Insurance

I am an in-network provider for the following

insurance plans:

 

  • Premera

  • Kaiser Permanente 

  • Aetna

  • Regence*

  • Blue Cross/Blue Shield

 

 

You should call your insurance provider and ask if the services you are seeking are a covered benefit under your plan. For example, you should call your insurance company and ask if "Neuropsychological Evaluations" (CPT Code 96118) or "Psychological Evaluations" (CPT Code 96101) are covered under your plan. Be sure you know what copays, coinsurance, or deductibles you might have. 

 

If I accept your insurance plan, after your evaluation is completed, I will bill your insurance company directly. I try my best to let you know beforehand if I anticipate that there will be a problem with your insurance company covering the cost of the evaluation. Please be aware though that the benefits you are quoted over the phone by your insurance company, or me saying I accept your insurance, are not a guarantee of coverage. You are responsible for the balance if your insurance denies payment. You are responsible for any remaining balance not paid by your insurance company.  

 

You'll also want to note that some services that are a routine part of a neuropsychological evaluation of a school-aged child (ages 7 and up) are not covered by any insurance plan. These educational services include:

 

  • A review of your child's school records, such as report cards, IEPs or 504 Plans, or samples of your child's work

  • Getting information about how your child is doing at school from you or your child's teacher

  • Direct testing of your child's reading, math, or other academic skills

  • Testing of some processing skills like phonological processing, and 

  • Recommendations for the school setting

 

This information is an essential component of your school-aged child's evaluation. That's because your student spends a considerable amount of time at school, so a thorough evaluation needs to consider what your child is like in a setting where they spend so much time. However, educational services are considered "not medically necessary" by insurers. Parents seeking a neuropsychological evaluation of a school-aged child should be aware that they will need to cover the cost of some educational services, and this cost will not be covered or reimbursed by any insurance plan. Feel free to contact me for more information about this cost. 

 

I am also available for attendance at IEP meetings, program reviews, or consultations with school staff, at your request and as my schedule allows. In fact, I love working with school teams and other professionals to help support your child. However, you should be aware that these services are not covered by insurance. Ask me directly about my rates for these services.  

 

 

*** New As of January 1, 2017 ***

 

Regence changed their networks as of January 1, 2017.  Here are the Regence Plans I am considered in-network with: 

  • Washington Preferred, Classic, Innova, Engage, HSA (2.0, 3.0) - Preferred Network

  • Washington ActiveCare, Platinum, Gold, Silver, Bronze - Preferred Network; Providence-Swedish Health Network

  • Uniform Medical Plan -- UMP Plus-PSHVN Network; UMP Plus UW Medicine ACN; Uniform Medical Plan Network

 

I am not considered in-network at this time for the following Regence Washington ActiveCare Plans: EvergreenHealth Partners-Virginia Mason, MultiCare Connected Care, The Everett Clinic, or UW Medicine Networks. 

 

At this time, I am not in-network with Cigna, First Choice, United Health Care (coming soon!), or Beacon Health Care. 

Insurance can be confusing. Please be sure to read this information carefully. Feel free to call me and ask questions.