VISITS & FEES

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Visits

The schedule for visits will vary based on the services being provided (i.e. counseling-only vs. medication-assisted treatment, non-intensive vs. intensive, etc.). Regardless, all patients who are enrolled for treatment at Sunrise undergo TB testing on their intake day, which mandates a second visit within 48-72 hours. From that point on, individual counseling sessions are held weekly until the initial assessment and treatment plan is completed at minimum. Groups begin immediately for those patients who are referred to IOP.

Once the patient stabilizes and enters early recovery, the visit interval is gradually increased to every other week and eventually to once every four weeks. Those receiving medication-assisted treatment services will never attend less frequently than once every four weeks for counseling, though the interval for visit with the medical providers will eventually space out to once every 3-6 months. Expectations for attendance can be modified as needed for both clinical and medical services to best support patients in cases of relapse or other life destabilization.

Those requiring additional mental health services will go through a similar process in determining needs for visit frequency, though such visits may become less frequent once stabilized than visits for the co-occurring substance use disorder visits. Pregnant patients are required to visit with the medical providers no less than once a month throughout their pregnancy and for some period of time after delivery. Similarly, patients participating in IOP will have monthly visits with the medical providers until completing that program.

Fees

Sunrise is contracted to provide services for members from a variety of different plans (please see page). In general, whether receiving all services onsite or not, patients with any Ohio Medicaid plan will not have any out-of-pocket expenses. For those with private insurance plans, out-of-pocket expenses will vary based on treatment program (i.e. counseling-only versus medication-assisted treatment, prescription versus dispensing, etc.), type of insurance benefit (i.e. in-network versus out-of-network), and type of insurance plan (i.e. co-pays, co-insurance, deductibles, prescription formulary, etc.).

For those without insurance, the initial charge for our counseling-only program is $200, which includes a comprehensive assessment, TB test and interpretation, and urine screen. If additional mental health services are identified, an initial clinical assessment would be completed for $80 followed by an hour-long diagnostic evaluation done by the psychiatrist for $150. For our medication-assisted treatment program for opioid use disorder, the initial charge is $400, which includes the following:

          Ongoing fees vary based on program and services received:

Additional fees may be incurred by the patient for all blood work done by an outside lab (Quest), any urine testing done by an outside lab (Quest), and medication costs at the pharmacy for filling prescriptions. Sunrise does have a process to evaluate for financial hardship if any costs become prohibitive to entering or continuing treatment.

Payment

Sunrise is a private, self-funded, self-supporting organization. Similar to any other private practice, we rely on billing for services provided to pay all of the bills associated with providing this care. We do not receive funding from any other source (e.g. grant money, charitable donations, or county mental health and addiction boards, etc.). Sunrise is proud of the contracts that we’ve so far been able to obtain with both public and private payers and will continue to pursue additional contracts.

For those without insurance, Sunrise continues to offer our comprehensive services at modest and affordable rates relative to other providers. We do expect all patients to take financial responsibility for their care and to make payment for services that they receive at the time of their visits. For those with especially challenging economic situations, we do have a process to qualify for even lower-cost care due to financial hardship.

All patients seeking healthcare services at Sunrise Treatment Center are assured that they will be served regardless of ability to pay. No one shall be refused service because of lack of financial means to pay. Sunrise shall offer a Sliding Fee Discount Program to all who are unable to pay for their services. Sunrise shall base program eligibility on a person's ability to pay and will not discriminate on the basis of an individual's race, ethnicity, age, color, religion, gender, national origin, sexual orientation, gender identity, status as a parent, physical or mental handicap, developmental disability, genetic information, human immunodeficiency virus status. The Federal Poverty Guidelines are used in creating and annually updating the sliding fee schedule (SFS) to determine eligibility.

If you are in need of financial assistance in paying for services, please fill out the application below:

Sliding Fee Program Application

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