INSURANCE NAVIGATION PROGRAM

The current healthcare system in the United States routinely unfairly denies coverage for treatment at the clinically appropriate level of care that someone struggling with an eating disorder needs to recover.  Project HEAL’s insurance navigation specialists and Insurance Resource Hub help individuals understand their often confusing insurance benefits and advocate to get their treatment covered. Investing in insurance navigation allows us to exponentially increase the number of people we can help access treatment each month and enables more people to utilize the benefits that they are entitled to by law.

Individualized case management and advocacy
with insurance includes:

  • Help understanding your insurance plan & benefits

  • Guidance on Single Case Agreements and Insurance Appeals

  • Support getting new insurance on ACA marketplace

  • Referrals for in-network providers

Access the Insurance Resource Hub! Includes self-led learning about:

  • Commonly used Health Insurance language

  • ED Insurance FAQ

  • ED Treatment Levels of Care

  • Single Case Agreements

  • Appealing Insurance Denials

  • Advocating for Treatment with Medicaid

  • Medicaid Treatment Centers

  • Legal Support for ED Litigation

An ambassador shares how project heal impacts their healing journey:

“Project HEAL is doing amazing things. Their network of resources is so incredible and accessible. I was so alone when trying desperately to get help. I truly hope that equitable access to quality care becomes the standard of eating disorder treatment, but I know we have a long ways to go. Project HEAL is making great strides to close the gap every day, and I am so honored to be a part of it.”

Barriers broken down by this program:

  • Lack of knowledge about insurance and U.S. healthcare system

  • Different language used by different insurance plans

  • Lack of in-network facilities

  • The vastly different benefits available between private and public insurance plans

  • Unfair insurance denials

  • Premature discharges

  • “Medical instability” requirements for intensive care

  • Uninsured individuals unsure how to enroll in insurance

  • Language barriers