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.
- Dementia Testing OR Neuropsychological Evaluation: $3,000
- ADHD evaluation: $1,500
Deposit: $1,500 due at the time of booking. $300 of this is non-refundable. Remainder of fee is due on the date of the first appointment (clinical interview).
Changes/Late-Cancellations: Your provider and our staff reserve a significant amount of time to provide you with your evaluation. The deposit becomes fully non-refundable if the evaluation is cancelled or rescheduled within 10 business days (not including weekends or federally recognized holidays) before the first evaluation appointment.
If you experience a medical or family emergency within 48 hours of your appointment, you will be offered the opportunity to reschedule once. Please note that a medical or family emergency will only qualify if both you and your provider mutually agree that the situation represented an unavoidable emergency.
- Psychotherapy:
- Initial evaluation (60 minutes): $375
- Follow-up appointment (50 minutes): $225
- Caregiver coaching: appointment (50 minutes): $225
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.
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 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.