Insurance: Frequently Asked Questions
ANSWERS TO FREQUENTLY ASKED INSURANCE QUESTIONS
One of the questions many parents ask when considering Elevations RTC is how much insurance will cover the costs of treatment. We thought it would be helpful to answer some of the most commonly asked questions regarding insurance coverage at Elevations RTC.
Are you in network with my insurance?
Elevations has contracts with Aetna, BCBS, Cigna and UBH. Although we are contracted with these companies occasionally the mental health benefit is managed by an out of network provider. We will verify this prior to enrollment.
How do I know if I have insurance coverage?
Elevations will complete verification of benefits to determine your eligibility for coverage.
When will coverage start?
Based on insurance requirements, after enrollment, the treating physician completes an assessment. The insurance utilizes that assessment to determine if the student meets medical criteria for coverage. The insurance company will not authorize days prior to enrollment.
How long will my insurance cover?
If authorized for coverage, insurance coverage begins on the day of enrollment. The insurance company will work with our Utilization Review team to do consistent reviews to determine if the student continues to meet medical criteria for coverage.
What fees do I owe at admission?
If your benefit is an in-network benefit we will collect the out of pocket max, deductible and any relevant co-pays. If you do not have a benefit or it is out of network we will collect our deposit, enrollment fee and prorated tuition for the month of enrollment.
Do you bill for therapy hours?
Elevations is an All Inclusive program and we are not able to break out fees for billing.
Do I have to bill the insurance myself?
The business office at Elevations works very closely with the utilization review team and will directly bill the authorized insurance days.
How will I know when the insurance is no longer covering?
Our Utilization Review Team will be communicating with you throughout the process. They will notify you and our business office when insurance denies.