Welcome to the space where acceptance & authenticity thrive. Let's get you in!
Insurance Reibursement
Steps to take:
A quick guide to understanding insurance and reimbursement.
Figure out your coverage
Look at your insurance card to determine your coverage policy.
If PPO or PSO: Look for a BH (Behavioral Health) phone number on the card; if you do not see one, call any number listed for benefits. and refer to the questions in the next column.
If HMO: You likely may not have out-of-network benefits.
Questions to Ask your insurance Company
o “Do I have out-of network coverage for behavioral health?”
If yes, our services may partially be covered.
o “What deductible needs to be met before receiving reimbursement?”
Your personal annual deductible amount will determine when you can begin to receive reimbursement.
o “What is your allowable reimbursement and what percentage do you cover?”
Companies set an “allowable reimbursement” amount per service and a percentage that they will cover, which will help you calculate your reimbursement.
Request a "Superbill" from your therapist
A "superbill" is a specific, invoice-type of document that lists typically required information for insurance companies, such as diagnosis, clinician name and license, and type of service rendered. The insurance company determines which diagnoses will be covered, so your provider will need to discuss diagnosis that fit your experience.
Submit the "superbill"
There are two options to make a submission:
- You can call your insurance company and ask their prefered method for reimbursement submission
- You can download Reimbursify, an app that charges $2.99 per claim that simplifies the submission process. If you go this option, simply open the app, upload the "superbill" the first time. Subsequent sessions, you can simply duplicate the previously uploaded file.
Last Minute thoughts
Even if you have a high deductible, you can submit the superbill to your insurance company to count individual therapy toward that deductible. *Note: Some insurance companies may not consider couples counseling as a medical necessity toward your deductible. To check if couples counseling counts toward the deductible, ask your company about the CPT code 90847 .
Once you reach your deductible, then your insurance will begin to reimburse you.
Ready to schedule a session?