FEES
Payment
Payment is due once the report is completed. Payment is accepted via credit, debit, HSA card (Health Savings Account), or FSA card (Flexible Spending Account).
Insurance
Flourish Neuropsychology is currently not in-network with any insurance providers. As an out-of-network provider, we are happy to provide you with the necessary documentation (called a “superbill”) that you can submit directly to your insurance provider for potential reimbursement. Reimbursement is not guaranteed, so we recommend contacting your insurance provider to find out the details of your plan.
Insurance Questions Checklist
If you would like to pursue potential insurance reimbursement, we recommend contacting your insurance provider to verify whether your plan offers out-of-network benefits for telehealth mental health services. If these benefits are available, we recommend that you ask your insurance provider about the following:
List of Services
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Submitting for ReimbursementList Item 1
How do I submit my superbill documentation for reimbursement? (Ask for the claims address if needed to submit.)
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Reimbursement RateList Item 2
How much does my plan reimburse for out-of-network telehealth mental health services?
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CPT CodesList Item 3
Ask about the following CPT codes: 90791, 96116, 96130, 96131, 96132, 96133, 96136, 96137
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Prior AuthorizationList Item 4
Do I need prior authorization or approval from my primary care physician?
If so, what do I need to do to obtain authorization?
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Authorization Dates
If I have a prior authorization required, what is the effective date and expiration date?
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Deductible
What is my annual deductible?
Have I met the deductible for this year already?
If your insurance says that you do not have out-of-network benefits, you can ask for an in-network provider that is available with the appropriate specialization to serve your needs in a more timely manner (i.e., not a 10-12 month wait on a waitlist).
Waitlists can be very long for some in-network providers. To see a provider with the specialty you need, you can request an appeal or exception, with your insurance to advocate for out-of-network care options since insurance needs to provide you with appropriate care.
I can help you complete paperwork to file an appeal or exception with insurance if you do not have out-of-network benefits. If your appeal is approved, my services could potentially be reimbursed to you by insurance as if I were an in-network provider.
Here is an article with some tips: https://www.fairhealthconsumer.org/insurance-basics/your-costs/when-out-of-network-care-can-be-covered-in-network.
Evaluations
Add-On Services
Autism Assessment
Adds measures to assess for the presence of autism (add-on to comprehensive neuropsychological evaluation only).
$500
Academic Achievement Assessment
Adds a full battery of achievement assessments for reading, writing, and math to assess academic skills and specific learning disorders, including dyslexia, dysgraphia, and/or dyscalculia (add-on to comprehensive neuropsychological evaluation only).
$1,000
Therapy Follow-up sessions
Depending on neuropsychologist availability, short term therapy can be arranged following an evaluation. Examples of goals can include assisting with insight into the client’s neurodivergence or working on coping skills.
Hourly rate: $230
Hourly Clinical Services
Additional services conducted by a neuropsychologist that are not part of the evaluation including consultations, participation in school meetings, and additional feedback sessions.
Hourly rate: $230
Discounts
We offer a $500 discount for children under age 7 at the time of testing, sibling evaluations, or repeat evaluations originally performed through our office.
Infant neurodevelopmental evaluations are available as well (under age 3). Please contact us to discuss the details and fees associated with these specialized evaluations.
We offer payment plans on a limited and case-by-case basis.
Adults seeking an autism evaluation are eligible to apply for a sliding scale fee on a case-by-case basis.
