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ADULT PROGRAM FEES

Residential Treatment Program Fees

The residential treatment program at Skyland Trail is in-network with many plans offered by Aetna, Cigna, and Magellan and is non-contracted for all other insurance carriers. Families with plans offered by other private insurers may be able to use their out-of-network benefits to cover a portion of program fees. The base program cost of a 30-day stay in residential care is $33,000.

Clients who complete the full recommended length of stay in our program (an average of 3 to 4 months across all levels of care)  will transition to a nonresidential level of care like day treatment when clinically appropriate (usually after about 2 months). Our nonresidential treatment programs accept private insurance and are in-network with several major insurance companies.

Private pay families may off-set some treatment costs by applying for our financial aid program or by seeking reimbursement from their insurance carriers using their out-of-network benefits.

The cost of treatment reflects our evidence-based individualized therapies, expert multidisciplinary treatment team, holistic hands-on and expressive therapies, integrated nutrition and healthy living activities, and respectful facilities. Residential clients receive a private bedroom and private bathroom.

Payment Due at Admission

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 residential 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). The payment due at admission may be covered in full by in-network insurers or in-part through use of out-of-network benefits.

Professional Services Expenses

Skyland Trail separates some professional services from the base daily program fee 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 your insurance provider. If these services qualify for in-network coverage, Skyland Trail will bill your insurance provider directly and will bill you for any associated co-pays, deductibles, or coinsurance fees.

Using Your Out-of-Network Insurance

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 your insurance company. Depending on your plan and benefits, Skyland Trail may be able to file out-of-network claims on your behalf. 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.

Financial Aid

As a nonprofit organization, Skyland Trail offers a need-based financial aid program. Families who complete the financial assistance application at admission and demonstrate financial need may receive assistance that covers a portion of treatment costs. More than 30 percent of our clients receive financial aid awards to cover a portion of their treatment costs.

Length of Stay

Length of stay varies from client to client. Our minimum length of stay is 8 weeks. On average, clients who admit to our residential treatment program participate in treatment a total of 3 to 4 months, spending about 2 months in residential treatment and an additional 2 months in our nonresidential day treatment and/or intensive outpatient treatment programs.

Our nonresidential treatment programs are in-network with several major insurance companies. If Skyland Trail has a contract with your insurance company for our nonresidential programs, when the client transitions to nonresidential care, we will seek preauthorization for treatment and bill your insurance company directly. Skyland Trail will bill you 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.

Day Treatment Program Fees

Our nonresidential treatment programs include day treatment (also known as partial hospitalization or PHP) and intensive outpatient (IOP). The private pay program cost of a 20-day stay in Day Treatment is $11,000. The private pay program cost of a 20-day stay in Intensive Outpatient is $8,000. A 20-day stay in Day Treatment includes treatment from 10AM to 4PM, Monday through Friday, for about 1 month.

These nonresidential programs are in-network with most plans offered by Aetna, Blue Cross Blue Shield, Cigna, Magellan, and Optum.

The cost of treatment reflects our evidence-based individualized therapies, expert multidisciplinary treatment team, holistic hands-on and expressive therapies, integrated nutrition and healthy living activities, and respectful facilities.

Note that we do not admit clients directly to our Intensive Outpatient Program; IOP is offered as a step down level of care from Day Treatment.

Payment Due at Admission

For clients admitting directly to the Day Treatment level of care, on the day of admission, the individual accepting financial responsibility is required to prepay for the first 20 days of treatment, as well as a $2,500 admission fee.

If the Skyland Trail nonresidential day treatment program is in-network with your insurance company, we will bill admissions costs directly to your insurance company. The financially responsible party will be responsible for any uncovered program fees or services; out-of-pocket expenses; and associated co-pays, deductibles, or coinsurance fees.

If Skyland Trail is not in-network with your insurance company, you will be billed directly, and payment is due at the time of admission.

Professional Services Expenses

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 your insurance provider. If these services qualify for in-network coverage, Skyland Trail will bill your insurance provider directly and will bill you for any associated co-pays, deductibles, or coinsurance fees.

Using Your Insurance

If Skyland Trail has a contract with your insurance company for our nonresidential programs, we will seek preauthorization for treatment and bill your insurance company directly. Skyland Trail will bill you 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.

Financial Aid

As a nonprofit organization, Skyland Trail offers a need-based financial aid program. Families who complete the financial assistance application at admission and demonstrate financial need may receive assistance that covers a portion of treatment costs.

Length of Stay

Length of stay varies from client to client. Our minimum length of stay is 8 weeks. On average, clients who admit directly to our day treatment program participate in treatment a total of 2 to 3 months. On average, clients who admit to our residential treatment program participate in treatment a total of about 4 months, spending about 2 months in residential treatment and an additional 2 months in day treatment and/or intensive outpatient treatment programs.

SJ Health Insurance Advocates

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.