Continuing Care with Out-of-Network Insurance

We are committed to supporting your care journey, even after your sponsored sessions have been used. If Spring Health is out-of-network with your insurance provider, you can still continue working with your provider on a self-pay basis. While we cannot bill out-of-network carriers directly, we will provide you with the necessary documentation to seek reimbursement through your plan.

Why can't Spring Health bill my out-of-network insurance directly?

Spring Health does not have a direct contract with out-of-network insurance providers. Because there is no pre-established agreement, we cannot submit claims on your behalf. Instead, we transition your account to a self-pay model, where you pay for the session upfront.

Seeking Reimbursement (The Superbill)

Many insurance plans offer out-of-network benefits that allow you to get back a portion of what you paid. After your visit, you can request a Superbill—a detailed, itemized receipt with the clinical codes your insurance requires. You can submit this Superbill directly to your insurance carrier to request reimbursement.

We highly recommend calling the number on the back of your insurance card to ask about your "Out-of-Network Behavioral Health" reimbursement rate so you know what to expect.

Understanding Session Costs

If you move to a self-pay model, your session costs may vary based on:

• The length of the appointment.
• The type of treatment (e.g., therapy vs. medication management).
• The specific pricing established by your Benefit Sponsor. You can view your specific self-pay rates in the Costs and Coverage section of your account.

We’re Here to Help

Transitioning to out-of-network care can feel like a big step, but you don't have to navigate it alone. Our team is happy to help you find your session counts or provide the paperwork you need for your insurance.