Insurance + Payment Options
Neuropsychological Associates provides consultation and comprehensive neuropsychological evaluations for children, adolescents, and adults. These evaluations are designed to help clarify diagnoses, understand cognitive strengths and weaknesses, and guide treatment planning and recommendations.
Neuropsychological evaluation is a diagnostic and consultative service. While recommendations for treatment, therapy, educational services, or rehabilitation may be provided as part of the evaluation process, ongoing treatment services are typically provided by other professionals or specialized programs.
Because neuropsychological testing is a specialized diagnostic service, insurance coverage can vary depending on the patient’s individual plan, referral source, and the medical necessity of the evaluation.
Important Note About Insurance
Neuropsychological evaluation differs from routine office visits or psychotherapy, and insurance coverage for testing varies significantly across plans. Coverage may depend on factors such as medical necessity, referral source, prior authorization requirements, and individual policy benefits.
While our office assists patients in verifying benefits and obtaining required authorizations when possible, final coverage decisions and patient responsibility amounts are determined by the insurance carrier.
Authorization from an insurance company does not guarantee payment of benefits. Deductibles, co-insurance, or other out-of-pocket costs may apply depending on the patient’s individual insurance plan. Patients are ultimately responsible for any portion of services not covered by their insurance.
Patients are encouraged to contact their insurance carrier prior to scheduling to confirm their specific benefits for neuropsychological testing.
Our practice accepts several insurance plans for covered services, including:
United Healthcare
Oxford
Emblem Health
Healthfirst
Medicare
New York No-Fault
New York Workers’ Compensation
Coverage for neuropsychological services varies widely across plans. Some services may require prior authorization and may be subject to deductibles, co-insurance, or other out-of-pocket responsibilities determined by the insurance carrier.
Our office will assist in verifying benefits and obtaining authorization when required; however, final coverage determinations are made by the insurance company.
Neuropsychological testing is a specialized diagnostic service, and coverage policies and patient responsibility amounts are determined by the patient’s insurance carrier and may change over time.
Out-of-Network Options
If our practice is considered out-of-network with a patient’s insurance plan, many patients are still able to obtain partial reimbursement through their out-of-network benefits.
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In these situations, our office can provide a detailed billing statement (often called a “superbill”) that patients may submit directly to their insurance company for possible reimbursement.
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Patients are encouraged to contact their insurance carrier to determine whether their plan includes out-of-network benefits for neuropsychological testing.
Private Pay
Some patients elect to pursue evaluation on a private-pay basis. Private pay allows for greater flexibility in scheduling and evaluation design and avoids many administrative restrictions often imposed by insurance plans.
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Fees for services are discussed in advance so that patients and families have a clear understanding of the evaluation process and associated costs.
If you have questions regarding insurance coverage, out-of-network benefits, or private-pay options, our office staff will be happy to assist you prior to scheduling services.