Insurance Coverage for Rehab in Nashville, Tennessee

In-Network vs. Out-of-Network Insurance for Rehab

Understanding in-network and out-of-network providers can help manage the cost of rehab and ensure that the appropriate care is accessible. The key differences between in-network and out-of-network are: 

• In-Network Providers: Doctors, hospitals, and other healthcare providers have a contract with the insurance plan and agree to a discounted rate for their services, which leads to lower out-of-pocket costs for the policyholder. 
• Out-of-Network Providers: Doctors, hospitals, and other healthcare providers have not signed a contract with insurance plans to be part of their network, which can result in the policyholder paying the difference between what the insurance covers and what the provider charges. 

To confirm that your insurance provider is in-network or out-of-network with Tree House Recovery, contact your insurance company directly or call our admissions team to ask if your policy covers the rehab cost in Nashville. 

Single Case Agreements: How to Go Out-of-Network with an In-Network Policy

If an individual struggling with addiction cannot access the same or comparable treatment through an in-network provider, a Single Case Agreement (SCA) may help bridge the gap in care. An SCA contract between an insurance company and an out-of-network provider typically authorizes treatment for a defined period at a negotiated rate. ²

It’s important to understand the agreement’s terms before requesting an SCA for an out-of-network addiction treatment center in Nashville. These may include confirmation procedures, approval of specific services, billing guidelines, payment rates, and the duration of covered care.

Although the approval process for an SCA can take time, securing the most effective treatment for you or your loved one is crucial for building a strong, lasting foundation for recovery. Our admissions team can help you begin the process of requesting an SCA.