We understand that some clients desire to attempt to access their health insurance funds. In an effort to provide the best customer service to our clients and families, we have put systems into place to assist individuals with the process of seeking insurance reimbursement. Many insurance companies do not adequately cover treatment in mental health programs. However, we will work with you and your insurance company on your behalf to access insurance payments for services. We utilize an independent third party insurance billing specialist to assist you in seeking insurance benefits. Select the link to apply for coverage information:
We are currently “in-network” with Beech Street, a Multi-Plan Network, but accept many insurances on an out-of-network basis.
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. All of Pasadena Villa’s programs are primarily private payment.
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 private payment 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 the responsibility of the client family and 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. 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.
We do not accept Medicare, Medicaid or SSI (Supplemental Security Insurance).