The Koch Center is an out-of-network outpatient provider and does not
contract directly with insurance companies. We have instead chosen to direct our
efforts toward excellence in clinical treatment.
We are happy to help assist you in dealing with your insurance company.
Therefore, we have put together this help-sheet in hopes that it will make the
navigation process easier.
Payment is made directly to the Koch Center at the time of treatment. We
immediately give you a statement to submit to your insurance company for
reimbursement.
It is often helpful to call your insurance company in advance so that you
will be clear about what your out-of-network benefits are.
In the case of our Day Treatment or Intensive Outpatient Programs, you
must ask specifically about coverage for these types of programs as some
insurance companies have specific coverage for these.
Most insurance companies have different pools of benefits for inpatient
vs. outpatient treatment. Additionally, some insurance companies will “flex”
your inpatient benefit to pay for outpatient treatment. For example: You may
have 30 days of unused inpatient benefits and no more outpatient benefits. It is
possible that your insurance company will count each day of inpatient benefit as
3 days of Day Treatment or Intensive Outpatient Treatment. PLEASE REMEMBER: All
insurance companies are different. There is no standard. You must ask about each
specific benefit.