Mindbloom is a cash-pay program and does not directly bill insurance, including providers like Blue Cross Blue Shield (BCBS). This includes Medicaid, which is not accepted for direct payment of services.
To receive reimbursement for Mindbloom services, you can either use HSA/FSA funds for treatment or submit a claim to your insurance carrier for out-of-network reimbursement.
How do I use my HSA/FSA funds?
Mindbloom treatment is generally considered an eligible expense and you can:
Pay directly with your HSA or FSA card.
Submit a Superbill for reimbursement.
If required by your plan, your clinician can also provide a Letter of Medical Necessity.
How much can I get reimbursed by insurance?
Up to $650 back for a 6-session program — and more for 12- or 18-session programs — depending on your plan’s out-of-network coverage.
Initial consult (45 minutes) — CPT code 99204
Estimated reimbursement: up to $400Medication management consult (25 minutes) — CPT code 99214
Estimated reimbursement: up to $250
We recommend calling your plan to verify they offer out-of-network reimbursement for these services.
To confirm eligibility, contact your insurance provider using the number on the back of your card and provide the CPT codes (99204 and 99214). Ask about out-of-network reimbursement and request confirmation of your coverage.
Follow these basic steps if you wish to apply for out-of-network reimbursement with your insurer:
After your virtual consultation, request a superbill from Mindbloom. This document will include essential billing codes that define the services received.
Submit the superbill to your insurer along with any additional documentation they may require.
Depending on your policy and location, your insurance provider will determine the reimbursement amount (if eligible).
Does Mindbloom Accept Medicaid?
No. Mindbloom does not accept Medicaid directly.
Medicaid reimbursement policies can vary widely depending on your state and specific plan. To determine eligible for out of network coverage, reach out to your Medicaid carrier, specifically asking if the above CPT codes are covered for out-of-network services through Superbill submission.
What is a Superbill and how do I get one?
A Superbill is an itemized receipt of your treatment. It includes the necessary codes and details for submitting a claim to your insurance or HSA/FSA provider.
You can request a Superbill after your clinician consult.
If needed, your clinician can also provide a Letter of Medical Necessity.