Insurance Reimbursement for Therapy

At Genesis Therapy Group, we understand that navigating insurance reimbursement for mental health care can feel overwhelming. While we operate as an out-of-network provider, many of our clients can receive partial or full reimbursement for their sessions by submitting a superbill to their insurance provider.

If you’re paying out-of-pocket for telehealth therapy or peer recovery services, here’s how you can potentially get reimbursed:

Step 1: Request a Superbill

After your session, simply request a superbill from your therapist. This detailed receipt includes all the information your insurance company needs to process a claim, including:

Your full name and date of birth
The date of the therapy session
The CPT code (Current Procedural Terminology) for the type of service provided
A diagnosis code (if required by your insurer)
The total amount paid for the session
Your therapist’s name, business address, and contact information

Step 2: Submit to Your Insurance Provider

Next, reach out to your insurance company to ask about their out-of-network reimbursement process. Every provider differs, but here’s what to expect:

Most insurers require you to complete and submit a claim form along with the superbill
You can typically submit claims through an online portal, via fax, or by mail
Keep copies of all submitted documents for your records

Step 3: Insurance Review and Reimbursement

Once your insurance provider receives your claim, they’ll review it and determine your eligibility for reimbursement. Depending on your plan’s out-of-network coverage:

You may be reimbursed for a portion or the full cost of your session
Reimbursement is often sent by check or directly deposited into your account

Get Your Super Bill

Important Things to Know

Out-of-Network Coverage

Not all insurance plans offer out-of-network benefits for mental health services. Be sure to call your insurance company and ask specifically about telehealth therapy and peer recovery services.

Deductibles & Coinsurance

If you have an out-of-network deductible, you’ll need to meet that amount before your plan starts reimbursing session costs. After that, you may be responsible for a coinsurance percentage.

Appealing Denied Claims

If your claim is denied, you typically have the right to appeal the decision. Your therapist can help provide any additional documentation you may need.

Helpful Tools

Apps like Reimbursify can streamline the claim submission process, helping you track and submit superbills with ease.