We're proud to be in-network with the following insurances

Understanding In-Network Insurance Coverage

In-network insurance coverage means your health insurance company has a contract with certain healthcare providers, including mental health and addiction treatment centers like Enhance Health Group. These providers agree to offer services at a discounted rate, which is why your out-of-pocket costs are lower when you see them. Essentially, it’s a partnership that benefits you, the patient.

Types of In-Network Insurance Plans

There are a few main types of insurance plans you’ll encounter. While they all aim to make healthcare more affordable, they work in slightly different ways:

• HMO (Health Maintenance Organization): These plans typically require you to choose a primary care physician (PCP) who will then refer you to specialists, including mental health professionals, within the network. Without a referral, your care may not be covered.

• PPO (Preferred Provider Organization): This type of plan gives you more flexibility. You don’t need a referral to see a specialist and you can see providers outside of the network. However, your costs will be significantly higher for out-of-network care.

• POS (Point of Service): A POS plan is a blend of an HMO and a PPO. You’ll need to choose a PCP, but you can see out-of-network providers for a higher cost.

• EPO (Exclusive Provider Organization): EPO plans are similar to PPOs but don’t cover out-of-network care except in emergencies.

In-Network vs. Out-of-Network: What’s the Difference?

The key difference between in-network and out-of-network care comes down to cost and coverage.

• In-Network: When you receive care from an in-network provider, you pay a lower cost for deductibles, copays, and coinsurance. Your insurance company covers a larger portion of the bill because they have a pre-negotiated rate with the provider.

• Out-of-Network: When you see an out-of-network provider, the insurance company has no contract with them. This means you will likely have to pay more out of pocket, and a smaller percentage of the total cost will be covered by your plan. This can lead to unexpected and significantly higher bills.

Choosing an in-network provider like Enhance Health Group can save you thousands of dollars while ensuring you receive quality, comprehensive care.

Steps for Determining In-Network Coverage for Rehab

Navigating insurance can feel overwhelming, but we’re here to help. Here’s a simple guide to check if your insurance covers treatment at Enhance Health Group:

1. Contact Us: Give our admissions team a call or fill out the form below. We’re experts in verifying benefits and can do the heavy lifting for you. We’ll ask for your insurance information, including your member ID and date of birth.

2. Verification: Our team will contact your insurance provider directly to verify your benefits. We’ll find out the specifics of your plan, including your deductible, copay, and what level of care is covered.

3. Review the Results: Once we have the information, we’ll explain your coverage to you in clear, easy-to-understand terms. This will include your expected out-of-pocket costs and what services are covered under your plan.

4. Admissions: If your insurance is in-network and you’re ready to start your journey to recovery, we’ll guide you through the next steps to begin treatment.

If you have any questions, don’t hesitate to reach out. We’re committed to making quality mental health care accessible and affordable.