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What will treatment cost me?

We explain accepted plans, out-of-network benefits, and private-pay options in plain language—before you commit to care.

Accepted insurance

Find the name printed on your card.

Plan names can look different after mergers or across subsidiaries. We list both the current display name and the names you may still see on a card.

Aetna

Carelon Behavioral Health

Formerly Beacon Health Options

BCBS North Carolina

CIGNA

Connecticut General, Equicor, Equitable

UMR

United Health Integrated Services

United Health Care

Includes Optum Health and UBH

Tricare East

Start a conversation

Ask us about insurance, have your benefits checked, or get a clear picture of your out-of-pocket costs. Reaching out does not commit you to anything.

Your information is private and protected. Please do not include medical details. If you are in crisis, call 911 or call or text 988.

Out of network, explained

What those benefits actually mean.

A plan can help with out-of-network care without treating it the same as in-network care. The details below show where your cost can come from and what to ask before starting.

01

What ā€œout of networkā€ means

The provider does not have a contracted rate with your insurance plan. Your policy may still include out-of-network benefits, but the deductible, coinsurance, and allowed amount can be different.

ā€œOut of networkā€ does not automatically mean ā€œnot covered.ā€ It means the numbers need to be checked.

02

Deductible and coinsurance

The deductible is the amount you pay toward covered out-of-network care before the plan begins sharing eligible costs. Coinsurance is the percentage split that applies after the deductible is met.

The plan usually calculates its share from an allowed amount, which may be lower than the provider’s charge.

03

Superbills and reimbursement

A superbill is an itemized document showing dates, services, provider details, diagnosis codes, and procedure codes. Some self-pay patients submit it to their insurer for possible out-of-network reimbursement.

The insurer reviews the claim and sends any eligible reimbursement according to the policy.

04

The gap to ask about

If the provider’s charge is higher than the insurer’s allowed amount, you may be responsible for that difference in addition to your deductible or coinsurance.

Ask whether the policy uses an allowed amount, how it is set, and whether balance billing can apply.

Self-pay

Paying privately is a valid path.

Some people choose not to use insurance, whether for privacy, flexibility or simplicity.

Why someone may choose it

Our admissions team can explain the current self-pay rate and payment timing before an assessment is scheduled.

Call your insurer

Six questions worth saving.

01

Does my policy include out-of-network benefits for outpatient behavioral health or substance use treatment?

02

What is my out-of-network deductible, and how much of it have I met this year?

03

What coinsurance applies after the deductible is met?

04

How does the plan determine the allowed amount for PHP or IOP services?

05

Do PHP or IOP services require prior authorization, a referral, or a clinical review?

06

How do I submit a superbill, and where can I check the status of reimbursement?