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, Carelon Behavioral Health, Cigna, ComPsych, 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 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: 1-2 months
Private Pay Daily Program Fee:
$1,300 / day
24/7 Care and Support
Private Rooms and Bathrooms
Adult Day Treatment Private Pay Program Fees
Approximate Length of Stay: 1-2 months
Private Pay Daily Program Fee:
$625 / day
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 Daily Program Fee:
$450 / day
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.
Additional Expenses
Program fees do not include the following: (1) professional services including family therapy and psychological testing, (2) wellness clinic services, (3) medications and laboratory services. Professional Services: For clients who are using authorized, contracted insurance to cover program fees, Skyland Trail will bill the insurance provider directly for professional services and will bill the financially responsible party for any associated co-pays, deductibles, or coinsurance fees. Clients who private pay for program fees will be charged private pay rates for professional services. Wellness Clinic: Glenn Family Wellness Clinic services are contracted and authorized separately from program fees. If the Skyland Trail Glenn Family Wellness Clinic is in-network with the client’s insurance and services are authorized, Skyland Trail will bill the insurance provider directly for wellness clinic services and will bill the financially responsible party for any associated co-pays, deductibles, or coinsurance fees. The financially responsible party will be billed private pay rates if the Glenn Family Wellness Clinic is not in-network with the client’s insurance or if services are not authorized. Medications & Laboratory Services: Medications and, in some cases, laboratory charges will be billed directly from a third-party vendor.
Payment Due at Admission
Clients 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. 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 6 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