Insurance Questions

Why We Choose to Be Out of Network

At Recovery Cafe, we are dedicated to providing the highest quality drug and alcohol counseling services. Our decision to operate as an out-of-network provider stems from a fundamental belief: healthcare decisions, especially those concerning mental health and substance use disorders, should be made by professionals who understand the complexities of your condition, not by insurance adjusters whose primary concern may not align with your best health outcomes.

Professional Autonomy in Treatment Decisions

Our clinicians are experts in their field, with years of experience and training in the latest and most effective treatments for addiction and mental health. By remaining out of network, we ensure that these professionals have the freedom to make the best possible decisions for your care, unencumbered by restrictive insurance policies or the need for prior authorization that can delay treatment. This autonomy is crucial, especially considering the urgent need for timely and appropriate care in addiction treatment.

Enhanced Privacy and Confidentiality

Privacy is paramount in the treatment of substance use and mental health. Our out-of-network status offers an additional layer of privacy, as we are not required to share detailed medical records with insurance companies. This reduces the risk of your sensitive health information being shared more broadly than necessary, protecting you from potential stigma and discrimination that can accompany records of substance use and mental health treatment.

Addressing the Stigma of Mental Health

The stigma surrounding mental health and addiction is a real and pervasive issue that can hinder individuals from seeking the help they need. By opting to work outside the confines of insurance networks, we stand against the commodification of health care and the implicit judgments often cast by the pricing and policies of insurance companies. We believe in valuing health and recovery on the terms of clinical need and human dignity, not the financial bottom line.

What is a Super Bill and How to Use It

A Super Bill is a detailed invoice that we provide after each session. It includes all the information an insurance company needs to process your claim, such as the type of service provided, the date of the service, diagnosis codes, and the cost. You can submit this Super Bill to your insurance company for partial or full reimbursement, depending on your out-of-network benefits. This process allows you to take advantage of your insurance coverage while maintaining the benefits of our out-of-network services.

  • After your session, request a Super Bill from our office.
  • Submit the Super Bill to your insurance company according to their guidelines for out-of-network reimbursement.
  • Your insurance company will process the claim and reimburse you directly according to your plan’s out-of-network benefits.

Our commitment to being an out-of-network provider is rooted in our dedication to your health, privacy, and the quality of care you receive. We believe this approach allows us to offer the best possible service to those seeking recovery, free from the constraints and compromises that can accompany network participation. If you have any questions about our billing practices or how to utilize a Super Bill for reimbursement, our administrative team is here to assist you.