Understanding Your Coverage
At Eastern Grove Support, we understand that questions about insurance and payment can add stress when you or someone you care about is seeking treatment. Our team is available to help you understand the insurance verification and authorization process before services begin.
Insurance Coverage
Eastern Grove Support works with Medicaid managed care organizations and other applicable funding sources based on the services being requested and current contractual participation.
Insurance coverage varies by plan, service, eligibility, medical necessity, and authorization requirements. Acceptance of an insurance plan does not automatically guarantee coverage or payment for services.
Current insurance plans accepted by Eastern Grove Support may be displayed here.
Residential Treatment Services
Outpatient Therapy Services
Insurance Verification
Before admission, our team will verify available insurance information and determine whether authorization is required for the requested service.
You May Be Asked to Provide:
Prior Authorization
Some behavioral health and substance use treatment services require authorization from the individual’s health plan before services can begin or continue.
When authorization is required, Eastern Grove Support will work with the individual, referral source, healthcare provider, and/or health plan as appropriate to obtain the information necessary to request authorization.
Authorization decisions are made by the applicable health plan and may be based on eligibility, medical necessity, clinical documentation, and other coverage requirements.
What If My Insurance Changes?
Please notify Eastern Grove Support as soon as possible if your insurance coverage changes before or during treatment. Changes in insurance, eligibility, or managed care enrollment may affect authorization or coverage for services.
Not Sure Whether Your Insurance Is Accepted?
Contact our team before submitting or completing an admission. We can review your insurance information and help you understand the next steps.
Please have your insurance card available when contacting us.
Ready to Take the Next Step?
Our team is here to make the process as straightforward as possible.
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