Insurance Reimbursement for Integrated Residential Integrated System of Care
- If you have out of network benefits through your health insurance, SJ Health Associates will submit for reimbursement benefits on your behalf. Residential Treatment Services are potentially eligible for reimbursement.
- For families with financial need, we can offer a rate reduction. Please contact our Admissions Team to learn more.
The Asheville Community Program is a step-down level of care from our residential programs and is considered private pay. We are unable to bill insurance and rate reductions do not apply at this level of care.
Contact the Admissions Team to learn more.
CooperRiis Asheville
CooperRiis at Asheville, a clinical intensive short-term model, is $950 per day, or the allowable insurance rate if higher, plus a $1,000 one-time incidental fee, which is refunded if not used.
CooperRiis at Asheville is now In Network with Aetna, Cigna and Blue Cross Blue Shield insurances.
Out of network insurance accepted.
We charge the full amount up-front every 30 days for out of network insurance, regardless of estimated insurance coverage, and have a balanced billing process at discharge for any days that were covered.
The program offers short-term programming and promotes stabilization benefitting individuals in early recovery and those experiencing setbacks or recurrent mental health and dual diagnosis challenges through an integrated system of intensive clinical services and independent living skill-building. It also serves as a foundation for recovery in a longer-term residential program. Private rooms and en-suite bathroom, dining and wellness, and fitness included. The fee does not cover the cost of outside physician fees, medications, and supplements, which are billed separately, or transportation fees and personal spending money.
The Farm at Mill Spring
$26,000 per month.
For families with financial need, we can offer a rate reduction. Please contact our Admissions Team to learn more.
For the Farm Extended Care program, monthly tuition is $26,000/month for the initial assessment period and $15,000/month once a resident has successfully transitioned to the new level of care.
The monthly fee covers the cost of a private room and bathroom, dining, community therapeutic services, wellness and fitness programming, and recreation. The fee does not cover the cost of psychiatry services, outside physician fees, medications, and supplements, which are billed separately, or transportation fees and personal spending money.
Residential Treatment Services are potentially eligible for reimbursement through out-of-network insurance benefits. Please note that our rate reduction cannot be applied simultaniously while seeking reimbursement through out of network insurance benefits.
Please contact the Admissions Team to learn more.
Asheville Community Program
Level B: $12,500 per month
Level C: $4,000 per month
Blue Cross Blue Shield In-Network Insurance
We are in-network with Blue Cross Blue Shield at our CooperRiis at Asheville residential program. If you have Blue Cross Blue Shield insurance from another state, please don’t hesitate to contact us. We can assist you in checking whether your state offers reciprocity for in-network status.
We are also working with Blue Cross Blue Shield Federal Employee Program. To learn more about BCBS FEP, visit their official website here.
Your insurance coverage matters to us, and we’re here to help you navigate it effectively. Contact Admissions at 828-771-9001 or Admissions@CooperRiis.org for more about the insurances we work with and how to apply.
Important Information Regarding Insurance Coverage
Insurance coverage for residential care varies based on medical necessity, with most plans authorizing approximately 3 to 4 weeks. However, authorization does not guarantee full coverage or reimbursement at 100% of the allowable rate. Families may still be responsible for costs not covered by insurance, including deductibles, co-insurance, or other patient liabilities. We encourage families to consult with their insurance provider for detailed benefit information.
