Insurance and Financial
What is covered during my stay?
We strongly recommend you check with your family's insurance carrier about the behavioral health services, medical services and prescription drug coverage to understand what is covered by this plan and if there are any exclusions. Each insurance plan has different restrictions regarding benefit availability, service providers, and medical necessity criteria. Please note that for some treatment services, such as certain assessments and diagnostic tests, medical/laboratory services and prescription drugs, you may be billed separately by independent providers. You will receive separate statements from these providers for their services.
As a courtesy to patients and their families, admissions staff will contact your insurance carrier to obtain a quote of your insurance benefits. The hospital is not responsible for omissions by the insurance company when quoting benefits and the hospital cannot guarantee payment of benefits by the insurance company. We will work with your insurance carrier to obtain payment for the behavioral health treatment services you receive from Rogers Memorial; however, you are ultimately responsible for any expenses not covered by your insurance plan.
What happens if my insurance doesn't cover my stay?
In the event your insurance company denies your claim, you are financially responsible for all non-covered services. If financial arrangements are not made with the hospital, full payment will be due upon receipt of the first statement after the insurance payment has been received.
My insurance plan doesn't cover residential treatment - only inpatient and outpatient treatment. What can I do?
Insurance companies consider residential treatment a separate level of benefits. If your policy does not have this level of coverage, your plan may allow you to "flex" inpatient days to cover residential care. You may want to contact your employer's human resources department staff to see if they can offer you assistance. Also, if you are currently being seen by outpatient providers, be sure to discuss residential treatment with them. They may be able to provide additional clinical information to your insurance carrier about the necessity of seeking this more intensive level of care.
Why is a deposit required for admission to one of the residential treatment centers?
Quite frankly, our hospital could not offer residential treatment services without securing fees in advance. In order to sustain the viability of this level of care for current as well as future residents, we have found it necessary to require prepayment for residential treatment services. It is very important to us that your recovery is the primary focus for treatment, thus, we want you to be prepared if and when your insurance denies or discontinues authorization.
If my insurance company has authorized residential treatment why do I still need a deposit?
Authorization by your insurance company is not a guarantee of payment. In most cases, a deposit for the first thirty days of treatment is required at the time of admission. Should your insurance company authorize and pay for your treatment, you will be reimbursed the difference between what your insurance pays and your deposit after discharge.
Can I use my credit card for the deposit?
Yes. We can accept Visa and MasterCard. We cannot accept other credit cards or debit cards at this time.
Who do I contact with questions about insurance after admission?
After your admission, a patient care specialist or your therapist will be responsible for communicating with your insurance company about your current status and progress made, as well as anticipated discharge date. This staff member will be able to clarify the quoted benefits and confirm the number of authorized days.
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