ADULT PROGRAM FEES

Adult Mental Health Treatment Program Fees

Skyland Trail adult treatment programs are in-network with most major private insurance providers. Medicaid and Medicare do not cover our services.

Skyland Trail provides up front financial counseling to ensure all families understand their financial responsibility prior to admission. Financial counselors help identify opportunities fo reduce private pay costs through a combination of private insurance benefits and financial aid awards for eligible families.

In-Network with Most Major Private Insurance Providers

The adult psychiatric treatment programs at Skyland Trail are in-network with many plans offered by Aetna, Blue Cross Blue Shield, Cigna, Magellan, Optum/United Behavioral Health/Oscar Health, and Humana Military / TRICARE East*.

* TRICARE plans for adult residential treatment cover treatment for adults ages 18-20 only. TRICARE plans for adult day treatment and IOP cover treatment for adults ages 18 to 26 who are covered dependents and adults 18+ who are primary beneficiaries.

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.

Adult Private Pay Program Fees

Adult Residential Private Pay Program Fees

Approximate Length of Stay: 2 months

Private Pay Program Fees:
$33,000 / month (30 days of service)

Adult Day Treatment Private Pay Program Fees

Approximate Length of Stay: 1-2 months

Private Pay Program Fees:
$12,000 / month (20 days of service)

 

Also called partial hospitalization (PHP)

Monday-Friday, 10AM-4PM

Transitional Housing Program available as an add-on service for eligible clients.

Adult Intensive Outpatient Private Pay Program Fees

Approximate Length of Stay: 1-2 months

Private Pay Program Fees:
$8,000 / month (20 days of service)

 

Also called "IOP"

Monday-Friday, 11AM-3PM

Transitional Housing Program available as an add-on service for eligible clients

Note that clients may not admit directly to the IOP level care. IOP is offered as a step-down from day treatment.

Professional Services 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) family therapy, (3) psychological testing or (4) medications. Laboratory charges will in some cases be billed directly from an outside vendor. Many of these professional services expenses may be covered by the client's insurance provider. If these services qualify for in-network coverage, 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

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. Please note that the financially responsible party may not be the individual who will receive treatment (i.e. the client).

Length of Stay

The full recommended length of stay in our adult program is an average of 3 to 4 months across all levels of care. The minimum length  of stay is 8 weeks. On average, most clients spend about 2 months at the residential level of care and transition to day treatment when clinically appropriate. Clients then spend an average of about 1 to 2 months at the day treatment level of care and then step down to the intensive outpatient program for another 1 to 2 months.

Financial Aid May Reduce Private Pay Costs

Skyland Trail awards financial aid to more than 35 percent of client families. Financial aid awards reduce private pay costs not covered by insurance.

SJ Health Insurance Advocates

If you would like to seek reimbursement using your out-of-network insurance benefits, we can refer you to a third party insurance advocate, SJ Health Insurance Advocates, who can independently determine if reimbursement is possible. If benefits are available, SJ Health can also coordinate authorizations with your out-of-network benefits and help you maximize your reimbursement.

Each family is assigned a dedicated team of advocates with a large breadth of experience in all health insurance related matters.

Services include:

  • verification of benefits
  • pre-authorization of services
  • concurrent utilization reviews
  • peer-to-peer reviews claim generation
  • submission and tracking to ensure accurate and timely reimbursement

READY TO TAKE THE NEXT STEP?

Contact our admissions team to learn how Skyland Trail can help you or your loved one.