Navigating the Admissions Process and Insurance Landscape

Melissa_Orshan_Spann_withborderDirector of Admissions Melissa Spann, PhD, CEDS sheds light on some of the most frequently asked questions received by our admissions department. Thank you to the admissions team for sharing these questions and allowing us to provide some additional clarity on the at times confusing landscape of insurance and admissions. The entire Oliver-Pyatt Centers team is here to help guide you through every aspect of treatment and to support your loved one and family on the path to recovery. For any admissions related questions, please contact us here or call 1.866.511.4325. 

Do you take insurance?
Yes! We accept and work well with most all insurance companies. One of our specialties is digging in really deep with every insurance policy to navigate the challenging nuances and come up with the best plan for each client.

We are thrilled to announce we are now in network with BCBS for our Clementine program at all levels of care and our adult programming at the IOP and PHP levels of care. We are also in network with Humana at the PHP level of care and Aetna at the IOP level of care.

What does it mean to be an out-of-network provider?
Different insurance plans have different plan options to choose from. For some insurance plans, even when we are not in network, we have still have the ability to work with your insurance through the use of your out-of-network benefits.

What makes OPC different than other programs?
OPC takes an individualized approach to every client. Our philosophy is one in which we are emphasizing comprehensive care through medical, clinical, psychiatric, nutritional and family support. One of the cornerstones of our model, daily individual therapy, allows clients to develop a deeper therapeutic connection; it is through this vital therapeutic relationship that clients are able to delve into treatment fully and deeply for healing to occur. Our multidisciplinary team uses a bio-psycho-social-spiritual model to treatment – meaning, identifying the core issues that drive the eating disorder and addressing all of the co-occurring issues that may accompany it. Our treatment philosophy is centered around the idea of “If not now, when?”

What makes Clementine different than other adolescent programs?
Clementine takes everything we know about effective eating disorder treatment and tailors it specifically to the unique needs of adolescents. The Clementine milieu is a small, intimate group in which both clients and families are working on recovery. The program provides the opportunity for adolescents between 13-17 to live in a beautiful, home-like environment in which they receive extensive medical, psychiatric, nutritional and therapeutic support. Additionally, clients are working on exposures, daily integrated educational needs, extensive family therapy and family programming, and mindful movement. Clementine was designed with the thought “If my daughter needed residential treatment, where would I feel comfortable?” From that, the unique and beautiful Clementine model was born.

How can I be involved in my loved one’s treatment even though I live in another state?
Your participation in treatment is critical to the overall process. We have weekly family therapy sessions via video conferencing, monthly family programming and as needed check-ins. For Clementine, in addition to all that was just listed, we also have family coaching, daily check ins, and bi-weekly family programming.

What can I do as a parent to advocate for my daughter’s benefits?
You are an essential advocate to your loved one’s treatment. There are so many ways in which family members play a critical role to long term recovery, navigating the challenges within our healthcare system is one. The National Eating Disorder Association (NEDA) has some incredible resources for parents on navigating our healthcare system, being an advocate, and articulating arguments to third party payers. I encourage every family to know their rights and advocate on their behalf. We are committed to helping you through this often challenging process.

For more information about Oliver-Pyatt Centers and Clementine adolescent treatment programming, please call 866.511.HEAL (4325), visit our websitesubscribe to our blog, and connect with us on Facebook, LinkedIn, Twitter, and Instagram