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Suzanne
Suzanne, Mental Health Professional
Category: Mental Health
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Experience:  LCSW, RN. Mental Health, Relationship & Parenting issues.EMDR, Hypnosis.
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Is anyone here aware of whether health plans typically pay

Resolved Question:

Is anyone here aware of whether health plans typically pay for longer-term (say, 30-60-90 days type) care for eating disorders? Is such a stay considered residential treatment?
Submitted: 5 years ago.
Category: Mental Health
Expert:  Suzanne replied 5 years ago.

Thanks for bringing your question to JustAnswer.

 

Eating disorders are very often treated in residential facilities, and this is typically covered by the better insurance plans. As long as the facility isn't a hospital, it's considered residential. But put a call into your insurance company before choosing your treatment center...this is a big commitment, and usually requires pre-authorization from the health plan. They may require you to have a diagnosis of morbid obesity before they will agree to pay. If there's a number for pre-authorizations on the back of your insurance card, call them and find out the particulars of your policy. There's no such thing as a standard policy anymore, so calling your own plan is your safest avenue to get this information.

Expert:  Suzanne replied 5 years ago.

Thanks for bringing your question to JustAnswer.

 

Eating disorders are very often treated in residential facilities, and this is typically covered by the better insurance plans. As long as the facility isn't a hospital, it's considered residential. But put a call into your insurance company before choosing your treatment center...this is a big commitment, and usually requires pre-authorization from the health plan. They may require you to have a diagnosis of morbid obesity (BMI over 50%) before they will agree to pay. If there's a number for pre-authorizations on the back of your insurance card, call them and find out the particulars of your policy. There's no such thing as a standard policy anymore, so calling your own plan is your safest avenue to get this information.

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