Insurance Verification
Verify Your Insurance
Legacy Treatment Center was founded with a clear mission: to expand access to highly effective care – evidence-based clinical work combined with Wilderness and Adventure Therapy.
While most programs rely on “superbills” that families must submit for reimbursement after treatment, Legacy took a different path. We invested in the licensure and expertise required to pre-authorize and bill insurance directly, dramatically reducing out-of-pocket costs for families.
This approach, now implemented at both Legacy Treatment Center for Men and Juniper Canyon Treatment Center for Women, has already made treatment more accessible for countless families. It’s a shift we’re proud to have led—and one we’re committed to expanding.
Making Wilderness Therapy Accessible To More Families is Our Goal.
Legacy Treatment Center is licensed by the State of Utah as a provider of mental health and substance abuse treatment. Many insurance companies will cover part of the cost of Legacy Treatment Center for medically necessary treatment. Legacy programs have the ability to preauthorize and bill insurance.
Take The First Step Toward Healing And Verify Benefits Today
It is important to understand that the Verification of Benefits (VOB) only verifies benefits (including deductibles and out-of-pocket amounts). It doesn’t commit an insurance company to paying for the client’s treatment. Unlike treatment for an accident such as a broken arm which an insurance company would pay for with limited evidence of need, all insurance companies require highly detailed evidence of need before they will authorize treatment for behavioral health/substance use.
This authorization is based on information provided to them by Legacy Treatment Center. This information is initially provided to the insurance company through an intake assessment form. Legacy and Juniper Canyon clinicians are required to make a case that the treatment is “medically necessary.” Typically, insurance companies are not very helpful. Their criteria for medically necessary is vague and a determination about meeting medical necessity is left up to individual care managers at the insurance company – each who may interpret medical necessity differently. Based on the information provided, treatment at Legacy or Juniper Canyon may or may not be authorized by the care manager. If not authorized, the insurance company will NOT pay for treatment even if the VOB indicates the policy has benefits.
At Legacy Treatment Center, we are proud to have a clinical and administrative staff that routinely goes above and beyond to make sure that insurance companies have every last piece of important information needed to assess medical needs for each client. We conduct each intake assessment and subsequent follow-up assessments with the utmost care and consistency to ensure that all available information is reported so that insurance companies will have every reason to find treatment necessary.