An out-of-network provider is one which has not contracted with your insurance company for reimbursement at a negotiated rate. Some health plans, like HMOs, do not reimburse out-of-network providers at all, which means that as the patient, you would be responsible for the full amount charged by your doctor.
We recommend you only consider treatment programs in Durham, NC that routinely work with the nation’s top healthcare insurance providers. Coincidentally, the best treatment programs in Durham, NC will be able to get big portions of your teen’s treatment covered, including mental and behavioral treatment provided through Day Treatment, Intensive Outpatient, Intensive Inpatient, Partial Hospitalization, and Residential Treatment.
The major healthcare insurance plans accepted at Turning Winds RTC are Cigna, Aetna, UnitedHealthcare, UHC of California, HealthNet, and Pacific Source.
Obvious, any treatment an insurance company is willing to cover will lower your overall cost of treatment, therefore it is always smart for parents of troubled teens to look for the adolescent treatment programs in Durham, NC that take insurance.
Mental Health Issues Covered By Top Insurance Plans In Durham, NC
- Teen Alcohol & Drug Abuse
- Adolescent Anorexia, Bulimia, Binge-Eating Disorder
- Teenage Anxiety. Social Anxiety, Cutting
- Panic & OCD Disorders in Teens
- Teen Depression & Bipolar Disorder
- Adolescent Borderline Personality Disorder
- Teenager Conduct Disorder
- Oppositional Defiant Disorder by Teens
- Teenage PTSD
- Self-Harm & Suicide Ideation by Teenagers
- Youth with Asperger’s Syndrome
- Medication Stabilization for Troubled Teens
Types Of Adolescent Mental Health Treatment In Durham, NC Covered By Insurance Plans
- Day Treatment
- Intensive Outpatient Treatment
- Intensive Inpatient Treatment
- Partial Hospitalization Programs
- Residential Treatment Program
Using Your Mental Health Insurance Benefits In Durham, NC
We recommend parents check with their insurance company about the details of their mental and behavioral health coverage benefits. We tell parents to contact their insurance company and ask for a list of Durham, NC in-network providers. Furthermore, we coach parents to ask their insurance company if their mental and behavioral health coverage uses provider networks in Durham, NC, and/or “out-of-network” Durham, NC providers? If so, how much will be required for deductibles and other out-of-pocket costs, such as co-pays?
Before calling a mental health treatment provider in Durham, NC, find out if they accept your insurance. If so, find out if the Durham, NC treatment provider will bill your insurance company direct, or will you be required to pay the treatment provider in full and submit a claim to your insurance company to get reimbursed.
Determining The Right Level Of Mental Health Treatment For Your Teen
Durham, NC Intensive Outpatient Treatment for Adolescents (IOP Programs)
The top insurance companies will cover Intensive Outpatient treatment programs for troubled teens in Durham, NC. IOP’s provide mental health or drug abuse treatment to teens without disrupting their entire life. For example, IOP programs offer a “half-day of intensive treatment” afterschool (usually 3 hours of treatment per day, three days per week) and most of the treatment is covered by the best healthcare insurance plans. Intensive Outpatient treatment for adolescents is set up for teens who can continue going to school in Durham, NC while receiving treatment.
One of the main goals of the adolescent IOP is to provide the highest level of treatment for teens struggling with mental health issues and/or drug addiction without disrupting their education and academic pursuits.
Moreover, adolescent IOP treatment programs are considered a typical “step down” aftercare treatment option for teens recently discharged from an inpatient or acute partial hospitalization program in Durham, NC. Durham, NC-based adolescent IOP’s are also considered a viable “step up” program offering a higher level of intensive treatment for teenagers who were unsuccessful with an outpatient treatment program in Durham, NC. The good news is that the best insurance companies cover the cost of IOP treatment.
Typical uses of Intensive Outpatient Treatment in Durham, NC
- Transitioning from PHP or RTC
- Need more support than weekly therapy
- Unsuccessful in outpatient programs
Durham, NC Partial Hospitalization Programs for Teens (Adolescent PHP Programs)
Partial Hospitalization Programs for teens from Durham, NC provide a full day of intensive mental health and/or drug addiction treatment in a hospital setting (typically from 8 AM to 6 PM) and then the teen returns home at night. Most Adolescent Partial Hospitalization Programs (PHP) in Durham, NC are designed for troubled teens in need of high-level structure and security in addition to intensive treatment. Partial Hospitalization Programs offer a very high level of intensive treatment (a minimum of eight hours per day, five days per week) and at the same time provide a very high level of supervision. The good news is that most of the best mental health care plans cover PHP treatment.
Adolescent PHP programs near Durham, NC typically provide a multidisciplinary approach to addressing teen’s treatment and academic needs while also providing one-on-one adult supervision. PHP programs for adolescents are perfect solutions for teens who are unable to function without adult supervision. These teens have demonstrated the propensity to make really bad personal decisions including a willingness to harm themselves or others.
Adolescents admitted to Partial Hospitalization Programs go home at the end of the day but continue to receive close adult supervision until they return to the PHP program the following morning.
Typical uses of Durham, NC Partial Hospitalization Programs
- A transition from IOP or RTC
- Need more structure than a typical intensive or outpatient program
- Unsuccessful in intensive outpatient program
Durham, NC Adolescent Residential Treatment Centers and Programs (RTC’s)
Teens admitted to an RTC reside full-time and receive professional therapeutic care and adult supervision 24 hours per day, 7 days per week. Residential treatment centers (RTC) are therapeutic programs for troubled teens and insurance may cover some or all of the mental health and drug treatment services, including; IOP, substance abuse counseling, drug and alcohol treatment, individual and group therapy, family counseling.
Typical uses of Durham, NC Residential Treatment Centers
- Life unmanageable due to mental health and/or addiction issues
- Out-of-control behavioral issues
- Unsuccessful in Partial Hospitalization
Durham, NC Mental Health Resources For Struggling Youth
Durham County – Network Of Care: The Durham Network of Care provides comprehensive information on local services and organizations and a Learning Center dedicated to topics related to health and well-being, as well as the ability to create a confidential and secure Personal Health Record to keep information on helpful services, contacts and your medical history.
Turning Winds is the optimal choice for parents in Durham, NC who are seeking a premier academic institute to offer help for their troubled child experiencing substance abuse (including marijuana), behavioral misconduct, or clinical depression. Since it can be difficult to work with highly resistant teens, most programs rely heavily upon level systems, punishments, and other disciplinary tactics in order to manage a teen’s behavior. Here at Turning Winds, we recognize that the situation of one troubled child may not apply to all of our students.
Turning Winds’s therapists and field staff discourage judgments and labels, and never allow a diagnosis to interfere with what troubled teenagers have in common with each other – their humanity. We have provided assistance to numerous families from all over the nation, including those from Durham, NC; Our experienced therapists offer top-notch therapy toward the path of restoration for teenagers experiencing pain medication abuse/addiction, clinical depression, or academic failure.
Contact Turning Winds today at 800-845-1380 to speak with one of our expert family advocates. They are readily available to answer any questions about our enrollment fees, insurance affiliations, and proximity to Durham, NC. Make Turning Winds and their therapeutic boarding school a life-changing and memorable experience for both your family and your troubled child.