Service Fees

 Good Faith Estimate

As part of the No Surprises Act, every individual or family that pays for therapy without using insurance (out-of-pocket) has the legal right to know how much services are expected cost. All new patients will receive a Good Faith Estimate prior to beginning services. For more information, visit: https://www.cms.gov/nosurprises and/or call (800) 985-3059. 

FAQ:

What are the costs associated with an evaluation?

The cost of an evaluation depends on the referral question, the complexity of the assessment, the records reviewed, and the amount of testing required. Services may be provided through insurance authorization, private pay arrangements, or other funding sources when available.

Because every evaluation is individualized, a brief consultation is typically completed before discussing specific fees and scheduling.

Do you accept insurance?

Insurance coverage varies depending on the individual's plan and the specific services requested.

In some cases, psychological testing and assessment services may be covered by insurance with prior authorization. Coverage, deductibles, copayments, and authorization requirements are determined by the insurance carrier.

Clients are encouraged to verify their benefits directly with their insurance company prior to scheduling services.

What if I have out-of-network benefits?

Many insurance plans offer reimbursement for services received from out-of-network providers.

If requested, a detailed superbill can be provided following payment for services. Clients may submit the superbill to their insurance company for possible reimbursement.

Reimbursement rates vary by plan, and payment is not guaranteed.

What is a superbill?

A superbill is an itemized receipt that includes the diagnostic and billing codes associated with your evaluation.

Clients who choose to use out-of-network benefits may submit a superbill directly to their insurance company to request reimbursement. The amount reimbursed, if any, is determined by the insurance carrier and individual plan.

Do you offer private-pay evaluations?

Yes.

Private-pay evaluations are available for individuals who prefer not to use insurance or whose insurance does not cover the requested services.

Private-pay evaluations may offer greater flexibility regarding scheduling, assessment planning, and report content because they are not limited by insurance authorization requirements.

Specific fees are discussed during the consultation process and prior to scheduling.

How will I know the total cost before starting?

The evaluation process and anticipated costs will be discussed before services begin. Clients will receive information regarding expected fees, insurance authorization requirements (if applicable), and payment policies so that they can make an informed decision prior to scheduling.