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Evaluating Eligibility Rules

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Evaluating Eligibility Rules

In all agencies everywhere there are qualifications to receive assistance. These qualifications are also known as eligibility rules. With eligibility that means that you have to meet the requirements to be accepted into the program. Whether it is gender, age, social status, height, weight, or area you live in. All organization has the authority to come up with their eligibility rules. A program must have structure because without it the program would not be successful. There has to be a limitation to how many people a program can help at a time because overcrowding takes attention away from people.
The Beachway therapy center only accepts 24 clients at a time. This helps the members to have individual attention, and specifying on their needs. Certain insurances apply. Those listed are Assurant Health, Insurance partners, Humana, Aetna, Cigna, BlueCross BlueShield, and United Healthcare (Beachway, 2010). To see if a person’s insurance is accepted there is a number listed on their website or you can fill out and submit an application and the agency will be sure to contact a person within 24 hours.
Among admittance there must be a psychological history given, especially for a patient with a “dual diagnosis”. All the other patients must pass a physical exam from a family doctor and have the results sent to the treatment center prior to being accepted into the program. Due to the type of insurance a client has, there are limitations of the number of visits. Depending on the type of addiction insurance directs them to the proper care. The treatment fee includes room and board for those of the patients that are in the inpatient treatment program. Either gender can apply at the ages of eighteen and older. Beachway provides out and in-patient programs. The outpatient program is cheaper and doesn’t include room and board, but does include most of the same services that the inpatient program has.
The minimal for individual therapy sessions are once a week, providing a therapist Having a counseling session once a week is beneficial for people with an addiction because they feel they have someone to talk to , to let them know they are not alone in the fight, and to decrease the chances of them returning to their bad habits. When a drug or alcohol abuser is addicted to a substance or drink, they often burn bridges with family and friends trying to support their habit. When an addict knows that there is no one in their corner when they to recover can be a burden on their chest and might hold them back from recovering. That is why the counseling sessions are so crucial to the recovery process. All of the eligibility requirements for Beachway treatment center are fair. The program does not discriminate against any race, gender, background, sexual orientation or area you live in. The organization will accept anyone that means their requirements and the organization will even transport you to meet their center located in Florida. If a client feels that something in the program is not fair there is a grievance process that they must follow to report it. It goes to the manager over the treatment center. Than the manager looks it over, investigates the allegations, if their needs to be a change the changes are made. If the problem still remains and another grievance needs to be made about the same subject than it is directed higher in the food chain. The next grievance goes to the supervisor that is over the entire program, the supervisor than conducts and investigation and puts an end to something if necessary. One thing that is not really understood about the Beachway treatment center is the cost of the program if the insurance is not accepted. Nowhere on the website does it mention how much the program is if the persons insurance is not accepted. It does not mention if the insurance is not accepted whether or not that person may still attend the treatment center. Also it is unclear how the outpatient program works. The website does not clearly describe the outpatient program as clearly as the inpatient. There are questions that still arise. For example do the outpatient clients get drug or alcohol tested upon returning daily, what are the exact prices if insurance is not accepted, what programs are offered exactly, there are so many more. When an organization offers a variety of treatment than all details should be provided if that program wants to keep a client’s interest in the center.

References Beachway treatment center (2010) http://www.rehabilitation-center.org/treatment.html

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