Twin Town: In-Network Insurance Contracted, Preferred Treatment Provider
During the course of an assessment at Twin Town, insurance coverage can be verified and an estimate of the self-payment portion of treatment will be explained. Many insurance plans require self-payment of a deductible or a co-payment amount and Twin Town can offer interest-free payment plans. Cost should not become a road-block to recovery.
Twin Town counselors will “authorize” use of behavioral health benefits with the appropriate insurance representative when necessary. In such cases, access to and continued treatment for a substance use disorder are covered only if the insurance representative approves the treatment provider and plan.
If insurance is not going to be used to cover the costs of treatment, Twin Town is one of the lowest cost providers, providing some of the most flexible payment planning available.
California Senate Bill 855 requires that addiction (substance use disorder) treatment is covered by medical insurance under the same standards as are bio-medical conditions. In 2019, forty-eight (48%) of Californians were covered by large group, employer commercial insurance plans, seven percent (7%) were covered by individual commercial plans and twenty-five percent (25%) were covered by MediCal. Eleven percent (11%) Californians were covered by Medicare which is exempt the requirement to cover addiction treatment.
Unfortunately only thirty-eight (38%) percent of Californians with diagnosed addiction (substance use disorder) initiated treatment and only thirteen percent (13%) continued with treatment.
Twin Town is a contracted and preferred provider for PPO, HMO, EPO insurance plans, managed care companies and employee assistance programs.
Anthem Blue Cross provides the greatest amount of (15%) large-group, network-model and (47%) administrative-services-only coverage in California and provides fourteen percent (14%) of network-model commercial coverage in California. More network-model covered Californians have an Anthem Blue Cross than any other.
Blue Shield of California has become the largest network-model commercial insurance carrier in California (17%). Its HMO/ POS plan received positive customer satisfaction. Blue Shield PPO behavioral health benefits are managed by MHSA/ Magellan Health.
United (Optum, Oscar) provides five percent (5%), Centene/ HealthNet four percent (4%) and CVS/ Aetna three percent (3%) network-model commercial insurance coverage in California. Centene/ HealthNet provides ten percent (10%) of the corresponding individual plans.
Cigna provides three percent (3%) of California’s large-group, network model commercial insurance coverage. LA Care and Molina provide both commercial and Medi-Cal managed care coverage in Los Angeles County.
Twin Town’s contracts include the following insurance/ managed care/ employee assistance companies:
Aetna (CVS), Anthem Blue Cross, APS Health Care, APWU Health Plan, Beacon Health Options, Behavioral Health Systems, Blue Shield, Cigna, Comp Care, ComPsych, Coventry, Foundation for Medical Care, HealthCare Partners, HealthNet (Centene), Holman Group, ILWU, Integrated Health Plan, Interface EAP, HealthSmart/ Interplan, Lifesynch, LA Care, Magellan, Managed Health Network, Molina, St. Joseph Heritage, Tri-Care, United (Optum, Oscar).