Our Behavioral Health Treatment Plan Includes Health Insurance Assistance

Lotus Behavioral Health works with our patients to provide behavioral...

James Ekbatani
April 2, 2024

Substance use disorder is a complex condition that requires a specialized behavioral health treatment plan, and in-patient facilities can provide the intensive care needed for successful recovery. However, the cost of such treatment can be a barrier for many families, and navigating insurance coverage can be a confusing and overwhelming process. At Lotus Behavioral Health, we are available to walk you through this process every step of the way. Our staff will work with you to find health insurance assistance so your adolescent can receive our services.

Lotus Behavioral Health accepts most major commercial insurances. We are the only facility within a 50-mile radius of Winter Springs which offers single-case agreements. Lotus Behavioral Health will communicate with your insurance to reach a coverage agreement if we are out of network for you.

The cost of mental health treatment can be a significant barrier for individuals seeking care. According to an article published by the American Psychological Association, "More than a quarter (28 percent) of adults who needed mental health care in the past year didn’t get it because they couldn’t afford it." Additionally, the article cites data from a survey conducted by the Substance Abuse and Mental Health Services Administration that found that the most common reason for not receiving mental health treatment was "inability to pay for services (56 percent)."

Knowing this, Lotus Behavioral Health will work with insurance on your behalf to negotiate single-case agreements if we are an out-of-network provider for you. Health insurance assistance is part of the service we offer.

Insurance Plan Coverage

First and foremost, it is important to understand that insurance coverage for substance use disorder treatment can vary widely depending on the policy and the insurance provider. However, most insurance plans are required by law to cover substance use disorder treatment as an essential health benefit. In many cases, people are surprised to learn that their insurance plan provides coverage when they decide to seek treatment. Many insurance plans cover some or all of the cost of treatment programs; however, the coverage varies on factors including the state you reside in, your insurance company, and the specifics of your policy.

Insurance coverage for in-patient facilities may include room and board, meals, medication, therapy, and other services. The exact details of health insurance assistance will depend on the policy and the insurance provider, but many plans cover at least some portion of the cost of in-patient treatment. Some plans may also cover transportation costs, such as travel to and from the treatment facility.

It is important to note that insurance coverage for in-patient facilities may be subject to limits and restrictions. For example, some health insurance coverage may limit the number of days or weeks that they will cover in-patient treatment. Others may require pre-authorization before treatment can begin or only cover treatment at specific facilities. Together, we will carefully review the details of your insurance policy to understand what is covered and any potential limitations.

Our Treatment Plans Prioritize High-Quality Care

When seeking in-patient treatment for adolescent substance use disorder, it is also important to consider the quality of care provided by the treatment facility. While insurance coverage is a critical factor in assessing substance use care, it should not be the only consideration. The quality of our behavioral health plan is something we take pride in at Lotus Behavioral Health.

Lotus Behavioral Health’s treatment plan includes licensed professionals who provide evidence-based care. We prioritize high-quality care. Our clients receive approximately 30 hours of robust therapy between individual, family, and group sessions per week. Our 20,000-square-foot facility includes a residential dorm, counseling rooms, classrooms for virtual learning, a fitness center, and recreational spaces. Our goal is to teach your adolescent healthy coping mechanisms and skills they can take with them and apply in real-time situations.

“What I’m most passionate about is our completion rate. More than 90% of those that are admitted have finished the residential program successfully. When they leave, they have tools to navigate real-time life,” said Gabriel Dominguez-Contreras, Lotus Behavioral Health’s Clinical Director.

In conclusion, insurance coverage for in-patient facilities for adolescent substance use disorder can vary widely depending on the policy and the insurance provider. However, most insurance plans are required to cover substance use disorder treatment as an essential health benefit, and many plans cover at least some portion of the cost of in-patient treatment.

To receive more information, contact us for an intake consultation at (833) 884-7246 or visit our website.