Some clients choose to use self-pay rather than insurance for a variety of personal, practical, or privacy-related reasons. Self-pay can offer greater flexibility in treatment planning, confidentiality and privacy, session frequency, and documentation requirements, while also avoiding the need for a mental health diagnosis or insurance utilization review to support care. For clients who wish to pursue out-of-network reimbursement, superbills can be provided for possible submission to their insurance carrier, though reimbursement is not guaranteed and varies by plan.