Residential Treatment

Residential Treatment:

Rogers is a comprehensive psychiatric hospital, nationally recognized for specialty residential treatment programs for eating disorders, addiction, obsessive-compulsive disorder and anxiety disorders for children, teens and adults.

Financing Residential Care

Some insurance plans consider residential treatment a separate level of benefits. If your policy does not have this level of coverage, your plan may allow you to “flex” inpatient days to cover residential care. As part of our screening, we obtain a quote of your insurance benefits and can verify if this is an option. If you have insurance coverage through your employer, you may want to talk to your HR department. In some cases employer-sponsored plans may have the option to make benefit exceptions.

If you are currently being seen by outpatient providers, and have not done so already, be sure to discuss residential treatment with them. They may be able to provide additional clinical information to your insurance carrier about the necessity of seeking this more intensive level of care.

Residential treatment differs from inpatient hospitalization in several ways. Inpatient treatment is short-term care – the average length of stay is three to 12 days – and is geared toward acute stabilization and transition to a less intensive level of care. The focus of residential treatment is on building a solid foundation for sustained recovery, so an average length of stay in one of our residential programs is 45 to 60 days. Our residential treatment centers are licensed by the State of Wisconsin as community-based residential facilities (CBRFs) and residential care centers for youth. This license allows our hospital to offer care that is as clinically intensive as inpatient, yet at a cost that is lower than the daily cost of the average inpatient hospitalization program.

Our hospital could not offer residential treatment services without securing fees in advance. To sustain the viability of this level of care for current as well as future patients, we have found it necessary to require prepayment for residential treatment services. Also, we have found it takes the focus of money out of the treatment setting. The length of stay in residential treatment is open-ended; unused portions of the deposit and/or additional prepayments will be refunded to you.

Authorization by your insurance carrier is not a guarantee of payment. A portion of the initial deposit may be waived at admission if your carrier guarantees the insurance coverage in writing. In the event your insurance carrier denies your claim, we will notify you of the denial of coverage. At that time, a 30-day prepayment will be required to continue treatment.

Yes. We can accept Visa and MasterCard. (We cannot accept debit cards, as most debit cards have a daily limit which may preclude their use for a deposit.) If you plan to use a credit card, we recommend that you call your bank prior to admission to inform them of the upcoming charge.

Ask to speak with the care advocate responsible for the residential program in which you are admitted. This staff member is in contact with your insurance carrier throughout your treatment stay and is able to clarify the quoted benefits and confirm the number of authorized days.

An important part of making your decision to come to Rogers is having a thorough understanding of the costs so you can determine what options are available for financing residential care.

If you have insurance, start by calling your insurance plan carrier and speaking to them about the recommendation you received for residential treatment. From our billing experience, we have found that while patients receive some reimbursement, many insurance carriers typically do not cover the entire stay in a residential treatment program.

Prior to your admission, you will receive a financial worksheet which outlines our payment terms and shows a breakdown of charges for a 30-day, 60-day and 90-day estimated length of stay. The worksheet will give you a more realistic understanding of what your anticipated financial obligations would be if your insurance claims are denied after admission.

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