PAYMENT FOR THERAPY
Many insurance plans provide significant reimbursement for therapy. As licensed mental health providers, our services may be partially or fully covered by your health insurance or employee benefit plan. At Potomac Therapy Group, therapists operate as out-of-network providers, and payment is required in full on the day of service.
Complimentary Courtesy Billing
At Potomac Therapy Group, we are committed to helping you utilize your insurance benefits to offset the cost of therapy. To streamline the process of filing out-of-network insurance claims, we partner with Reimbursify, a third-party digital platform designed to simplify this task. With your consent, we can submit these claims on your behalf, eliminating the hassle of managing them yourself.
Our goal in offering this complimentary service is to maximize your available out-of-network benefits while allowing you to focus on what truly matters—your treatment. Please note that any reimbursements from your insurance provider will be sent directly to you.
Additionally, Reimbursify enables us to help you better understand your out-of-network benefits and compare them with in-network options. The platform also provides tools to track the status of your claims, including pending and paid reimbursements.
Reimbursify’s app is fully HIPAA-compliant and employs encryption to protect your privacy and ensure security. While we provide access to this platform as a courtesy, Potomac Therapy Group has no professional affiliation, sponsorship, or partnership with Reimbursify or its affiliates. Your participation is entirely optional.
If you would prefer to check your own benefits, we strongly advise you to check your coverage carefully to be certain of your terms and reimbursement rates. Please contact your insurance company to ask the following questions:
What are my out-of-network mental health insurance benefits?
What is my out-of-network deductible and has it been met?
How many sessions per year does my out-of-network insurance cover?
What is the out-of-network coverage amount per therapy session? Applicable therapy procedure codes include: 90791 (intake session), 90834 (individual therapy session), 90847 (couples or family therapy session).
Is preauthorization required from my insurance company or primary care physician?
Within what time period must claims be submitted to my insurance company?
Does my insurance policy re-start every January, or does my policy re-start annually in a different month? When does my annual deductible(s) renew?
Please contact us for session rates. Payment for sessions is due in full at the time services are rendered. At the end of each month, we will provide you with coded receipts, known as Superbills, through your Potomac Therapy Group online patient portal. Superbills are detailed invoices in PDF format that document your payments and include all necessary codes and information your insurance company requires to determine reimbursement. If you prefer to file insurance claims on your own, you can submit these Superbills directly to your insurance company, often through their online patient portal, to request out-of-network reimbursement.
If you have a Flexible Spending Account (FSA) or Health Savings Account (HSA), you may pay for your sessions with your FSA or HSA card or get reimbursed from your account with the Superbills we provide.
Therapists providing services at Potomac Therapy Group do not participate with Medicare or Medicaid.
Click here for: No Surprises Act “Good Faith Estimate” information.