A Super-Bill is a form completed by your Counselor that allows patients to be reimbursed directly from their health insurance companies.

  • A Super-Bill does not guarantee that an insurance provider will pay for the services provided. Each insurance plan is different, and it is your responsibility to contact your insurance provider and find out exactly what will be covered.

Sending in your Super-Bill for reimbursement

  • To ask your insurance company to reimburse you for services you received from your Counselor, mail (or submit online, depending on the company) your insurance company the following:
      • The Super-Bill you received upon request from your Counselor, and
      • A photocopy of your insurance ID card, front and back.
  • Keep a photocopy of all the documents you send in for your records.

How do I find out what my insurance company will reimburse for an out-of-network provider?

  • Call the customer service phone number listed on your insurance card.
  • Ask, “I want to work with an out-of-network Counselor, how much will you reimburse me?”
  • Ask, “What is the best way to submit my claim for reimbursement with a Super-Bill?”
  • Be sure that your insurance plan benefits are clear to you – what should your health plan cover? What health services count toward your deductible?

Release Authorization

Be aware that should you choose to submit a Super-Bill, you are releasing medical information that is protected by law. This means you are waiving some of your rights to privacy and confidentiality. It is standard for your insurance company to keep a record of your diagnoses stated on the Super-Bill as part of your permanent medical file.