services on parity with medical and surgical benefits. As a result, many private-pay therapeutic boarding schools, residential treatment centers and wilderness therapy programs have figured out ...
What is a defiant teen?
Defiant teens or teens who self-harm need a much more structured environment in most cases. These teens can hurt themselves or others, so the program is more equipped to reduce the threats as they help them navigate therapeutic healing.
How many hours of therapy does a child need?
Kids will have eight hours or more of individual therapy. The goal of the program is to help modify the troubled adolescent behavior and reintegrate them back into society without a high risk of regressing. Level 4 programs include the most intensive residential treatment facilities and mental hospitals for teens.
What is a level 3 program?
Level 3 programs would typically be residential treatment centers and rehab.
Do therapists work with kids?
Therapists will work with the kids on an individual basis. The programs often last a longer period of time, which means education is often provided with on-site teachers or tutors.