We are an out-of-network provider for all insurance companies. However, patients often have out-of-network benefits that allow them to receive reimbursement for a portion of our program fees. We are happy to complete the clinical authorization for you to be able to use your out-of-network benefits. However, we will not seek authorization unless you request us to do so.
Oftentimes, insurance companies have a strict set of policies governing what constitutes medical necessity for intensive outpatient level of care. Consequently, your insurance company may decide to deny coverage even when you and your treatment team believe that IOP level of care is appropriate. In these situations, your insurance will only reimburse you for what they define as medically necessary.
Given that some carriers require pre-authorization, please make sure to 1) speak to your insurance carrier to clarify requirements and coverage details prior to starting our program and 2) inform us that you would like to use your insurance benefits so that we can make the necessary pre-authorization phone calls.
Please note: We provide superbills to allow you to file your insurance claim for Petoskey program services. We do not file claims directly with your insurance company. It is your responsibility to file all necessary paperwork, including your invoice (superbill) to your insurance company.