To receive inpatient care, a patient must meet the “medical necessity” criteria set forth by his/her insurance plan. Our admissions team works to assess your specific situation, determine if you qualify for a “medical necessity” claim and make a treatment recommendation.
Once the insurance company has approved our recommendation, your admission will be accepted, and your level of care and number of treatment days will be authorized. However, if the insurance company rejects our recommendation, they will halt the admission process and recommend an alternative level of care.
Residential treatment is similar to inpatient treatment, but allows for a bit more freedom and is thus not often deemed a “medical necessity.” As such, most insurance companies will only cover a portion of residential care. If yours isn’t one of them, our staff assists in determining alternate options through your plan and then works to obtain authorization for any benefits that may apply.