We accept many major insurances. Counseling or Psychotherapy services are often covered as part of the routine care for many medical/health plans. We are happy to check to see if your plan is one that we are in-network for to cover routine services. Call us at 888-666-3089 and speak with one of our friendly office staff.
Insurance benefits for psychological testing/evaluations are often not considered “routine care” and varies depending on your individual insurance plan. Often the coverage of testing depends on the individual’s diagnosis, which determines medical necessity for the testing procedures. Typically, evaluations are conducted to determine or rule out a diagnosis, and, consequently, diagnostic information is not available until completion of the evaluation. Insurance companies commonly require a copy of the psychological report to confirm this medical necessity. Please note that insurance companies do not cover for testing that is educational in nature (i.e., to rule out a learning disorder, giftedness, etc.), as they do not consider this to be of medical necessity. More recently, insurance companies have also denied coverage of testing for Attention-Deficit/Hyperactivity Disorder (ADHD).
Our testing policy requires payment to be made prior to or at the time that testing occurs. Typically, we meet with you or your child for an informational gathering session to determine the reasons why testing is being sought. If you have insurance and we are in-network with them we can bill this session through your insurance. After testing and the evaluation has occurred, if you have insurance and are interested in seeking reimbursement for some of your testing expense, we will be happy to provide a detailed invoice once the testing is completed and payment has been made.
We do not submit insurance claims directly to insurance companies for testing. This is the insured’s responsibility. It is advisable for you to contact your insurance company directly to obtain a detailed explanation of your benefits and procedures for submitting claims related to evaluations, including any authorizations required prior to testing. If needed, we will complete any clinical forms required by the insurance company (such as treatment plans or prior authorization forms); however, it is the insured’s responsibility to inform us of what is required by your insurance policy.
