Insurance Information

You may wish to consider the benefits of not using insurance to cover eating disorder treatment.  Insurance companies maintain electronic records of treatment which you may prefer to remain unknown. 

 

Negotiating with insurance companies is also extremely time consuming, both for the patient and for the provider of services.  By not accepting insurance assignment, we reduce costs because we do not hire staff to process insurance.  We pass these savings on to you.

 

Most insurance companies want clients to use network providers.  Network providers sign contracts, agree to complete extra paperwork about patients, and accept reduced rates.  The advantage of this arrangement for the insurance company is that it contains their costs.  The disadvantage is that providers work longer hours satisfying information requirements of insurance companies.  You may have had a physician you knew and trusted who was no longer willing to work with your insurance company. 

 

Insurance companies may also respond to customer demand by covering expensive treatment programs for shorter periods of time.  We are often told by families that their insurance company briefly covered a program in another city or state.  After as little as ten days, the insurance company might say the facility is no longer covered because the client‘s symptoms improve and treatment is no longer deemed necessary.  Even the most sterling in-patient program cannot complete treatment in ten days.  This leaves the client and the family in the position of following the directive of their insurance company or the recommendation of the treatment facility.  If the client stays in the program they started, the cost may be significantly higher than the contract rate enjoyed by the insurance company, which increases your out-of-pocket costs.

 

One particular insurance company advises customers that Chrysalis is not a licensed or certified treatment facility.  This misinforms clients because Texas does not certify Intensive Outpatient Programs.  The Chrysalis program always has a licensed professional in the room during group meetings, and this is not true of all treatment programs.  Additionally, this insurance company eliminates most outpatient programs by only covering programs in Texas with a hospital certification. 

 

Texas requires insurance companies to provide out of network coverage, although it does not say what percentage must be covered.   Ask your insurance company about out of network benefits.  If they say you do not have out of network benefits, kindly inform them that Texas laws require insurance companies to provide out of network coverage. We suggest that you request a written statement from your insurance company regarding what they will pay.

 

APPLES TO APPLES

Compare apples to apples when you think about the cost of eating disorder care. Here is a typical example to compare an outpatient program at a hospital to the care provided by Chrysalis. Please call Chrysalis for current price information at 940-382-5688 or email ChrysalisInformation@gmail.com.

 

 

HOSPITAL OUTPATIENT
PROGRAM

CHRYSALIS OUTPATIENT PROGRAM

 

Typical

Program

3 weeks (15, 3 hour groups) - $5,250

12 weeks - $3,600

 

Full

Program

 

An additional week (5, 3 hour groups) - $1,750

 

2nd 12 weeks - $2,400

 

INSURANCE COVERAGE

 

Your insurance normally pays about 44% (after deductibles/copays). 

Additional care and associated costs may not be disclosed to you up front which will result in additional costs.

 

Chrysalis no longer accepts insurance, but a flexible payment plan is available.

This allows for no electronic records of your care via hospital

or insurance data. 

 

COST

 

$1,750 per week total cost
@ 56% your cost
$980 per week

 

$300 per week
reducing to
$200 per week