Health insurance coverage for testing can vary greatly between insurance plans. If this is an important factor for you, please contact your insurance provider prior to your visit to learn more about their requirements. Many insurance companies cover assessment for medical and psychological diagnoses, but generally do not cover assessment for educational purposes.
We are considered in-network with Medicaid and out-of-network for all other insurance providers. Regardless of your insurance plan, you should call your insurance provider to see if they cover services to address your area of concern (ADHD, Learning Disability, etc.).
If you have any insurance provider except Medicaid, you should also inquire if they reimburse for out-of-network providers. If they do, they may ask you for CPT codes, which describes the type of services you will receive. Our most commonly used codes are:
90791 (Diagnostic Interview)
96101 (Psychological Evaluation)
90837 (Psychotherapy, 60 Minutes)
Some insurance companies may require a prior authorization code. If this is the case, you must request the code prior to visiting our office.
While we require our clients to directly make payments to our practice, we will work with you to provide you what you need to be reimbursed by your insurance company. We will provide you a super bill including all appropriate codes to submit to your insurance company. Your reimbursement will be sent to you directly from your insurance provider based on your coverage.