Insurance Coverage
The clinical component of Wellspring includes a psychological assessment as well as individual and group cognitive-behavioral therapy (CBT) sessions. The typical guest will receive one assessment, two individual CBT sessions, and six group CBT sessions.
These services represent only a portion of the total cost of tuition and may be reimbursed by health insurance.
These services can be categorized as either “mental health” or “health” (“medical”) treatments and varies depending upon provider, plan, and benefits.
If you have a PPO plan, you are more likely to receive reimbursement for a portion of the clinical component of the program (an estimated $1,000 - $1,500 depending on the exact number and length of sessions). You should not expect full reimbursement, nor should you base your decision to enroll upon such reimbursement.
If you have an HMO, you should generally not expect to receive reimbursement.
At the end of the Retreat, Wellspring produces and submits a statement to your health insurance. The statement won’t come from Wellspring. It will come from the therapist.
Wellspring uses a private billing agency to bill insurance companies directly for reimbursement. If preauthorization is required, Wellspring will determine this and, where possible, ensure that treatment is preauthorized.
There are three main questions you should consider when calling your insurance provider:
- Do you have out-of-network medical and/or mental health benefits?
- Is there an additional deductible with either?
- Is pre-authorization and/or pre-certification required, and if so, what is required? (Wellspring will use best efforts to ascertain this and, where possible, ensure that treatment is preauthorized.)
