During your initial consultation, we'll discuss your specific needs and the estimated cost of your evaluation. I am an in network provider for some insurance plans; however, if I'm out of network with your insurer, it's important to know that some policies do not provide reimbursement for services rendered by out of network providers. For clients who wish to use their out of network benefits, or who may have primary and secondary insurance, it's very important to determine how your policy applies to testing services and what out of pocket expenses you may incur. I am not able to accept HMO plans.
Health insurance plans vary greatly, even within the same company, but most insurance plans have a deductible that must be met before the insurance coverage begins. The back of your insurance card has a customer service number for you to use for these inquiries. It's very beneficial, and highly recommended, to contact your insurer prior to testing and ask questions about your plan.
If your evaluation requires an on-site visit to school, work, or home, an hourly rate applies as the majority of insurance plans do not cover out of office services. Also, if you are seeking psycholeducational testing, that includes IQ and achievement, health insurance will not cover these services as they do not fall under the guidelines of medical necessity. Under circumstances in which my clients must pay out of pocket for services, I typically provide a payment plan option. Please contact me to discuss any additional questions or concerns you may have related to fees. I will be happy to help you navigate this process.