APS Healthcare Eating Disorder Coverage

Eating disorders are a serious mental illness that can be dangerous or even deadly if left untreated. Yet, as is true for many mental disorders, seeking treatment for these conditions may be difficult, on a number of levels.

Care for eating disorders can be lengthy and expensive. People may deal with the negative stigma attached with seeking care. And some types of insurance coverage may not extend to mental health disorders, including eating disorders such as anorexia nervosa (AN), bulimia nervosa (BN), or binge eating disorder (BED).

Still, if you have health insurance coverage through APS Healthcare, you may be eligible to receive coverage for several types of treatment for these conditions.

What is APS Healthcare?

APS Healthcare is an organization focusing on behavioral health. Their services provide access to mental health programs in partnership with certain insurance plans.

APS currently serves over 1.3 million people through its provider network, which is comprised of more than 1,000 health professionals. [1]

Since its start in 1999, APS Healthcare has grown to provide a comprehensive management system for behavioral health care and coverage, including call centers for providers, pharmacy, case management, and a network of 16 APS clinics. [1] This extensive system allows faster and more fluid communication between their specialists, helping APS provide the most comprehensive care possible.

Does APS Cover Eating Disorder Treatment?

Yes. APS offers coverage for behavioral and mental health services, including the treatment of eating disorders.

Still, it’s important to note that APS is not a standalone health insurance plan. Rather, the company works in conjunction with state and private insurance providers to expand access to care and services.

Specifics of what the company will help cover depend on a number of individual factors, though APS generally works to provide outpatient treatment and inpatient programs for treating eating disorders, as well as ongoing support for patients who have already received treatment and entered recovery.

What Will APS cover?

While APS provides treatments, coverage is determined on a case-by-case basis.

In general, however, APS will provide:

• Mental and physical health evaluations
• Psychotherapy sessions
• Pharmacology, or medication-based treatments and services
• Nursing services

The company may also assist you with case management, and will offer some types of inpatient and outpatient treatments at their rehab centers.

What does APS not cover?

APS is geared toward providing public healthcare services that expand affordable care to everyone. As a result, the company covers many types of basic treatment options, but specialty care or facilities may not be covered.

Generally, more “luxury” facilities for eating disorders are not covered. And treatment that is deemed not medically necessary may also not be eligible.

To determine if specialty treatments are covered under your plan, you should talk to your physician and consult APS.

How Does APS Work?

APS is not a standalone insurance provider. The company works instead to help connect patients to viable treatment programs.

You do not need an active insurance plan to use APS services, as they accept cash payments. However, if you do not have an insurance plan and can not afford out-of-pocket costs, the first step is to find a plan that works for you.

The best resource for obtaining insurance is the plan finder at HealthCare.gov. If you cannot obtain insurance, financial assistance programs are available and can be found at CMS.gov.

If you have an insurance plan, then you will need to call the service number on the back of your card to find out if your plan works with APS Healthcare. If they do, the next step is to call APS and determine treatment options based on your current healthcare plans.

Out-of-pocket costs and care options will depend on your insurance provider and how APS works with them. While APS works with most insurance providers, there may still be gaps in coverage. If there are remaining gaps in your coverage, then additional assistance programs may be helpful.

How to Start Treatment Using APS

Beginning the treatment process through APS is simple.

You can start out on the company’s contact page, which can be found through the dropdown menu at the top of the website. From there, APS has a form that asks for basic information. Filling it out and sending it in will start the process, and you should be contacted by a representative who can offer you further information.

The website also has a contact phone number to call for more information. It’s important to note, however, that this service is only available during business hours.

APS Treatment Centers

If you prefer to do things in person, you can always go to a clinic directly, and ask them if they work with APS. This may prove to be a hassle, however, if the clinic is not in the APS network.

APS works with a number of different rehab centers and clinics, which can help you receive necessary treatment for an eating disorder.

For help determining the best clinic for you, you can scroll through the options offered on the contact page. Once you have initiated contact, APS will help you get the best treatment possible.

Finding Help for Eating Disorders

If you or a loved one is suffering from an eating disorder, it’s important to seek out care as soon as possible. These conditions can cause numerous health problems, or even lead to death if left untreated.

If you don’t have access to health insurance or have struggled with healthcare in the past, APS may be able to help. Through APS Healthcare, you may be able to obtain the eating disorder treatment you need.

The infrastructure within APS allows individuals who may otherwise experience barriers to care find help more easily. The service also helps expand coverage for those who may otherwise be unable to afford it.

APS focuses on offering the type of comprehensive treatment needed to address not just the physical effects of eating disorders, but the mental symptoms, which can be equally as devastating. With this type of care, it is possible for you or your loved one to seek out the road to recovery, and start building a healthier and happier future.

Resources

APS Healthcare. (n.d.). APS Healthcare. Accessed March 2023.

Published on May 20, 2023 Published on EatingDisorderHope.com