If My Insurance Only Partially Covers Rehab, How Can I Pay the Remaining Balance?

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Understanding Partial Insurance Coverage for Rehab

When deciding to seek treatment one of the first questions many people ask is whether their insurance will cover the costs. While many plans do include behavioral health benefits, it’s not uncommon for insurance to only cover a portion of the total expense. This partial coverage can leave individuals responsible for paying the remaining balance—sometimes unexpectedly. At Maverick Behavioral Health, we understand that financial uncertainty can be overwhelming during an already emotional time. That’s why we help every client review their insurance benefits and create a transparent financial plan to bridge any gaps in coverage, making sure cost doesn’t stand in the way of recovery.

Payment Options Available for Out-of-Pocket Rehab Costs

If your insurance only covers a portion of your rehab stay, there are several ways to manage the out-of-pocket balance. Many treatment centers, including Maverick Behavioral Health, offer flexible payment plans that allow clients to pay the balance over time rather than all at once. This can significantly ease the financial burden and make quality care more accessible. Additionally, some clients choose to pay with savings, credit cards, or use funds from a Health Savings Account (HSA) or Flexible Spending Account (FSA) if available. In some cases, family members or close friends may be willing to help financially, viewing treatment as an investment in their loved one’s future. The key is to explore your options and choose what’s manageable without adding unnecessary stress.

Financial Assistance Programs and Sliding Scale Fees

Many rehab facilities recognize the financial barriers people face and offer financial assistance programs to help reduce the cost of treatment. These programs may include income-based discounts, sliding scale fees, or even partial scholarships. At Maverick Behavioral Health, we’re committed to making treatment attainable for individuals from all walks of life. Our financial team reviews each case individually, considering both income and personal circumstances, to determine whether any assistance is available. While these resources may not cover the full remaining balance, they can often make a meaningful difference—especially when combined with a structured payment plan.

Using Loans or Third-Party Financing Services for Rehab

For those who don’t qualify for in-house financial assistance or need additional support beyond what their insurance covers, third-party financing is another viable option. There are reputable healthcare financing companies that offer personal loans specifically for medical or behavioral health treatment. These loans typically come with structured repayment terms and can be tailored to fit different credit profiles. While taking on debt isn’t always ideal, many people find that the long-term benefits of completing a structured rehab program far outweigh the short-term costs. Maverick Behavioral Health can recommend trusted financing providers and assist with the application process to help ease this path.

Planning Ahead and Advocating for Continued Coverage

One of the most effective ways to prepare for any out-of-pocket costs is to have a proactive conversation with your insurance provider before beginning treatment. Ask detailed questions about what services are covered, the length of time that is approved, and whether additional days require reauthorization. In some cases, Maverick Behavioral Health can help advocate for extended coverage by submitting medical necessity documentation or participating in utilization reviews. If coverage ends earlier than expected, clients can then prepare in advance for any days or services that fall outside the scope of their benefits. Being informed and involved in these conversations can make a significant difference in both planning and peace of mind.