insurance and private pay services.
We are contracted with a variety of major commerical insurance providers BUT not all, and not all of our programs/providers are contracted with each insurer. We strongly recommend you contact your insurance carrier’s member services team so that you are fully informed as what fees you are likely to incur at our facility.
Please see a list of the commercial insurance plans that we participate with below; if you do not see your insurance carrier on this list, you should assume that our services will be private pay unless you are able to secure a Single Case Agreement.
Intensive Outpatient (3 hours)
Blue Cross Blue Shield
United Behavioral Health
United Healthcare Student Resources (student insurance plan)
Tufts Health Plan
Outpatient Group (2 hours)
Blue Cross Blue Shield
Behavioral Health Therapy (Individual)
Blue Cross Blue Shield
United Behavioral Health
United Healthcare Student Resources (student insurance plan)
Tufts Health Plan
Nutrition Therapy (Individual)
Blue Cross Blue Shield
United Behavioral Health
United Healthcare Student Resources (student insurance plan)
Tufts Health Plan
Harvard Pilgrim Healthcare
Public Insurance and Community Plans:
We only accept commercial insurance. We are not contracted with any Public or Community plans. Commercial health insurance is health insurance provided and administered by public and private companies, rather than by the government. We do NOT accept Medicare, Medicaid, or other State funded community or public health plans (i.e., UnitedHealthcare Rite Care, Neighborhood Health Community Plan).
Co-payments, Co-insurances, and Deductibles:
Most health insurance coverage also involves deductibles, co-payments and/or co-insurances. We cannot guarantee health insurance coverage and any out of pocket-expenses will be billed to you and payment is expected upon receipt
Billing Frequency:
We normally bill on a daily basis and will provide statements upon request. We ask all patients to post a credit card on file and we will bill such credit card for deductibles, co-payments, and co-insurances.
Primary and Secondary Insurance Coverage:
Some patients may have primary and secondary insurance coverage. Coordination of care benefits remains the responsibility of the insured. We will list secondary insurance information on Form 1500 filings so long as we are made aware of the secondary coverage, and we contract for such coverage. For example, a patient may have UHCSR as their primary coverage and BCBS of RI as their secondary coverage. Sometimes, the primary insurer will deny coverage unless the patient provides information of other health benefits and even then, insurance coverage cannot be guaranteed.
Pre-Certifications and Referrals:
Some insurance plans may require pre-certification and/or a referral. Pre-certifications may delay your admittance to our program. We will endeavor to secure pre-certification as quickly as possible, but they can take some time and may involve multiple steps.
Additional Suggestions: Insurance prior-authorizations are typically required for admission into our Intensive Outpatient Program (IOP). We cannot guarantee the number of days that your provider will authorize. It is important to keep in mind that absences can impact continuity of coverage and may result in discharge from the program. You may need to secure referrals and these can also take some time.
Single Case Agreements (SCA):
If your insurance is not listed above, SCA’s for our IOP level of care, not one-on-one services, have been entered into the past with the following insurance providers - Aetna Health, Harvard Pilgrim Healthcare and All Savers. Such agreements are specific to each client and may take 30-60 days to implement. Please contact your health insurance carrier and ask if you are eligible for an SCA. We cannot begin to advocate for a SCA on your behalf before you call the insurance company and begin the conversation.