866-364-2300 ext. 233

Financial

Financial

Yellowbrick encourages all patients, families and/or guarantors to directly contact their insurance company to learn about specific benefit coverage and criteria for medical necessity prior to initiating an assessment or treatment.

Insurance companies determine eligibility for assessment and treatment based on medical necessity. It is imperative that the patient, family, and/or guarantor, as well as Yellowbrick administrative staff, are aware of the criteria applied by your insurance plan. Establishing medical necessity is a prerequisite for accessing your benefits and authorization of your assessment and/or treatment. Even under stress or time constraints it is extremely important to make yourself aware of benefit limitations and any other requirements your insurance company may have.

You may consider requesting that your referring clinician attempt preauthorization prior to your admission. Preauthorization by Yellowbrick with your insurance company may not be accepted as our physicians will not have current clinical information until the assessment has already been initiated. Upon initiating an assessment or admission to treatment at Yellowbrick, Yellowbrick administration will contact your primary insurance company’s Utilization Review Department to request further authorization of professional services at Yellowbrick. When authorization is confirmed, we will continue to engage in the case review process with your insurance company as requested. You will receive a monthly invoice for services from Yellowbrick within the format requested by your insurance company. There are administrative fees for subsequent requests for additional invoices and for copies of medical records.

If your insurance company denies care, Yellowbrick’s staff psychiatrist will participate in one expedited physician peer review. If your insurance company denies authorization of care after the physician peer review, we will, upon your request, continue to support you through further appeals by sending your completed medical record for a standard appeal after discharge. For results of appeals and status updates, we encourage you to contact your insurance company directly. We are typically not notified of post-discharge appeal results nor do we track or follow the post-discharge appeals process. It is the responsibility of the patient, family and/or guarantor to pursue any subsequent appeals options offered by your insurance company once we have submitted your entire medical record for a standard appeal following discharge.

Finally, based on past experience, it is common for authorization and claims reimbursement from insurance companies to be a lengthy process. We are happy to provide the clinical information and documentation required by your insurance company as outlined above. Yellowbrick can provide a “sample bill” for the insurance company to review. Yellowbrick requires payment in full at the initiation of the assessment or admission into any of Yellowbrick’s programs.

Yellowbrick requires the family’s financial commitment of payment for the first 10 weeks of treatment which is due prior to admission. Further payments are monthly in advance as per the evolving prescribed treatment plan.

FAMILIES SHOULD EXPECT TO PAY THE ENTIRE BILL ON A PRIVATE PAY (CASH) BASIS (Fees for treatment at Yellowbrick fall into four separate categories)

  1. Room and Board (Residence only) - This is unlikely to be covered as Yellowbrick is classified as an Intensive Outpatient Program.
  2. Intensive Outpatient Program (IOP) - This type of program is often covered or can be negotiated as an alternative to inpatient treatment which is usually twice the cost. Ask your carrier about and “individual case agreement” option.
  3. Professional Services - Assessment, consultation, psychological testing, individual & family psychotherapy and psychiatric medication treatment. This is usually reimbursed by most insurance plans.
  4. Medications - Insurance plans vary and reimbursement would be unchanged from prior to admission. Families are encouraged to arrange in advance for a secure method of payment to the Walgreens pharmacy nearby Yellowbrick Residence.

 

SERVICES AND FEES

Consultation & Treatment Center: Pricing Schedule Effective 1/1/2016

Programs:

Comprehensive Emerging Adult Assessment   $7950
  1. Comprehensive History by Assessment Coordinator
  2. Yellowbrick Self-report Assessment Questionnaires (14)
  3. Neuropsychological & Cognitive Testing
  4. Personality Psychological Testing
  5. Relationship to Treatment; Medical Director
  6. Neuro-developmental Interview; Director of Assessment Center/Professional Staff
  7. Family Interview; Vice President, Clinical Operations
  8. Psychiatry & Psychopharmacology; Associate Medical Director
  9. qEEG; Quantitative EEG
  10. Phamaco-genomic analysis
  11. Collaboration Conference; Assessment Team, Emerging Adult, Family
  12. Report: Integration of Findings and Recommendations; Director of Assessment Center (4 weeks)
   
