If you or your teen is in crisis, call or text 988, or text HOME to 741741.

(919) 335-5053

Understand your coverage before care begins.

Benefits can differ even between plans from the same insurer. We check your specific policy and explain the likely cost before you decide.

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In network

Insurers we're in network with.

We're in network with these plans. Coverage still varies by policy, so we verify your specific benefits and explain your expected costs before care begins.

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Optum
  • TRICARE
  • UnitedHealthcare

Don't see your plan? Check your coverage — we'll verify your specific benefits and let you know what comes back.

What happens when you call

What happens when we check your benefits.

  1. 01

    Call us

    Tell us which insurance plan you have. We’ll tell you what we know about your coverage right away, and what we still need to check.

  2. 02

    We gather the details

    Our admissions team contacts your insurer to verify your benefits and confirm what’s covered for IOP and PHP specifically, before any commitments are made.

  3. 03

    We explain your costs

    We walk you through what your plan covers and what your out-of-pocket costs are likely to be, so you can make the decision with the numbers in front of you.

  4. 04

    You decide

    Once you know the numbers, you decide whether to move forward. If you do, a typical start is three to five days from first contact.

We do not accept Medicaid. Self-pay is available. Call our admissions team for details.

Understanding how your coverage works.

A few terms come up again and again when families call about coverage. Here is what each one means in plain language.

Copay

A flat amount you pay per session or per day of treatment, set by your insurance plan.

Coinsurance

A percentage of the service cost you pay after your deductible is met.

Deductible

The amount you pay out of pocket before your insurance starts covering services.

Out-of-pocket maximum

The most you pay for covered services in a plan year. After you reach it, your plan pays the full cost of covered services.

PHP and IOP often use daily rates or weekly bundles. Weekly outpatient therapy usually bills per session. Our team will walk you through how your specific plan applies to our programs.

Your specific plan

We verify your plan directly.

Network participation and benefits differ from plan to plan and can change. Admissions checks your exact policy and tells you what the insurer confirms.

Check your coverage

Questions to ask your insurer.

If you’d like to check things yourself before you call us, these are the questions to ask.

  • Is Joshua Tree Health in network with my specific plan?
  • Does my plan cover partial hospitalization (PHP) and intensive outpatient (IOP) programs?
  • What is my deductible, and how much of it have I met?
  • Do I have a copay or coinsurance for these services?
  • Is prior authorization required before starting a program?
  • What billing codes will be used? (We can provide these on request.)

What admissions handles with you.

Our admissions team will:

  • Verify your benefits before care begins
  • Explain what your plan covers for PHP and IOP specifically
  • Help manage prior authorization and communication with your insurer
  • Answer questions about copays, deductibles, and what to expect at billing

Not sure where to start? Call us. We’ll figure it out together before anything begins.

Check your coverage

Call (919) 335-5053

Common questions about coverage.

Do you accept Medicaid?
No. We do not accept Medicaid. Self-pay is available, and our admissions team can explain what that would look like for your family.
What if you are not in network with my plan?
Call us anyway. We’ll ask your insurer whether your plan includes out-of-network benefits and explain what comes back. Self-pay is also an option.
How do I know what I’ll pay before we commit to anything?
We verify your specific coverage and walk you through expected costs before your teen starts the program. You’ll know what to expect at billing before care begins.
Does insurance cover both IOP and PHP?
Some commercial plans cover both. Coverage depends on your specific policy, your deductible, and whether prior authorization is required. Our team verifies benefits and can help with the authorization process.
What is prior authorization?
Some plans require approval before they will cover a program like IOP or PHP. Our team submits that request and handles the back-and-forth with your insurer, so you don’t have to manage it yourself.
Can I use my HSA or FSA?
IOP and PHP services are generally eligible for HSA and FSA funds. Check with your plan administrator to confirm how your account applies.
What if insurance only covers part of the cost?
Many families have some out-of-pocket costs, depending on their deductible and coinsurance. We’ll give you a clear picture of what that looks like for your specific plan before care begins.