INSURANCE COVERAGE for TESTINg

Do you ACCEPT Insurance for Psychoeducational Evaluations?

We are currently an in-network provider for Aetna, Blue Cross Blue Shield, Optum/United, and TriCare/Humana.

We are an out-of-network provider for all other insurance plans. Even though we don't bill out of network insurance companies directly, many families receive some reimbursement for an evaluation from their insurance company. Contact your insurance and ask about "Out-of-Network Coverage" for a psychoeducational evaluation. 

Here's what to ask:

• What are my out-of-network benefits?

• How much is my deductible?

• After I meet my deductible, what percentage of the visit cost will I be reimbursed for?

• Up to how much can I be reimbursed for:

  • 60 minute intake appointment (CPT Code 90791)

  • Psychological Testing (CPT Code 96136 for the first 30 minutes, CPT Code 96137 for each additional 30 min)

  • Psychological Services (CPT Code 96132 or the first 60 minutes, CPT Code 96133 for each additional hour)

  • 60 minute feedback session (CPT Code 96133)

• Do I have a limit of how many units of 96137 or 96133 I can get reimbursed for?

• How do I submit a claim with the receipt my provider gave me?

Sometimes insurance companies want to know our "NPI number", "EIN number", or possible diagnosis codes. We're happy to provide you with this information if you need it.