Our programs are primarily private pay, and the vast majority of our clients pay privately for care. But, we understand that some clients desire to attempt to access insurance funds. In an effort to provide exemplary customer service to our clients and families, we have put systems in place to assist with the process of seeking insurance reimbursement.
We are not contracted with any insurance companies or managed care organizations, and services rendered are done so out-of-network.
Please be aware that even if you have mental health benefits, there are no guarantees that your insurance will pay for treatment in our programs.
Insurance companies determine eligibility for mental health treatment based on their own criteria for medical necessity. It is imperative that the client, family and/or guarantor, as well as the Pasadena Villa Admissions and Client Services staff, are aware of the criteria applied by your insurance plan. It is extremely important to make yourself aware of the benefit limitations, clinical criteria, and any other requirements that your insurance company may have.
We strongly encourage all clients, families and/or guarantors to directly contact their insurance companies to learn about specific benefit coverage, limitations, and criteria for medical necessity prior to admission.
Our contract is with you and/or the guarantor, and not with your insurance company. As such, the financial guarantor is responsible for all costs of treatment not covered by insurance. All out of pocket and private pay expenses are limited to approved Self Pay partial scholarship Rates, if applicable.
Due to the high likelihood that there will be no insurance payments made for our services, it is our policy not to accept full assignment of benefit from any insurance company and a one-month deposit will be required from the financial guarantor.
Please note that no insurance company dictates the length of treatment with us, nor do they dictate the course of treatment. The insurance company decides what, if anything, they will pay for, and they decide when to stop paying, if they ever start. But, the decision to stop paying for treatment by any insurance company does not affect our treatment plan, discharge plan, or the manner in which we treat our clients. Families utilizing insurance benefits must be prepared for the insurance to stop paying at any time. We ask that families be emotionally and financially prepared to continue treatment even if insurance denies payment or stops paying for any reason.
Please note that Pasadena Villa does not bill insurance companies for services rendered.
