Yes. Galen Hope accepts insurance for mental health and eating disorder treatment. We are in-network with ComPsych, Claritev (formerly called Multiplan), Aetna, and Optum/UnitedHealthcare plans. We also work with many out-of-network insurance providers and offer benefit verification to help you understand your options.

What insurance plans does Galen Hope accept for eating disorder and mental health treatment?

Galen Hope is currently in-network with ComPsych, Multiplan, Aetna, and select Optum/UnitedHealthcare plans. Through our Optum contract, we may also be able to work with commercial plans such as UnitedHealthcare, AvMed, and Oscar. We also support many clients through out-of-network benefits with providers like Blue Cross Blue Shield (BCBS), Cigna, First Health, and others. To determine how your specific plan may apply to treatment, please contact us for a complimentary insurance verification.

Can I use out-of-network insurance to pay for treatment at Galen Hope?

In some instances, we can accept out-of-network (OON) as full payment while in others, we provide a scaled partial payment. This may also be connected with your out or pocket max, as well as co-pays and co-insurance. The degree to which out of network benefits cover the full cost of treatment varies greatly from policy to policy. In some instances it can serve as full payment, while others may cover a portion. In all cases, individuals using out of network benefits will be subject to paying their out-of-network deductible and other fees such as the out of pocket max, co-insurance or co-pays as dictated by your insurance policy.

Does Galen Hope help verify insurance benefits for treatment?

Absolutely. We offer free insurance benefit verification to help you understand what your policy may cover before you begin treatment. We aim to provide full transparency around coverage and any potential out-of-pocket costs.

Can I get a Single Case Agreement (SCA) for treatment at Galen Hope?

When clinically indicated and appropriate, we pursue Single Case Agreements (SCAs) to help families access in-network-level coverage with an out-of-network provider. Our team advocates on your behalf and provides clinical documentation to support the request. We encourage you to call us so that we can determine if a SCA is warranted.

What happens if my insurance stops covering treatment early?

If your insurance coverage ends unexpectedly and we believe the denial of care is not in your best clinical interest, our team will work directly with your insurance carrier to appeal the decision. You will receive timely notification of any changes in authorizations for care in order to explore financial options and clinical recommendations to help minimize any disruption in care.

How can I find out what my insurance covers for eating disorder or mental health treatment?

Our admissions team will assess your insurance policy, the recommended level of care, and your treatment location to give you a clear understanding of what your plan is likely to cover. We’ll guide you every step of the way.

Are insurance benefits different depending on where I live?

Yes. Insurance coverage may vary by state and plan type. We consider your plan’s regional requirements when evaluating your benefits.

Will I know my treatment costs before starting at Galen Hope?

Yes. Before admission, we’ll walk you through all anticipated costs, including what insurance is likely to cover and any out-of-pocket expenses, so there are no surprises.

Can Galen Hope help me understand my insurance coverage?

Yes. Our experienced admissions team will break down your policy, explain your mental health or eating disorder benefits, and help you make the most informed decision possible.