Some insurance plans 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. As part of our screening, we obtain a quote of your insurance benefits and can verify if this is an option. If you have insurance coverage through your employer, you may want to talk to your HR department. In some cases employer-sponsored plans may have the option to make benefit exceptions.
If you are currently being seen by outpatient providers, and have not done so already, 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.
Residential treatment differs from inpatient hospitalization in several ways. Inpatient treatment is short-term care – the average length of stay is three to 12 days – and is geared toward acute stabilization and transition to a less intensive level of care. The focus of residential treatment is on building a solid foundation for sustained recovery, so an average length of stay in one of our residential programs is 45 to 60 days. Our residential treatment centers are licensed by the State of Wisconsin as community-based residential facilities (CBRFs) and residential care centers for youth. This license allows our hospital to offer care that is as clinically intensive as inpatient, yet at a cost that is lower than the daily cost of the average inpatient hospitalization program.