Understanding how we work with Insurance
We understand the process of trying to find a treatment center covered by insurance can be extremely frustrating. At Helix Healing & Recovery we work with all PPO insurances but unfortunately can never be certain that any particular insurance company will provide full or even partial reimbursement. As a result, we will likely require prospective clients to make a monetary down payment prior to admission. The amount of the down payment depends on the reimbursement history of your particular insurance company.
Keep in mind, our goal is to help you maximize your available insurance benefits. And while your insurance plan may indicate that your treatment stay at Helix Healing & Recovery should be covered, your clinical needs and the medical necessity criteria of your particular plan will have to be evaluated before your insurance company can provide us authorization. This means that our admission counselors will need to work with you to check coverage to determine available benefits. Insurance benefits vary greatly depending on your policy so it is important that we obtain a detailed quote of your coverage for all levels of care (residential - RTC, partial hospitalization - PHP, intensive outpatient - IOP).
Though the information we obtain on your behalf from your insurance company will provide the benefits available, your managed care company determines the level of care they are willing to cover based on the current presenting problem. Having the benefits available does not mean insurance will approve treatment since coverage is dependent upon their medical necessity assessment at time of admission. Each insurance company has established criteria for medical necessity and we encourage you to contact your provider to review the guidelines for medical necessity related to mental health coverage.
Click below to learn more
©2016 Hanbleceya Recovery Network • Employment Opportunities