Spa Vacations at the Structure House Durham, North Carolina

   Program Rates:
    Structure House is the recognized pioneer in the behavioral treatment of excess weight. The program is perfect for you if you feel you have a problem with your food intake and are seeking a real breakthrough in your weight and health management. Since 1977, thousands of people have come to the residential treatment center in North Carolina to learn how to change self-defeating patterns into a healthy way of life.
    With nutrition and fitness guidance, we’ll help you lose weight immediately. With behavioral counseling, we’ll help you keep it off. Structure House is not a luxury spa. Instead of frills, you will find the encouragement of health care experts and the camaraderie of others who are seeking to make a successful change in their lives. Our program is a school for change and our results are among the best in the field. The holistic program helps you restructure your life by providing you the tools and knowledge you require to reach your goals.
        Removed from the stress and routine of home, you and your fellow participants will become immersed in therapeutic treatment in a supportive and comfortable environment. The treatment philosophy of Structure House is that “structure” is a problem-solving strategy for living with food in a healthy way. “Structured” eating is consuming nutritious food to meet one’s daily nourishment needs. Other eating is “unstructured” and is triggered by boredom, stress, loneliness, habit, or any combination of these factors.

Family Support Program:
The Family Support Program is designed to provide for a spouse, family member, or support person who plans to accompany participant. Fees include meals, use of all exercise facilities, and selected classes.

The weekly fee: $1,095 + 4% service charge

Companion Plan:
This plan allows your companion to utilize the fitness facilities and eat all meals in the dining room. It does not permit attendance at classes or workshops.

$595 per week

On April 2, 2002 the Internal Revenue Service ruled that qualified taxpayers may claim certain weight loss expenses on their tax returns. You must be under a physician guidance to lose weight for medical reasons to qualify. You may claim those medical expenses, including physician-prescribed weight loss expenses, that exceed 7.5% of your adjusted gross annual income. If available to you, the Flex Spending Program may be employed. Check with your tax advisor for additional details and to determine if you qualify.

Notes:
There are a limited number of two bedroom/two bathroom apartments available. Please ask for specific details to accommodate your needs.

Weight-Loss Programs May Be Tax Deductible

      According to new policy (IRS Ruling 202-19), Some overweight Americans may now be eligible to deduct the cost of weight-loss programs.
     You can deduct qualifying expenses as part of medical care, which include weight-loss program fees, under Section 213(a) when your medical expenses exceed 7.5% of your adjusted gross income.
    Three employee benefits: Medical Savings Accounts, Flexible Spending Accounts, and Health Reimbursement expenses based on a doctor's recommendation.
    Please consult your tax advisor regarding your individual circumstance.

Required Documentation & Proof of Payment

You need a doctor's letter that:

1. States your diagnosis of obesity and/or obesity related
    disease

2. A doctor's recommendation that you lose weight. You will
    also need a record of your expenses, invoices, receipts
    and/or a weight loss booklet that is stamped with your
    attendance and payments.

For reimbursement through a Medical Savings Account or a Flexible Spending Account, you must submit both a doctor's letter and proof of payment for treatments. Tax payers are expected to be able to produce documentation of their deduc-tions going back three years. (in some cases you may go back six years)

        Structure House offers a four-week intensive program for first-time participants. Although the best benefits will be received by attending all four weeks together, the program may be attended in separate weeks of one, two or three as needed. Of course, you may also elect to visit Structure House for less than the suggested program.
     Your program includes a private one-bedroom apartment, individually selected meals, use of all facilities, and a schedule of more than 80 classes and activities each week. Call and ask about fees for a two-bedroom apartment if you are visiting with a companion.
    Your Structure House program may be tax deductible. Ask for details.

                         Program Rates
     Rates may change without notice
      and will be quoted upon request

New Participation Rates:

Number of weeks	Private 1 BR Apartment	Shared 2 BR Apartment.*
Four Weeks	$9,396	$8,130
Three Weeks	$7,956	$6,990
Two Weeks	$5,408	$4,812
One Week	$3,098	$2,795
* Limited availability

Diabetes Program:
Structure House’s diabetes prevention and treatment program has been developed in conjunction with the Division of Endocrinology, Metabolism and Nutrition and the Department of Psychiatry and Behavioral Sciences of Duke University Medical Center.

Participants in the Structure House Diabetes Program will receive state-of-the art treatment and education regarding diet, exercise and medication for diabetes management. In addition, participants will learn about recent research evidence on the impact of stress and emotion on diabetes and about strategies to manage these factors to improve diabetic control.

Participants will have weekly medical appointments with a board certified endocrinologist and a certified diabetes educator. Registered dieticians and exercise physiologists with training and experience with diabetes will supervise nutrition and exercise activities. Special psycho educational classes based on the research-based book, The Mind-Body Diabetes Revolution by Richard S. Surwit, Ph.D., will be provided to participants in the Diabetes Program.

Diabetes Program Fees:*

No. of weeks	Private 1 Bedroom
One Week: Two Weeks: Three Weeks: Four Weeks	$3,698 $6,308 $9,006 $10,596

A 4% service charge is added to all
program fees in lieu of gratuities.

Extended stays/Return visits

*Season*	Private 1BR Apartment

Low Season :	$1,468
High Season :	$1,624
* Limited availability

These prices are for participants who have completed the four-week program and want to stay longer or return for reinforcement.

High Season is generally May through October.
Low Season is generally November through April.