     
The Residence
Supported apartment; room, board and support services
  $295/day
     
Life Strategies Program    
Full Program: 5 Groups; 4 1/2 hours/day; 5 days/week   $3475/week ($695/day)
Minimum Daily Program Fee
(Includes Case Management, 24/7 Crisis and Support Services, Yellowbrick Community Activities)
 
  $325/day
Weekend Program   $350/weekend (Sat-Sun)
     
*Trauma Recovery Program (IOP)   $450/Evening
3 Groups; one evening /week   (no additional charge if attends full LSP)
     
*Substance Abuse Services Program (IOP)   $450/Evening
3 Groups; one evening /week   (no additional charge if attends full LSP)
     
*Eating Disorders and Obesity Services (IOP)    
Evening Eating Disorders Program   $450/Evening (no additional charge if attends full LSP)
Eating Disorder RD Supported Meals   $35/meal
Prescribed Community Meals   $75/week
Nutritional Assessment and Initial Menu Planning   $225
     
Center for Clinical Neuroscience    
TMS: Orientation and Calibration   $395
Treatment, per session   $325
TMS: Session No Show   $195
Quantitative EEG (QEEG)   $1200
Neurobehavioral and Cognitive Testing   $1200
Alpha-Stimulation Equipment Purchase   $795
     
Life Skills Development    
Life Skill Assessment OTR   $250/90 minutes
Home Visits, Licensed Staff:   $200/1 hour
Residence Resource Staff   $100/1 hour
Life Skills Counseling OTR   $100/30 minutes
Life Skills Counseling RRS   $50/30 minutes
Purchasing Card   $450/4 weeks
Health Club Membership   $40/month
Personal Training Session   $40/session
     
Core Competence Services    
Core Competence Initial Consultation   $500
Crisis Support Services   $500/month
Crisis and Community Services   $1950/month
Medication Support Service   $35/week (home);
$75/week (Residence)
     
Career Services    
Assessment Screening:   $300
Pre-assessment review of education and career goals    
Myers-Briggs Inventory, and    
Post-assessment presentation of results    
Full evaluation:   $1500
Occupational Evaluation,    
Aptitude testing,    
Modified version of the WAIS-III    
Achievement (WJ-III)    
     
Individual appointments:   $100/30 min; $200/ hour
Education and Career Services Case Management   $50/15 min
     
     
Individual and Family Psychotherapy, Consultation and Rounds:    
David Baron, MD   $300/45 minutes; $400/hour
Dana Bender, OTR/L   $150/45 minutes; $200/hour
David Daskovsky   $225/45 minutes; $260/hour
Bryn Jessup, PhD   $225/45 minutes; $260/hour
Michael Losoff, PhD   $225/45 minutes; $260/hour
Marc Sandrolini, MD   $300/45 minutes; $400/hour
Lucy Turek, LPC, CRC   $85/30 minutes; $170/hour
Jesse Viner, MD   $300/45 minutes; $400/hour
Consultation   $400/60 minutes
Laura Viner, PhD   $225/45 minutes; $260/hour
Elizabeth Wade, PhD/OTR   $150/45 minutes; $200/hour
Betty Wolff, R. ART   $150/hour
Ilene Wynn, RD   $85/30 minutes; $170/hour
Jung Mi Yi, PsyD   $225/45 minutes; $260/hour
Gary Zurawski, LCSW, CADC   $85/30 minutes; $170/hour
Cert. Yoga Instructor   $125/hour
Therapeutic Body Work   $125/hour
Individual Rounds   $325/30 minutes
Family Rounds   $500/hour
Family Therapy   $260/hour
Staff Accompanied   $75/day
Continuous Contact   $35/shift
Family Liaison   $50/10 minutes
     
Cancellation Policy:
No charge if > 48 hours’ notice, full fee otherwise. NOT insurance reimbursable. Au: PT/JV/DMC/ Rev: 12/26/12 AR
     
Medical Records:   $45 fee per request
     
Insurance authorizations:   No charge
     
Insurance appeal Physician letters:   $150
     
Physician support letters:   $75
     
*Specialty IOP evening group program (prescribed).