ADOLESCENT PROGRAM FEES

Adolescent Treatment Program Fees

Total treatment costs depend on the number of days at each level of care needed to complete treatment. As a nonprofit organization, we offer financial aid awards to eligible families to reduce private pay costs not covered by insurance. Please speak with one of our financial counselors to determine your potential financial responsibility and overall treatment costs.

In-Network With Most Major Private Insurance Providers

Our adolescent treatment programs are in-network with many plans offered by Aetna, Blue Cross Blue Shield/Anthem, Carelon Behavioral Health, Cigna, ComPsych, Magellan, Optum/United Behavioral Health/Oscar Health, and Humana Military / TRICARE East.

Using Your In-Network Insurance Benefits

Skyland Trail will seek preauthorization for treatment. If the patient's insurance plan authorizes treatment, Skyland Trail will bill the client's insurance company directly. Skyland Trail will bill the financially responsible party directly for any uncovered program fees or services; out-of-pocket expenses; and associated co-pays, deductibles, or coinsurance fees. Please note that authorization is not a guarantee of payment.

Using Your Out-of-Network Insurance Benefits

Skyland Trail offers several opportunities for families to seek reimbursement for residential treatment program fees through their non-contracted insurance company. If you want to seek reimbursement yourself by submitting claims, we will provide an itemized bill for submission to the client's insurance company. We also can refer you to a third party insurance advocate, SJ Health Insurance Advocates. If out-of-network benefits are available, SJ Health can coordinate pre-authorizations, coordinate utilization reviews, and submit claims, which may help you maximize your reimbursement. Medicare and Medicaid do not cover our services at any level of care.

Adolescent Private Pay Program Fees

The cost of treatment reflects our evidence-based individualized therapies, expert multidisciplinary treatment team, experiential therapies, family programming, nutrition services, and respectful facilities. Residential clients reside in a private bedroom with an adjoining private bathroom.

Adolescent Residential Program

Approximate length of stay: 12 weeks

Private Pay Daily Program Fee:

$1,300 / day

 

24/7 Care and Support
Private bedrooms and private bathrooms

 

Adolescent Day Treatment Program

Approximate length of stay: 4-6 weeks

Private Pay Daily Program Fee:
$625 / day

 

Also called partial hospitalization (PHP)

Monday-Friday, 9AM-3PM

Day Treatment if offered as a step down level of care from residential treatment. Adolescents who meet clinical criteria may admit directly to day treatment (PHP).

Professional Expenses

Skyland Trail separates some professional services from the private pay program fees to enable more families to use their insurance plans to cover what are often covered as in-network services. Private pay program fees do not include the following professional services: (1) wellness clinic fees, related laboratory fees, or procedures, (2) psychological testing, or (3) medications. Medications and, in some cases, laboratory charges will be billed directly from a third-party vendor. Many of these professional services expenses may be covered by the client's insurance provider. If these services are in-network and authorized, Skyland Trail will bill the insurance provider directly and will bill the financially responsible party for any associated co-pays, deductibles, or coinsurance fees.

Payment Due at Admission

Client families using in-network insurance benefits and whose treatment is authorized by their insurance provider will be required to prepay any deductible, co-pays, or co-insurance for the first 30 days of treatment on the day of admission.

For private pay clients, on the day of admission, the individual accepting financial responsibility for the client's treatment is required to prepay for the first 30 days of treatment, as well as a $2,500 admission fee.

Financial Aid May Reduce Private Pay Costs

As a nonprofit organization, we offer a Financial Aid Program to assist families who meet the need-based financial criteria. More than 35 percent of clients receive financial aid awards that reduce private pay costs not covered by insurance. To apply, the financially responsible party or parties complete(s) an application and personal financial statement and submit(s) tax returns from the previous three years.