Insurance & Payment

Most Commercial Insurance Accepted

Pyramid Family Behavioral Healthcare is in-network with all BlueCross BlueShield plans. We partner with a variety of commercial insurance plans, and we accept self-pay clients.  Unfortunately, we do not accept Medicare or Medicaid at this time.

 

Understanding Insurance

A foundational principle of Pyramid Family Behavioral Healthcare is to provide a value-based program by offering more sophisticated clinical programming, lower client-to-staff ratios, experienced and competent clinicians, superior customer experience and an environment that is conducive to healing. Pyramid Family Behavioral Healthcare’s program is covered by most commercial health insurance plans. While PFBH is not contracted as an in-network provider, we will work with all commercial policies by following the plan’s guidelines related to pre-certification, concurrent clinical reviews and billing and coding to maximize the coverage of a treatment episode on behalf of clients and families. This helps alleviate the financial cost of treatment.

It is the policy of Pyramid Family Behavioral Healthcare to provide a cost estimate prior to any client’s enrollment in programming. We want to be honest and transparent to prevent creating any financial hardships for families. Families should understand that there can be some variables associated with estimating costs based on the accuracy of information provided to us at the time of benefits verification. As a safeguard, we do verify benefits twice to increase the accuracy rate of benefits information quoted to us. Our verification process is very thorough and we know what questions to ask to help guide you in the decision-making process.

Costs will depend on your anticipated length of stay, which can range from 6 – 12 weeks. Most clients use some combination of private pay and insurance benefits to cover the costs of program fees and professional services.

In addition, the certification of treatment days by the carrier is based on their own criteria and not that of Pyramid Family Behavioral Healthcare. There can be occasions when the carrier will no longer certify treatment days with little notice. When this occurs, families are informed immediately so they can decide how to proceed.