What are your fees for neuropsychological evaluations?
While there is no set fee for a given evaluation as each assessment is dependent on the particular individual's needs and unique situation, you can expect the cost of a comprehensive neuropsychological evaluation with us to be between $3,500 and $5,000. We bill at an hourly rate and the total cost includes time spent on the initial consultation, testing, scoring, analysis, and report writing. A feedback session with one of our doctors to go over the final report is optional and billed separately.
Early in 2022, the No Surprises Act codified the right to receive a "Good Faith Estimate" explaining how much medical care will cost. We fully support the aspirations of this legislation, but the presiding agencies have not yet clarified how we are expected to interpret and implement related requirements. However, we always clearly state our fees and provide an estimate of cost prior to initiating services.
Early in 2022, the No Surprises Act codified the right to receive a "Good Faith Estimate" explaining how much medical care will cost. We fully support the aspirations of this legislation, but the presiding agencies have not yet clarified how we are expected to interpret and implement related requirements. However, we always clearly state our fees and provide an estimate of cost prior to initiating services.
are you in network with any INSURANCE COMPANIES?
We are an independent healthcare provider and are presently in network with Blue Cross Blue Shield and Medicare. We are not in network with any other providers and do not accept Medicaid.
We are currently in the process of terminating our contract with Blue Cross Blue Shield. This was unavoidable for two major reasons. One major reason is our concern for maintaining the quality and integrity of our work. Our goal is to give you an evaluation that is comprehensive, tailored, and high quality. We don't want decisions about these complex evaluations to made by insurance bureaucrats. We want to be able to perform the assessments that our experts believe are the most appropriate given an individual's particular circumstances, not ones that are most likely going to be paid by an insurance company. The other major reason that goes hand in hand with the first one is a financial one. Unfortunately, insurance companies have in most cases only paid a small fraction of what we bill for our evaluations. This has seriously affected the financial viability of our practice and is unfair to the team of highly devoted, educated, and trained professionals that make our work possible.
If your insurance is Blue Cross Blue Shield, this change means that once we are no longer in network with them, you will pay us in full, but will still be able to file a claim for reimbursement if your plan includes out-of-network coverage.
We are currently in the process of terminating our contract with Blue Cross Blue Shield. This was unavoidable for two major reasons. One major reason is our concern for maintaining the quality and integrity of our work. Our goal is to give you an evaluation that is comprehensive, tailored, and high quality. We don't want decisions about these complex evaluations to made by insurance bureaucrats. We want to be able to perform the assessments that our experts believe are the most appropriate given an individual's particular circumstances, not ones that are most likely going to be paid by an insurance company. The other major reason that goes hand in hand with the first one is a financial one. Unfortunately, insurance companies have in most cases only paid a small fraction of what we bill for our evaluations. This has seriously affected the financial viability of our practice and is unfair to the team of highly devoted, educated, and trained professionals that make our work possible.
If your insurance is Blue Cross Blue Shield, this change means that once we are no longer in network with them, you will pay us in full, but will still be able to file a claim for reimbursement if your plan includes out-of-network coverage.
WILL MY insurance COVER Your services?
It depends. If your health insurance plan includes out-of netwok (OON) coverage, you may get reimbursed for the services we provide to you. The amount completely depends on your insurance carrier and your particular plan. We work closely with an outside billing & insurance specialist who can help you understand your health insurance coverage, try to estimate the amount of reimbursement you can expect to receive, and provide you with the applicable diagnostic and service codes needed to claim your out-of-network benefits.
Please note that reimbursement remains at the sole discretion of insurance carriers and we cannot predict, guarantee, or take any responsibility for these decisions.
Please note that reimbursement remains at the sole discretion of insurance carriers and we cannot predict, guarantee, or take any responsibility for these decisions.
IS EDUCATIONAL/ACADEMIC TESTING COVERED BY INSURANCE?
No. A comprehensive neuropsychological evaluation consists of both neuropsychological testing as well as educational/academic testing. This means that even if your insurance company covers the cost of the neuropsychological testing that it deems medically necessary, the educational/academic testing portion is still not covered.
will using my insuranCe affect my medical record?
Yes. In order for insurance to pay, you must be diagnosed. This is an important point to consider before using your insurance. Since health insurance is part of the medical model, you (or your child) must be diagnosed with a mental health condition if you utilize your insurance for mental health services. This means that any subsequent diagnosis will become part of your permanent medical record and possibly affect your future coverage, employment, school options, etc.
do you accept health savings account (hsa), flexible sAVINGS ACCOUNT (FSA), or health reimbursement Account (Hra) debit cards?
Yes. If you have a pre-tax account set aside for healthcare expenses, you can use that account's debit card to pay for our services. You can also pay us by check and submit the receipt to that account for reimbursement.
