CATCH A FISH WELLNESS
Acupuncture, Herbs & Traditional Massage
GIFT CARDS | CONTACT US
Out Of
Network
Catch A Fish Wellness is a peaceful space for healing and renewal.
We choose to stay out of network so your care stays centered on you—not paperwork.
Catch A Fish Wellness is a peaceful space for healing and renewal.
We choose to stay out of network so your care stays centered on you—not paperwork.
What this means for you
What to expect financially
-
You pay at the time of service.
-
We provide an itemized receipt / superbill you can submit to your insurance for possible reimbursement (depending on your plan).
-
Many clients use HSA/FSA funds for treatment.
-
Reimbursement is never guaranteed, but we’ll give you the documentation you need to try.
Why We're Out Of Network
Insurance Has Changed.
What used to be “simple coverage” has become a growing wave of administrative work—constant paperwork, pulled records, proving “medical necessity,” and frequent back-and-forth that steals time from patient care.
At the same time, reimbursements are often low and continue to trend downward. To stay in-network, many clinics are forced into tighter treatment options, and less flexibility—because the system rewards documentation and codes more than outcomes.
We’re not building a one up coding clinic. We’re building a results-driven, thoughtful practice where your visit includes the time, precision, and clinical decision-making you’re actually paying for. Staying out of network protects that standard.
A Note On Experience
Insurance participation can make sense for some practices—especially early on, or in models designed around speed and volume. Many seasoned practitioners and established clinics eventually step out of network so they can keep care consistent, protect treatment strategy, and avoid letting insurance rules dictate clinical choices.
Frequently asked questions
FAQ's
Why are you out of network with insurance?
Insurance participation has become increasingly paperwork-heavy: repeated documentation requests, pulled records, and ongoing “medical necessity” requirements. Combined with low and often decreasing reimbursement rates, it creates a system that pulls focus away from patient care and clinic sustainability.
Can I still use my insurance if you’re out of network?
Yes—many plans include out-of-network benefits. You pay at the time of service, then you can submit our receipt/superbill to your insurance for possible reimbursement based on your plan.
Do you provide a superbill?
Yes. We can provide an itemized superbill that includes the information most insurers require (codes, provider details, diagnosis code when appropriate, and paid amount). You submit it to your insurance company directly.
How much will my insurance reimburse me?
It depends entirely on your plan and out-of-network benefits (deductible, coinsurance, and allowed amount). We can’t guarantee reimbursement, but we’ll give you clean documentation so you can submit and get the best outcome your plan allows.
Can I use HSA or FSA funds?
In most cases, yes—many patients use HSA/FSA for acupuncture and related services when eligible. If you’re unsure, check your plan rules or card eligibility.
Why do some clinics take insurance and others don’t?
Every clinic makes the decision based on staffing, administrative capacity, reimbursement structure, and how much outside oversight they’re willing to accept. Many new clinics (under 10 years of experience) with practitioners just starting out will opt into insurance to build their business flow.
Established practitioners choose to step out of network to keep clinical decisions and documentation demands from being dictated by insurance.
Does being out of network mean your services aren’t “medically necessary”?
Not at all. “Medical necessity” is an insurance term tied to coverage rules and documentation standards, not a measure of whether a treatment is appropriate or valuable. We treat based on clinical need; insurance may or may not choose to reimburse.
What do I pay today, and what paperwork happens afterward?
Payment is due at the time of service. After your visit, we can provide an itemized receipt and/or superbill, and you submit it to your insurance portal or by mail.