Determining your insurance coverage for treatment is an important process, and it’s one that we can help you with. Policies can be difficult to interpret, and all the language tends to be challenging to understand—but you do not have to interface with your insurance company on your own. Our team of professional admissions coordinators works with insurance companies every day to ensure that patients get the best possible benefits out of their policies. We can speak to them and convey all the important information to you. Our admissions coordinators will give you a free, confidential assessment and determine your benefits for coverage at no cost to you.

At Black Bear Lodge, we want to make sure that you get the treatment you deserve and that the costs are feasible for you. We will work with your insurance company at each stage of the treatment process to get as much coverage for you as your policy dictates.

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Insurance Terminology

Here are some terms that an admissions coordinator may discuss with you. These are common insurance terms that may be used to describe your policy and benefits.

In-network coverage – When a treatment provider is in-network with your insurance company, it means the rates for treatment are discounted and predetermined. This is cost-effective for all involved parties, but it also means that the choice of providers may be limited.

Out-of-network coverage – This applies to a treatment provider that does not have a predetermined contract or cost agreement with the insurance company, but people can still receive treatment with this provider. The rates will not be as discounted as they are for in-network providers, but finding a specialized facility may be worth the out-of-network rates if the in-network providers do not offer the options that a person needs for treatment.

Premium – A premium is the amount of money that people pay at regular intervals to their insurance companies. This is the individual’s contribution to his or her policy, and for those who have insurance through their employers, the premium is automatically deducted from paychecks. Employers may also contribute to this premium. Premiums are determined by what kind of coverage a person has, such as an HMO or PPO plan.

Out-of-pocket expenses – Your out-of-pocket cost is the amount of money you must pay each time you visit a doctor or rehab. These costs are usually due at the time treatment begins, but you may also be able to pay these costs a little at a time with payment plans. Out-of-pocket expenses include deductibles, copay, and co-insurance.

Deductible – Your deductible is a annual cost amount that you must pay before insurance will begin to cover your expenses. If you have a high deductible plan, you are accepting a higher overall cost in order to have a lower premium each month. If you have a low deductible plan, your premium will be higher each month. Once the deductible amount is reached, your insurance will cover all or a certain majority percentage of your health costs.

Copay – A copay is a regular fixed cost that you pay for certain services. For example, many people pay a small copay, such as $20, each time they visit the doctor. This contributes to your overall plan and is part of your cost agreement with the insurance company. Some insurance plans do not require a copay.

Find Out What’s in Your Policy

Contact us today to find out what’s in your insurance policy for treatment coverage. We would be happy to review the information with you for free and to determine the best options according to your benefits.