Policy Coverage
Most insurance policies have specific benefits that cover addiction treatment. If your policy doesn’t have them or is one we don’t participate with, know that Tully Hill has a self-pay option.*
When You Call For Treatment
(315-696-6114, ask for Intake in admissions), we’ll ask you about your insurance company and plan, and tell you if it covers treatment at Tully Hill. Tully Hill participates with the following plans:
INSURANCE PARTICIPATION
Tully Hill is a participating provider with the following companies:
❖ Aetna (including Coventry, Meritain, and First Health)
❖ Beacon Health Options (formerly Value Options commercial non-HMO)
❖ Blue Cross Blue Shield of Western NY (participation per home plan status & Tully Hill participation with Excellus plan – Tully Hill technically out-of-network provider)
❖ Blue Cross Blue Shield of Northeastern NY (participation per home plan status & Tully Hill participation with Excellus plan – Tully Hill technically out-of-network provider)
❖ CIGNA
❖ CompPsych (case agreement only)
❖ Corp Care
❖ EmblemHealth commercial non-HMO and HMO (Beacon Health Options-managed)
❖ ELMCO
❖ EMPIRE BC BS (Beacon Health Options-managed)
❖ EXCELLUS BC/BS, other in- and out-of-state BC BS commercial plans only (PPO, EPO, POS, Indemnity, some HMO)
❖ GHI-BMP commercial non-HMO (Beacon Health Options-managed)
❖ Harmony Behavioral
❖ Independent Health (commercial PPO, commercial HMO, NOVA-managed self-funded plans)
❖ Indian Health Services (IHS-Onondaga Nation members only)
❖ Lifetime Benefit Solutions (formerly RMSCO/EBS)
❖ Magellan (Magellan Healthcare Summit and Pinnacle networks, NOT USA IPA network)
❖ Mental Health Consultants (MHC)
❖ MultiPlan (PHCS, Independent Health)
❖ MVP (Health Solutions IPA & Health Solutions, Inc. Networks: EPO/PPO Commercial plans, Student Health Plans & ASO/Self-Funded plans)
❖ Oneida Nation Health Services (uninsured Oneida Nation members only)
❖ St. Lawrence-Lewis Counties’ Employees
❖ St. Lawrence-Lewis Counties BOCES & School Districts’ Plans
❖ Tri-State EAP Services, Inc. Provider Network
❖ UMR (formerly POMCO)
❖ United Healthcare – UBH/OPTUM-managed commercial plans only
Tully Hill does NOT participate with:
Medicaid*, Medicaid managed care or Medicare** or Medicare managed care plans for SUD treatment, including government sponsored exchange plans.
*includes Medicaid derivative plans (HARP/Essential plans), Medicare Advantage plans (MAOs), or Excellus Medicaid plans: HMO Blue Option, Blue Choice Option, Premier Option, Healthy NY A & B, Child Health Plus.
**original (‘straight’) Medicare subscribers with Parts A & B and secondary Aetna, Excellus, Federal BC BS, Empire BC BS-Beacon Health Options, Anthem BC BS, BC BS Michigan, Lifetime Benefit Solutions, and certain MVP commercial plans are eligible for treatment and care at Tully Hill.
WITH INSURANCE,
WE’LL DO ALL THE
WORK FOR YOU
WITH INSURANCE,
WE’LL DO ALL THE
WORK FOR YOU
❖ We’ll verify your addiction treatment benefits and eligibility for treatment.
❖ We’ll estimate and let you know what, if anything, any cost-share(s) will be (based on the level of care needed, length of stay, and our terms with your plan for services and programs).
❖ Deductibles and co-insurance due are collected after all services/programs are rendered.
*DON’T HAVE INSURANCE? We have a self-pay option for our services and programs. Intake Specialists will discuss this option with you. Actual length-of-stay for self-pay stays varies, as they are determined by the level of care needed at evaluation and patient progress in treatment.
