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.
- At the beginning of the third month residents are eligible for a rate reduction. Payors/Family members must apply for a rate reduction through the Finance Office.
The Partial Hospitalization Program . We accept out of network benefits and have cash pay as an option. We are in network with Aetna, Cigna, United Healthcare, and *Blue Cross Blue Shield of North Carolina insurances.
*We are in-network with Blue Cross Blue Shield of North Carolina at our CooperRiis at Asheville residential program and our Partial Hospitalization Program, “PHP”. 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. Your insurance coverage matters to us, and we’re here to help you navigate it effectively.
The Asheville Community Program 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 of North Carolina 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 the first two months.
In the third month of residency, individuals may apply for financial aid through the CooperRiis Rate Reduction Program.
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.
Asheville Community Program
Level B: $12,500 per month
Level C: $4,000 per month
The Partial Hospitalization Program – Now Open
In network with Aetna, Cigna, United Healthcare, and *Blue Cross Blue Shield of North Carolina insurances.
Out of network benefits accepted, cash pay available.
Contact the Admissions Team to learn more.
*Blue Cross Blue Shield of North Carolina In-Network Insurance
We are in-network with Blue Cross Blue Shield of North Carolina at our CooperRiis at Asheville residential program, and our Partial Hospitalization Program, “PHP”. 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. 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.
Financial Aid through the CooperRiis Rate Reduction Program
For the third month of residency at the Farm in Mill Spring, a resident may apply for financial aid through our Rate Reduction Program to help cover the monthly fee. A resident’s support of financial assistance will be re-assessed every six months. Contact Admissions at 828-771-9001 or Admissions@CooperRiis.org for more about our Rate Reduction Program and how to apply.
