Insurance & Fees
Insurance Accepted by Walden Behavioral Care
Walden Behavioral Care is “in-network” with many major insurance/managed care companies. We have contractual relationships with the following:
- American Behavioral
- APS Healthcare
- Blue Cross Blue Shield (local and out-of-state plans)
- Beacon Health Strategies (Fallon, BMC, GIC, NHP)/MBHP
- Capital Physicians Group (CDPHP)
- Cigna Behavioral Health
- Commonwealth Care Alliance
- Consolidated Health Plans
- E4 Health
- Health New England
- Heath Plans Inc.
- Managed Health Network (MHN)
- MBHP (Value Options)
- Medicaid – Massachusetts
- Medicare Part A
- Tricare North (MHN) (Inpatient and PHP Only)
- Tufts Health Plans
- Tufts Public Health Plans (Formerly known as Network Health)
- United Behavioral Health
- United Health Care
- Value Options
- Well Sense (Adolescent ED Inpatient Only)
- Wellness Corporation
Walden Behavioral Care has a contract with these companies to provide specific services to members through individual benefit plans. All plans have co-payments and deductibles, and Walden requires payment to cover those charges for which the patient or guarantor is financially responsible. A deposit will be required at the time of admission for services not covered under your plan.
Insurance companies require a demonstration of “medical necessity” before they will authorize treatment, even though the treatment is a benefit covered under the member’s contract. Our admissions team will assess “medical necessity” and make a recommendation about treatment. If the insurance company agrees with our recommendation, the admission will be approved, including the type of service and the number of days authorized for your care. If the insurance company disagrees with our recommendation, it will deny the admission and recommend an alternative level of care. In these situations, the Walden clinician will request an appeal of the decision. This appeal may take days to complete. In such cases, you may elect to pay for the admission recommended by Walden Behavioral Care. A deposit will be required prior to admission. If the insurance company overturns the denial, we will promptly refund your deposit.
If your insurance company does not have a contract with Walden:
Even if your insurance company is not on the list above, you may still qualify for admission into one of Walden’s eating disorder treatment programs.
Walden also accepts “out-of-network” insurance arrangements, which means insurance coverage from companies that do not have a contract with Walden Behavioral Care. Typically, out-of-network insurance will cover only a fixed percentage of the total hospital charges. The patient or guarantor will be financially responsible for the remainder of the charges. Walden Behavioral Care requires a deposit prior to admission to cover any anticipated charges for which the patient or guarantor is responsible.
If you are paying for treatment yourself:
Patients who receive services that are not covered by insurance will be required to sign a letter indicating they or their guarantor are responsible for payment of all fees.
In all cases where services are not covered by insurance, a letter must be signed by the patient or the responsible party indicating that they assume responsibility of payment for all non-covered services.
For admissions information if your insurer is not part of the Walden network, click here. The admission staff will attempt to obtain an individual case agreement with your insurance company. Patients and families can pay for eating disorder treatment privately.