Online IOP for College Students and Emerging Adults in MA
Treatment Costs
At the Austen Riggs Center, our approach to treatment is tailored to the needs of each individual, and as a result, each patient’s costs vary accordingly. We work on an out-of-network basis with insurance, and many of our patients are able to utilize reimbursements to help finance treatment, in some instances getting full coverage.
Treatment Costs
Riggs offers a range of treatment programs, and the total length of stay can run from six weeks to a year or more. The median length of treatment is approximately five to six months. Depending on the program, the cost of the six-week evaluation and treatment phase ranges from $78,000 to $84,000*, which includes an admission consultation fee of $2,000. A refundable payment of $50,000 (applied to the cost of treatment) is required on the day of admission. We encourage you to contact our Admissions team for specific information.
As you can read below, most of our patients with out of network benefits are able to utilize partial reimbursements from insurance to help finance treatment. Generally, the cost of treatment for patients who remain at Riggs for a few months averages $1,300 per day. Patients remaining in treatment for longer periods of time, when clinically indicated, may step down to less costly treatment programs that are less intensively staffed. Our all-inclusive fees cover room and board, individual psychotherapy sessions four times a week**, pharmacotherapy, clinical casework and family work (if indicated), nursing care, fitness classes, access to our Therapeutic Community Program and Activities Program, and more. Download the PDF for details.
* As of 7/1/24; subject to change
** On occasion, due to holidays or therapist absences, interim therapy sessions occur two times a week
View our Program Rate Schedule or download it below:
Financial Assistance
Over the past five years, Riggs has provided $5 million in financial assistance and discounts. The Center offers financial assistance based on need after review of the resources available in the context of the patient’s treatment plan. The financially responsible party may complete a Financial Assistance Application prior to admission or at any time during treatment. After considering all relevant factors we may provide financial assistance of up to 35%.
In the event of a sudden change in financial resources, patients may re-apply for termination phase financial assistance, which may exceed 35% for brief periods. Financial assistance is not retroactive but may be offered from the date of filing a completed application. Therefore, we encourage the responsible party to complete the application as soon as possible. Failure to keep an account current without a mutually agreeable payment plan will jeopardize financial assistance.
For accounts not receiving financial assistance, the Center offers a 3% prompt payment discount when payment by check or wire transfer is received by the 10th of the month.
For more information or to obtain a Financial Assistance Application, contact patient billing at 413.931.5207 or our Admissions office at 800.517.4447. For answers regarding the application process, please contact Director of Finance, Melissa Agosto at 413.931.5286.
View our Financial Assistance Application or download it below:
Health Insurance Coverage
The Austen Riggs Center is not an “in-network provider” with any health insurance plans and is not eligible for Medicare or Medicaid reimbursement; Riggs is largely self-pay. However, we work aggressively to help families and patients obtain reimbursement from their insurance plan. As a result, more than 90% of patients with insurance policies offering out-of-network benefits receive coverage to support some of the cost of treatment. On average, these patients are approved for 60-90 days of coverage (60 = median number of days, 90 = mean number of days). Payment is typically based on the insurance companies’ "usual and customary" daily rate.
Your responsibilities:
- Know your policy’s benefits and limits, including whether your plan covers out-of-network residential treatment for behavioral health problems and if preauthorization is required before they will approve admission
- You may consider asking your referring clinician to write a letter supporting the need for residential treatment
- Prior to admission, contact your insurance company to inform them of your potential admission and authorize contact with Austen Riggs
- (If/when denied after initial authorization) Initiate and manage the insurance appeals process*
* It is your responsibility to (1) provide your insurance company a written request for an appeal; (2) sign a release for medical records to be sent to your insurance company; and (3) you may opt to request a letter of medical necessity from your therapist.
Our responsibilities: To the best of our ability, we will:
- Request preauthorization from your insurance company (within 48 hours) after the initial admission consultation and subsequent admission to Riggs; we cannot request preauthorization if: (1) new insurance becomes effective during ongoing treatment, and/or (2) your policy has no out-of-network residential benefit
- Notify you in writing if preauthorization is approved, and participate in ongoing utilization reviews as directed by your insurance company for as long as coverage is authorized during your stay
- Conduct a doctor-to-doctor peer review with the insurance company if preauthorization is denied; if this results in a second denial, Riggs will notify you in writing, after which it is your responsibility to pursue any further appeal**
** If requested, we can be of limited assistance in the appeals process, such as by providing supporting documentation or copies of medical records, but we do not track the appeals process and are not notified of its outcome.
Note: Upon request, Riggs will submit claims directly to the insurance company for days that are pre-authorized for coverage by insurance. When insurance denies coverage, claims are no longer submitted by Riggs. You and/or the financially responsible party are responsible for keeping the account current. Insurance payments received by Riggs are credited to your account; if there is a credit balance at discharge, it is returned to the financially responsible party.
View our Financial Assistance Policy or download it below: