You can pay $60,000 ($60K) per month in Malibu or West Palm Beach, $37K “Out-of-Network” from your insurance, $14K “In-Network” with your insurance coverage, or you can simply pay whatever your deductible and co-payment is for an average of twenty-five substance abuse/ addiction sessions at Twin Town Treatment Centers. Once an average of twenty-five billed sessions is complete, Twin Town provides four additional months of aftercare.
If you paid out of pocket, a five (5) month episode of substance abuse/ addiction treatment at Twin Town Treatment Centers would run approximately $4.5 K.
Optum Health, a nationally recognized behavioral health managed care organization published a white paper, which states the following:
“Sensing both demand for services and higher rolls of young adults on their parents’ insurance, entrepreneurs have opened new centers for treatment of substance use disorders. Many of these are in “destination” locales, in states far from patients’ homes. In our estimation, however, those are often not the most appropriate or effective settings for treatment for these reasons:
- When individuals can be treated for a substance use disorder in or near their home communities, they often stand a better chance of long-term recovery. Their families and close friends can be part of their recovery, and the individuals in treatment learn how to be sober in the surroundings where they will continue their lives.
- Close analysis of claims from some treatment centers bears witness to questionable practices in treatment protocols and in billing patients, families and their insurance companies. A particular area of abuse is in the use of and billing for drug screenings through laboratory tests that are being administered inappropriately, far more frequently than required, at rates well beyond the usual and customary charges.
CLAIMS COSTS FOR SUBSTANCE USE DISORDER TREATMENT IN FLORIDA
The costs of treatment in out-of-network facilities were, on average, three times higher than the costs of treating at in-network facilities.
Nearly 75 percent of the cases of young adults treated in Florida involved individuals who were not residents of that state.
Individuals from outside the state treated at out-of-network facilities were readmitted at higher rates — between 11 percent and 40 percent higher, depending on level of care — than Florida residents who used in-network facilities.
CLAIMS COSTS FOR SUBSTANCE USE DISORDER TREATMENT IN FLORIDA 18- TO 25-YEAR-OLD DEPENDENTS:
Out-of-Network (63% of members) per member $36,645
In-Network (27% of members) per member $13,692.”