Get Your Treatment Covered

While we are a cash pay clinic, did you know there are ways to get your services reimbursed by your health insurance?

Review your health insurance policy to see what treatments they will cover. Here’s what to look for:

• Does your plan cover IV therapy, injections, and massage? Some insurers cover medically necessary IV treatments (e.g., for dehydration, nutritional deficiencies, or chronic illness), but may exclude wellness or elective treatments.

• Do you need pre-authorization? Some insurance companies require approval before they’ll reimburse certain procedures.

• Is there an out-of-network reimbursement policy? Many insurers will cover a portion of the cost if the service is out-of-network but medically necessary. That can range from 60%-85%.

If you’re unsure, call your insurance provider and ask about what proceduress they’ll reimburse with a superbill.

Step 1: Get a Detailed Superbill from The Wellness Lounge

A superbill is different from a regular receipt. It includes specific medical details required by insurance companies. Request a superbill and we will happily supply one. A superbill includes:

• Provider Information – Name, address, phone number, and National Provider Identifier (NPI)

• Patient Information – Your full name and date of birth

• Date of Service – When the IV therapy was administered

• Diagnosis Code (ICD-10) – A medical reason for the therapy (e.g., dehydration, vitamin deficiency)

• Procedure Code (CPT or HCPCS Code) – The medical service performed

• Total Cost Paid – The amount you paid out-of-pocket

Insurance companies require ICD-10 and CPT codes to process claims.

Step 2: Submit the Superbill to Your Insurance Company

Once you have a complete superbill, follow these steps:

• Complete a Claim Form – Most insurance companies require a claim form to be filled out. You can find this on your insurer’s website or request it from customer service.

• Attach the Superbill – Include the itemized superbill along with your claim form.

• Submit Your Claim – Send your claim through:

  • Online portal (if your insurer allows digital submissions)

  • Email (if accepted)

  • Mail (check the insurer’s mailing address for claims)

Always keep copies of your submission for your records.

Step 3: Follow Up on Your Claim

Processing times vary by insurance company, but most claims take 4–8 weeks. If you don’t hear back:

• Check your online insurance account – Some insurers provide claim status updates online.

• Call your insurance company – Ask if they need additional documentation.

• Appeal if denied – If your claim is denied, request a written explanation. You may be able to submit an appeal with supporting documentation from your provider.

Step 5: Consider Using an HSA or FSA for Additional Savings

If your insurance doesn’t reimburse IV therapy, you may still be able to pay for it with a Health Savings Account (HSA) or Flexible Spending Account (FSA). These accounts allow you to use pre-tax dollars, reducing your overall healthcare costs.

Final Thoughts

While not all of our services are covered by insurance, submitting a superbill can increase your chances of reimbursement. Submit your claim promptly, and follow up as needed. If your claim is denied, don’t be afraid to appeal—sometimes, all it takes is additional documentation to get approval. Most of our patients receive some form of reimbursement.