F.E.A.S.T.

(Families Empowered and Supporting Treatment of Eating Disorders)

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Insurance and paying for treatment

Eating disorder treatment requires trained, multidisciplinary clinical support over a long period of time. Paying for eating disorder treatment is, for families living in countries without a national health system, an additional cause of stress. For those with national health systems, going outside the system for specialized care is extremely expensive.

For those with health insurance policies, coverage may be limited or difficult to access. For those without health insurance, or without coverage for mental health care, the price of care can be prohibitive.

In the United States, where rules differ across state lines and between insurance carriers, the situation is complex. Although a federal "mental health parity" law was recently passed, insurance companies can still exclude eating disorder treatment. At present it is up to each family to individuallynegotiate options.

Costs vary widely between clinics and locations, but in the US here are some estimates:
$1,200 USD/day inpatient/residential care (often 6 weeks-3 months)
$300-500 USD/day initial evaluation at a multi-disciplinary clinic
$100-300 USD/hour psychotherapy or nutritionist ongoing hourly appointments

Parents need to know that eating disorders can be treated either as a medical issue (where only emergency stabilization - not treatment to full recovery - are likely to be covered), or a psychological issue (where coverage is often excluded or limited). Since an eating disorder is only technically diagnosable when the patient is significantly impaired, recovery can be stalled if the family is not able to continue to pay for care when the patient is stable; most eating disorder treatment needs to extend long after medical restoration.

In the case of a dispute, parents can contact their state's insurance regulatory agency to seek free assistance. Another resource is local legal aid offices to seek 'pro bono' (free of charge) services.

The price of treatment does not take into account travel costs, phone consultations, and lost wages.

Eating disorders are potentially disabling and deadly conditions. Delay of care, and settling for inadequate care, can reduce the chance of a patient's recovery.

Academy for Eating Disorders Position Paper: Eating Disorders Are Serious Mental Illnesses


News and Links:
  • "Balance Billing" WSJ April 2010
  • Academy for Eating Disorders Position Paper: Eating Disorders Are Serious Mental Illnesses for use with insurance providers
  • Michelle's Law protects college student insurance during medical leave
  • Showing Insurers How to Cover Treatment (2009 NEDA Newsletter)
  • New COBRA changes
  • National Eating Disorders Association fact sheet on COBRA
  • Mental Health Parity legislation passes in the US
  • Overview of the implications of the new Parity legislation for American consumers
  • US Social Security Disability Programs and Evaluation
  • Appealing an insurance claim in the US
  • The Anna Westin Foundation has been a pioneer in pressing for eating disorder coverage
  • National Eating Disorders Association's fact sheets on: Navigating and Understanding Insurance , COBRA , Sample letters , Appeals
  • The Eating Disorders Coalition  is a place for parents to get involved with legislation related to eating disorder coverage
  • New Jersey families fight for coverage
  • Illinois bill would insure eating disorder treatment
  • Gail R. Schoenbach FREED Foundation helps patients get funds for care
  • Understanding your mental health insurance , from the American Academy of Child Adolescent Psychiatry
  • Parents on the Around the Dinner Table online forum discuss winning payment after a denial of coverage
  • Some colleges offer a special insurance for recent students
(Page last edited May 5, 2010)


F.E.A.S.T. 
(Families Empowered And Supporting Treatment of Eating Disorders)

P.O. Box 331  ♦ Warrenton, VA 20188  ♦  USA  ♦   (540) 227-8518  ♦  info@FEAST-ED.org 
 F.E.A.S.T. is registered as a nonprofit organization under section 501(c)(3) of the United States Internal Revenue Code
Information on this site is meant to support, not replace, professional consultation. Unless otherwise noted, content is edited by F.E.A.S.T. volunteers with assistance from our Professional Advisory Panel.

©  F.E.A.S.T.  2008,2009,2010 

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