Who we work with, and what you should know about your insurance coverage and how to get help
EDTC accepts most behavioral health insurance plans for our counseling services. We understand that treatment for eating disorders and other behavioral health issues can sometimes create a financial burden. David Keys, our Client Services Representative, will be happy to help you verify your insurance benefits and determine your portion of the cost for our services. EDTC will file insurance claims for you with your primary, and in some cases, secondary insurance provider. Our Patient Accounts Manager, Charli York, will work with you to resolve claim disputes with your insurance if necessary. However, clients (or their designated financially responsible party) are ultimately responsible for payment for services provided. To help our clients get the help they need, we are contracted as in-network behavioral health counseling providers with the following Albuquerque area and national insurance companies:
Intensive Outpatient Programs
Many of the insurance providers in the Albuquerque area provide significant financial support for EDTC’s Intensive Outpatient Programs for eating disorders. IOPs are a very important and proven successful type of treatment program. Some insurance plans require a single case agreement prior to the start of the program and we have been successful in getting these agreements approved. Also, in keeping with our philosophy for treating those in need who do not have insurance benefits, or have limited coverage for behavioral health, we can work with our clients to arrange financing plans for this program too.
In most cases, EDTC can also accept your health insurance plan for nutrition counseling sessions. We are contracted for nutritional services and counseling as in-network providers with the following commercial insurance plans:
Nutritional Services are considered a Medical not Mental or Behavioral Health service by most insurance companies. Our Client Services Representative can work with you to determine if Nutritional Services can also be covered as an out-of-network benefit under other insurance companies.
Unfortunately, Registered Dietitian Services are not a covered benefit under any of the Centennial Medicaid Insurance Plans in New Mexico.
We can still help if your insurance is not one of those listed above
EDTC can submit claims for our services on your behalf as out-of-network providers for most of the other major insurance carriers. Some of the other insurance carriers we work with as an out-of-network provider are:
- United Health Care
- Unity Health Insurance
- Educational Markets
- Care Improvement Plus
- HealthSmart Preferred
- Regional Care Inc.
- UNM Student Health Plan (AIG)
Please check with your insurance provider to verify your personal coverage benefits, and don’t hesitate to contact us for help in working with your provider if you need it!
Additional Financial Assistance for those in need
We understand that treatment for eating disorders and other behavioral health issues can sometimes create a financial burden if the patient has no insurance benefits, or limited benefits for eating disorder treatment. EDTC has partnered with American HealthCare Lending to provide an option for patients and/or patient families to borrow money needed for the cost of treatment. Click on the link below to be taken to the American HealthCare Lending website to submit a no-obligation inquiry for financing.
Please do not go without the treatment you need because of money. For those with no insurance, or those having an insurance policy with a very high deductible and/or copayment amount, or those in need of financial assistance for other reasons, we have therapist interns who can help you for a nominal fee. Our interns are carefully screened, highly competent graduate students or recent graduates in Clinical Counseling working directly under the supervision of Holly Finlay, our Clinical Director.
We can work out affordable payment options for clients who do not have behavioral or mental health insurance benefits, or choose to pay out of pocket.
For more information about EDTC Insurance Payment Policies and other insurance, financing, or other payment related questions, please call David at 505-266-6121, ext 1.