Contact us at 1.877.212.5457 | info@river-centre.org

Insurance & Treatment Costs

puzzleAt the River Centre Clinic, our aim is to provide the highest quality treatment for those struggling with eating disorders while keeping making treatment costs affordable. The River Centre Clinic has agreements with major insurance companies that provide full or partial reimbursement for eating disorder treatment costs. These companies currently include Aetna, Anthem, Blue Care Network, Cigna, FrontPath, Health Alliance Plan (HAP), Health Plan Ohio, Humana, Medical Mutual of Ohio, Medical Mutual (DaimlerChrystler), MESSA, Managed Health Network (MHN), MultiPlan, Priority Health, Three Rivers, Value Options, Value Options GM. The agreements with the insurance companies listed above may be for a particular level of care (for example Partial Hospitalization) but not for another level of care (Residential Treatment); however, we will make every effort to work with your insurance company to obtain reimbursement for treatment.  Also, we are often able to secure single case agreements with insurance companies not in the above list so check with our Intake Specialist who will help you understand your insurance benefits.

For those who do not have adequate insurance coverage, and who must assume some (or all) of the financial burden of treatment themselves, the River Centre Clinic treatment programs provide an affordable option without compromising quality.  Call our Intake Specialists to discuss your insurance benefits.

Insurance and Payment Information:

  • There are several steps to determine if your insurance will cover treatment.

    • The first step is to contact your companies human resources department or your insurance company directly and determine if they cover the type of treatment you are seeking (Partial Hospitalization or Residential Treatment).
    • Our Intake Specialist will help you in understanding who to contact.  We will also contact your insurance company to verify your benefits.  Just because you have benefits does not guarantee coverage since insurers often  require information on the nature of your problems and previous treatments in order to provide final authorization.  This is usually based on our clinical evaluation prior to your admission or on the first day of admission.
    • Once you learn about your insurance coverage, and if it does not cover the total costs of treatment, you will have to decide how to finance the remainder of treatment costs. This is where the River Centre Clinic has an advantage over many other treatment centers since the costs of our treatment are much more economical than many other places.
  • Authorization will usually be for a specific number of days of treatment and after getting an update on your progress, the insurance reviewer will either decide to extend the authorization for treatment or discontinue authorization.  We are quite good at making the case for an appropriation length of stay but this is not a certainty.  If continued stay is declined and we feel that continued care is warranted, we will appeal the process and this is often leads to continued authorization.

  • River Centre Clinic charges a flat daily rate for services in its Partial Hospitalization Program (PHP) for adults and its Adolescent Residential Program (ARP) for adolescents, which includes several services outlined in the chart below:

    Partial Hospitalization Program
    A flat daily fee is $650* (5-day week) and includes:

    • Diagnostic assessments
    • Individual treatment planning
    • Overnight Living Quarters 7-days a week
    • Two meals and afternoon snack Monday- Friday
    • Individual and Group therapy
    • Nutritional counseling
    • Staff-assisted meal planning
    • Routine medical monitoring
    • Psychiatric evaluations
    • Staff-assisted self-administration of medications
    • Discharge and aftercare planning

    Adolescent Residential Program
    A flat daily fee of $850* (7-day week) and includes:

    • Diagnostic assessments
    • Individual treatment planning
    • Staff monitoring 24-hours a day, 7 days-a-week
    • All meals and snacks
    • Individual and Group therapy
    • Family therapy
    • Nutritional counseling
    • Staff-assisted meal planning, self-admistration of medications and personal hygiene
    • Routine medical monitoring
    • Psychiatric evaluations
    • Educational support from a licensed teacher
    • Recreational outings and community activities with staff
    • Discharge and aftercare planning

    Intensive Outpatient Program for Binge Eating Disorder
    A flat daily fee is $350* (3-5-days-a-week) and includes:

    • Diagnostic assessments
    • Individual treatment planning
    • One snack and dinner 3-5 days-a-week
    • Individual and Group therapy
    • Nutritional counseling
    • Staff-assisted meal planning
    • Routine medical monitoring
    • Psychiatric evaluations
    • Staff-assisted self-administration of medications
    • Discharge and aftercare planning

    *These rates are all-inclusive except for medications and lab work. The Partial Hospitalization Program and Intensive Outpatient Program rates do not include weekend meals.

    • River Centre Clinic’s Partial Hospitalization Program (PHP) provides eating disorder treatment services that are similar to inpatient programs. However, since we are a clinic and not a hospital, we avoid many of the high-overhead costs inherent to hospital-based inpatient programs. In turn, we are able to pass that savings on into lower service costs.
    • PHP operates on a 5-day week rather than the 7-day week required for inpatient treatment. As a result, our PHP patients are billed for a 20-day month instead of a 30-day month. PHP provides 3 months of highly specialized and individualized treatment for about the same overall costs as 10 to 14 days of inpatient treatment.
    • There is a need to balance the intensity of therapy with activities aimed at enhancing mindfulness and calm.  We offer Yoga and expressive therapies to encourage healing and the development of new modes of self-expression.  However, we do not offer expensive ‘spa’ types of amenities such as massages, horseback riding, rock climbing, and swimming pools. While these amenities may be desirable for a resort setting, and they may provide positive experiences, they add unnecessary costs to treatment and have not been proven to enhance eating disorder treatment.
    • Our location in the Midwest may not offer breathtaking ocean or mountain vistas, but it keeps our costs lower than facilities located in more expensive regions of the country. However, we do provide our patients with spacious, comfortable, modern, and safe living accommodations in a quaint and quiet suburban community.
  • The following charts illustrate the costs of Partial Hospitalization Program (PHP) eating disorder treatment at River Centre Clinic versus inpatient hospitalization at typical daily rates. Figure 1 provides a cost comparison between one month of PHP versus inpatient hospitalization at the typical rates of $1,000, $1,500 and $2,000 per day.

    RCC Treatment Costs 1

     

     

     

     

     

     

     

     

     

     

     

    Figure 2 provides the same cost comparison for 10 weeks of treatment.

    RCC Treatment Costs 2

     

     

     

     

     

     

     

     

     

     

     

  • River Centre Clinic also offers its Outpatient Program (OP) to provide counseling and mental health services on an outpatient basis to adults and adolescents who suffer from serious eating disorders as well as selected patients with a range of other psychological disorders. Please contact us regarding treatment costs.

  • The best way to find out what is best for you is to contact us. You can fill out our on-line Initial Information Form or call our Intake Coordinator at (419) 885-8800 to:

    • Determine the most appropriate level of care for your specific circumstances.
    • Discuss payment options

    We work with insurance companies and managed care plans to get our patients the help they need. We accept major credit cards. We can also arrange private payment programs.