Policy Coverage
Most insurance policies have specific benefits that cover addiction treatment. If your policy doesn’t have them or is one we don’t participate with, know that Tully Hill has a self-pay option.*
When You Call For Treatment
(315-696-6114, 800-456-6114, ask for Intake in admissions), we’ll ask you about your insurance company and plan, and tell you if it covers treatment at Tully Hill. Tully Hill participates with the following plans:
INSURANCE PARTICIPATION
Tully Hill does NOT participate with Medicaid*, Medicaid managed care or Medicare or Medicare** managed care plans for Inpatient SUD treatment. We do participate with (straight) Medicaid but only in our outpatient programs and services.
Tully Hill is a participating provider with the following companies:
❖ Aetna (including Coventry and First Health)
❖ Beacon Health Options (formerly Value Options) commercial non-HMO
❖ Blue Cross Blue Shield of Western NY (participation per host plan status & Tully Hill participation with local Excellus plan – Tully Hill technically out-of-network provider)
❖ Blue Cross Blue Shield of Northeastern NY (participation per host plan status & Tully Hill participation with local Excellus plan – Tully Hill technically out-of-network provider)
❖ CIGNA
❖ CompPsych (case agreement only)
❖ Corp Care
❖ EmblemHealth commercial non-HMO and HMO (Beacon Health Options-managed)
❖ ELMCO
❖ EMPIRE BC BS
❖ EXCELLUS BC/BS, other in- and out-of-state BC BS commercial plans only (PPO, EPO, POS, Indemnity, some HMO)
❖ GHI-BMP commercial non-HMO (Beacon Health Options-managed)
❖ Harmony Behavioral
❖ Independent Health (commercial PPO, commercial HMO, NOVA-managed self-funded plans)
❖ Indian Health Services (IHS-Onondaga Nation members only)
❖ Lifetime Benefit Solutions (formerly RMSCO/EBS)
❖ Magellan (Magellan Healthcare Summit and Pinnacle networks, NOT USA IPA network)
❖ MagnaCare
❖ MultiPlan (PHCS, Independent Health)
❖ MVP commercial non-HMO and HMO (Beacon Health Options-managed)
❖ Oneida Nation Health Services (uninsured Oneida Nation members only)
❖ St. Lawrence-Lewis Counties’ Employees
❖ St. Lawrence-Lewis Counties BOCES & School Districts’ Plans
❖ Tri-State EAP Services, Inc. Provider Network
❖ UMR
❖ United Healthcare – UBH/OPTUM-managed commercial plans only
*including any Medicaid derivative plans (HARP or Essential plans), Medicare Advantage plans (MAOs), or Excellus Medicaid plans: HMO Blue Option, Blue Choice Option, Premier Option)
**original (‘straight’) Medicare subscribers with Parts A & B and secondary Aetna, Excellus, Federal BC BS, Empire BC BS-Beacon Health, Anthem BC BS, BC BS Michigan, Lifetime Benefit Solutions, and certain MVP commercial plans are eligible for treatment and care at Tully Hill.
HOW YOU AND YOUR INSURER WOULD SHARE THE COSTS
Annual Plan Example:
WITH INSURANCE,
WE’LL DO ALL THE
WORK FOR YOU
WITH INSURANCE,
WE’LL DO ALL THE
WORK FOR YOU
❖ We’ll verify your addiction treatment benefits and eligibility for treatment.
❖ We’ll estimate and let you know what, if anything, any cost-share(s) will be (based on the level of care needed, length of stay, and our terms with your plan for services and programs).
❖ Deductibles and co-insurance due are collected after all services/programs are rendered.
*DON’T HAVE INSURANCE? We have a self-pay option for our services and programs. It’s based on our service and program charges and is capped at a set fee (it is not pro-rated over the number of days in treatment). For self-pay stays, we charge most of this fee at admission and the remainder at discharge. Intake Specialists will discuss this option with you. Actual length-of-stay for self-pay stays varies, as they are determined by the level of care needed at evaluation and patient progress in treatment.
