How to Get Reimbursed for Therapy

Just because your therapist does not accept insurance, does not mean you can't use your insurance benefits. With the average cost of therapy being between $100-$300, it is vital to know how to get reimbursed by your health insurance.

Why do some therapists not accept insurance? Billing insurance is time-consuming, insurance companies often delay payment, and insurance companies can initiate “clawbacks” where they take back payment up to five years after service was provided. Despite providing clients with the best possible care, many therapists cannot afford to deal with these issues.

If a therapist does not accept insurance, they are considered out-of-network. You can request a Superbill that outlines the services you received and what you paid for them. A Superbill requires that you pay for services first but you can submit it to your insurance company and potentially be reimbursed for some or all of your therapy costs.

Most health insurance plans have a deductible for out-of-network services. If you have an out-of-network deductible, you pay the full cost of services out of pocket until your deductible is met, at which time your insurance will reimburse a percentage of the costs. For example, if your plan has a $3,000 deductible, you will pay $3,000 of all your out-of-network medical costs out of pocket before your insurance reimburses a portion of your therapy sessions.

Colorway Wellness is an out-of-network provider. For your convenience, Colorway Wellness partners with Mentaya, a platform that helps clients get money back for out-of-network therapy sessions. Click HERE to see if you qualify for insurance reimbursement. For more information about how to get reimbursed for therapy, contact Colorway Wellness today!