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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.). Most patients will have a second visit within 48-72 hours if started on medication. 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 or PHP.

Once the patient stabilizes and enters early recovery, the visit interval with a Physician or Nurse Practitioner 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, although 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 (at minimum) 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 on-site 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 a Psychiatric Nurse Practitioner or Physician for $150. For our medication-assisted treatment program for opioid use disorder, the initial charge is $400, which includes the following:

• Intake assessment with clinical provider

• SUD history and physical with medical provider

• Urine screen

• Labs drawn by our nurses, or a written prescription may be given to take to a lab of the patient's choosing for a blood count, liver test, tuberculosis test, and/or STD testing

• Initial supply of medication to get to return visit in 2-3 days

• Follow up visit 2-3 days after intake

Ongoing fees vary based on program and services received:

• Opioid Use Disorder being prescribed medications = $50/week (does not include medication or higher-level urine testing); $150/day if in IOP

• Opioid Use Disorder receiving medications on-site = $300/week (includes medication and all levels of urine testing); $210/day if in IOP

• Counseling-Only = $80/session + $10 periodically for urine toxicology screen

• MD/NP Services = $100/visit + $10 periodically for urine toxicology visits (these visits would be for mental health patients requiring medications or for patients requiring transitional general medical services)

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.