Insurance may cover most or part of treatment, but it’s important to know what to expect when it comes to paying for treatment.
Understand what to expect from the admission process so you can preparred.
How can you tell the difference between treatment providers? How do you know which program is right for you? Learn more about the questions to ask
We take great pride in our treatment process, clinical standards and quality of care. However, given our small client ratios to clinical team, we do not always have availability in our program.
If we do not have space, or feel an individual could best be treated in a specialized track we do not offer, we are always willing to provide referrals to reputable facilities.
While each treatment facility is different (and we don’t pretend to know everyone’s process), the general steps from initial contact to admission are largely similar. The process starts with what can be the most difficult, making the call. From there, you’ll want to learn more about the facilities programs, the levels of care they offer, what types of treatment they specialize in, and determine whether that facility is the right fit or not.
With the passage of the Parity Act, health insurers became required to treat mental health in parity with physical health. This means your insurance plan may cover some or most of your treatment. Often treatment facilities will ask for your insurance information over the phone in order to better estimate the cost of treatment. The costs can range widely between treatment facilities. Not only can there be a wide variance in what treatment facilities charge for services, whether a facility is in-network versus out-of-network can affect how much of those charges you end up paying. It’s important to ask about the cost of treatment upfront, so you don’t get surprised with a large bill you weren’t expecting months later
The last stage is scheduling your admission. We recommend you use this appointment to meet the staff, tour the facility, and determine whether you feel like it’s going to be the right fit. We believe it’s important that you feel comfortable and safe as you start your treatment process. If not, don’t be afraid to ask about other treatment options. While there may be some facilities that only want to keep you in their program, our experience has been that the individuals in this profession are universally passionate about helping people get better. They can probably recommend alternative choices that may be a better fit.
At JADE, all of our treatment facilities are all dual diagnosis treatment facilities helping individuals with primary addiction, primary mental health, and co-occurring conditions.
We’ve found that a lot of treatment facilities adhere to the insurance minimum requirements when it comes to treatment, which includes one hour of individual therapy per week. However, we’ve found individuals often benefit and want more individual therapy at the beginning of treatment. It’s worth asking your treatment provider about their program.
At JADE, our program offers a minimum of two hours of individual therapy per week at higher levels of care, but the exact frequency is really based on the individual and their tailored treatment plan.
There are a lot of different approaches to treatment including: 12-step based, faith based, experiencial therapy focused, and others. You’ll want to make sure the treatment facility you choose matches what you’re looking for in a program.
At JADE, we utilize a medical model focusing on cutting edge treatment, leading clinical interventions including CBT, DBT, and EMDR, and defining purpose. While we aren’t a faith based facility, we do believe both purpose and connection are important components to a fulfilling life. We particularly find that focusing on purpose is often overlooked in traditional treatment, but that finding a feeling of direction and sense of self are incredibly important.
It’s important to know that the treatment programs advertised are actually provided in the way described. We take pride in offering specialized care for diverse populations including LGBTQ & Adolescents. Did you know, researchers examined the prevalence of LGBTQ specific programming in the National Survey of Substance Abuse Treatment Services and found that after assessing all 854 agencies who listed themselves as providing LGBT-specific services, when contacted only 605 (70.8%) noted no specialized programs existed (Cochran et al., 2007, p. 166).
That’s not the case at JADE. We pride ourselves in tailored, evidence-based treatment. Our program tracks offer dedicated program curriculum for that track based on relevant needs. While there is overlap with our standard program, there is also important differentiation. If you’re looking for a program that is specific to your tribe, we may offer what the program that’s right for you.
A lot of treatment facilities provide a 90 day program, some with faster resolutions approaches and others longer. While everyone is different, evidence suggests that longer treatment is correlated with better patient outcomes.
We believe that today there’s a disconnect between when treatment “ends” and the longer-term transition to recovery. Often, once treatment is completed your responsible for continuing individual therapy (if you so choose) on your own. Our view is that creates an obstacle to maintaining recovery. Starting over with a new therapist can be more challenging than continuing monthly or bi-monthly therapy with the therapist who helped you in treatment. As part of our program, we allow our patients to maintain their therapist from treatment for up to a year to allow. In that way, our program doesn’t end after 90 days but is a slower and gradual transition built on your needs and timelines.
With the passage of the Parity Act, health insurers became required to treat mental health in parity with physical health. This means your insurance plan may cover some or most of your treatment. How a treatment facility bills insurance payors can affect your overall cost of treatment.
We know a lot of treatment facilities today bill for traditional treatment as well as a host of ancillary services including: urine on-site testing, case management, breathalyzer tests, and others
Some insurance plans will cover these additional services, but we’ve found that increasingly insurance plans are covering these services as inclusive services of daily treatment. That’s how we see it too. However, if these services are being charged it can leave patients with bills that accumulate to the thousands and tens of thousands. Even worse, we’ve seen in the past these services billed for hundred of dollars each when the cost of a urine cup and breathalyzer together are less than ten dollars. That’s not how we operate.
To start, we have tried to make our treatment costs patient friendly. We don’t set charge amounts artificially high to try and maximize insurance reimbursement. We also don’t bill for ancillary services, we see them as inclusive services to our treatment program.
We also try to be mindful of our third party providers when it comes to outside services, namely lab testing. We partner with lab testing facilities that share our philosophy in not inflating charge amounts so our patients aren’t incurring what we find to be unnecessary and inflated statements. We also don’t utilize lab testing every week. We request lab verification upon admission, any positive point of care urine tests, and as medically necessary to measure quantities in accordance with a patient’s treatment plan.
We understand the challenges patient’s face when entering treatment. We feel like worrying about tens of thousands of medical bills shouldn’t be one of them, and we’ve made a conscious effort to create patient friendly practices.
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