Using Your Out-of-Network Insurance Benefits

If you have a PPO plan with out-of-network benefits, you may be eligible for partial reimbursement for therapy sessions. Here’s how to get started:

Step 1: Pay for Your Session

Poplar Belief Therapy is a self-pay practice. You’ll pay for each session out of pocket. The current fee is $180 per 55 to 60-minute session.

Step 2: Request a Superbill

After your session, you can request a superbill, which is a detailed receipt that includes everything your insurance company needs to process a claim (service code, diagnosis, date, fee, etc.).

Step 3: Submit the Claim

You’ll submit the superbill to your insurance provider using their online member portal or mailing instructions. Many clients also use apps like Reimbursify or Mentaya to simplify the process.

Step 4: Receive Reimbursement

If your plan includes out-of-network mental health coverage and you’ve met your deductible, your insurance company may reimburse you directly for a percentage of the session cost.

Questions to Ask Your Insurance Provider

Call the number on the back of your insurance card and ask:
  • Do I have out-of-network benefits for outpatient mental health services?
  • What is my deductible, and how much of it have I met?
  • What percentage of the session fee is reimbursed for CPT code 90837?
  • How do I submit a superbill?

Still have questions?

Feel free to reach out. We're happy to walk you through the process or provide documentation as needed.

📧 info@poplarbelieftherapy.com
📞 832-334-7146