When patients come to us with questions about insurance coverage, it can be difficult to know with certainty if their insurance will cover off-label ketamine treatment. However, if insurance coverage is uncertain, we can provide superbills—which many patients have successfully submitted to insurance for partial or full reimbursement.
A superbill is an itemized form used by healthcare providers to document each step of a procedure or wellness visit. It is the main document used in healthcare claims, which are submitted to insurance for reimbursement.
Superbills contain codes based on the treatment you received: there are codes for your diagnosis, the office visit, tools used, medication given, and basic supplies like bandages. Even if your insurance company does not cover ketamine, the office visit, monitoring equipment, and other care details listed in the superbill may still be eligible for reimbursement.
Superbills from Ketamine Wellness Centers are as extensive and detailed as possible. Not only do we include more codes than others, we also include full treatment vitals, notes and dosages. We want help put our patients in the best possible position to receive reimbursement for treatment from their insurance provider. Thankfully, many of our patients have been successful in doing so.
In 2018, KWC has seen a number of patients get reimbursed through Aetna, UMR and Blue Cross Blue Shield plans. These patients received significant or full coverage after submitting our superbills to their insurance provider. Feel free to ask your KWC Office Administrator for a superbill after your initial stabilization treatments, as well as after your maintenance treatments. All of us here at KWC believe that the more people submit to their insurance carriers, the more likely this life changing treatment will be covered.
We can provide a superbill to any of our patients who request one, so that they can submit a claim for insurance reimbursement. Please call us at 855-KET-WELL for more information and assistance.
Further Reading: Getting Insurance To Pay For Your Ketamine Treatments