Payment & Insurance FAQ

You’ve worked hard and saved for the moment when you need healthcare the most. At Idaho Neuropsychology, PLLC we believe you and your providers should be in control of your healthcare, not healthcare insurance companies. You should be able to choose services based on your needs, not forced into a one-size-fits-all plan. You get access to care quickly, rather than waiting for months (or years) to access the services you need. Privately paying for your healthcare provides control, access, and convenience. Some key benefits include:

  • You aren’t tied to an insurance network. You handpick your healthcare providers based on your standards. This is about who you trust with your health, without compromise.
  • Your personal health information stays with you. There are no mandatory shares with insurance companies, enhancing your privacy. No more lengthy pre-authorization processes either. You bypass those hassles, making your healthcare journey smoother.
  • Your options for treatments and services are no longer restricted by insurance coverage. You and your provider decide what’s best for you.
  • You enjoy a stronger provider-patient relationship. The relationship is between you and your provider, without insurance company influences. If your insurance situation changes, your healthcare doesn’t. You can maintain long-term relationships with your providers.

We offer fixed-price evaluations so you have a clear understanding of the total cost of an evaluation before you even begin. The price covers all aspects of an evaluation, including reviewing available medical records, conducting the initial clinical interview, administering tests, scoring and analyzing the results, writing the report, and providing feedback during a separate appointment. 

  • Comprehensive Neuropsychological Evaluation: $3,000
  • Dementia Evaluation (65+ years of age AND retired): $2,500
  • Psychotherapy:
    • Initial evaluation (60 minutes): $375
    • Follow-up appointment (50 minutes): $225

 

  • Psychiatric medication management:
    ⦁ Initial evaluation (60 minutes): $475
    ⦁ Follow-up appointments (30 minutes): $275

 

  • Caregiver coaching: appointment (50 minutes): $225
  • Caregiver coaching appointment (50 minutes): $225

At Idaho Neuropsychology, PLLC we are out-of-network with all insurance companies (except Worker’s Compensation – see below). Our boutique, private-pay model ensures that you have the most control and discretion over your care, rather than being dictated by your insurance company.

Depending on the benefits provided by your insurance plan, you may be eligible for out-of-network reimbursement for certain services. If you wish to utilize your out-of-network benefits, please contact your insurance company directly to verify your coverage. We will furnish you with the expected CPT codes, which inform the insurance company about the services provided, as well as the presumed diagnosis. Payment for services is required at the time of your appointment. We will supply you with a specialized receipt called a “Super Bill,” which you can then submit directly to your insurance company. If you qualify for any out-of-network benefits or reimbursement, the insurance company will send the payment directly to you.

Please be aware that utilizing your out-of-network insurance benefits impacts various aspects of your care, including the loss of complete control over the confidentiality of your records. By using your benefits, your health insurance company will have knowledge of the services you received and the diagnoses made. Additionally, they retain the right to audit your evaluation reports and treatment notes.

No, unfortunately. Medicare operates under specific regulations established by Congress and the Centers for Medicare and Medicaid Services (CMS). If you are a Medicare beneficiary and decide to receive services from Idaho Neuropsychology, PLLC, you will bear full responsibility for the cost of your care, and you will not qualify for any out-of-network reimbursement. However, the advantages are that you will likely experience faster access to specialized care compared to seeing a Medicare provider, and you will have greater control over your care pathway.

Yes, you can receive our services with a valid referral from your treating physician under Worker’s Compensation. We take pride in assisting injured workers who are striving to return to work and their pre-injury level as quickly as possible.

Yes, you have the option to use your pre-tax healthcare account to pay for our services. You can either utilize the debit card associated with the account for direct payment or choose to pre-pay for the services and then seek reimbursement in accordance with the guidelines outlined in your account plan.

Good Faith Estimate

We know cost is a concern when seeking healthcare. That’s why we seek to make our costs as transparent as possible. In addition to the information provided on our website and in our practice paperwork, we also provide a written Good Faith Estimate. The information below is provided courtesy of the Centers for Medicare and Medicaid Services (CMS):

As part of the 2022 No Surprises Act, you have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate, visit
www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1- 800-985-3059.

Telehealth FAQ

We believe in providing accessible care convenient to your location. As part of our commitment, we are pleased to offer telehealth services for the majority of our services. It’s important to note that certain components of a comprehensive neuropsychological evaluation still require in-person testing. To comply with state law, you might also be required to meet face-to-face with your treating provider at specified intervals.

To access our telehealth services, all you need is an internet-connected device such as a smartphone, tablet, or desktop computer, along with a dependable internet connection and a camera/microphone on your device. When your appointment is scheduled, we will provide you with clear instructions to guide you through the necessary steps to connect to your telehealth appointment.

Note: any phone numbers we collect during the client registration process and in the ‘Contact Us’ forms are confidential and will NOT be shared with 3rd party providers.