Fees

The fee for an initial intake interview for parent consultations, therapy, and assessments ranges from $225 to $265 and generally lasts between 60-90 minutes.

The hourly rate for follow-up consultations and therapy sessions ranges from $150 to $175 per hour.

 

The total cost of each assessment varies depending on the type of evaluation that is required to answer the referral questions for your child.  Each assessment is uniquely tailored to each child and the type of evaluation necessary is determined during the intake session prior to the start of testing with your child.  Rates are based on time needed to complete a review of records, face-to-face assessment, scoring and interpretation, consultation with outside providers, report writing, and parent feedback.  If, during the initial interview, the decision is made that an evaluation is not needed, only the fee for the interview will be charged.

An estimate for the assessment will be provided at the initial Parent Interview, but rates generally range as follows:

Focused Developmental, Kindergarten Readiness, or Giftedness Assessments:  $1,000 – 1,600

Psychoeducational, Neuropsychological, & More Comprehensive Assessments:  $1,800 – 2,800

 

Insurance

Dr. Bradley is in the process of getting paneled with Blue Cross Blue Shield to become an in-network provider, and we anticipate that she will be able to offer services as an in-network provider by January 2021, and possibly sooner.  If you would like to use your insurance, please contact us to get an update on Dr. Bradley’s insurance status.  In the meantime, she is able to provide services for BCBS and other insurance companies as an out-of-network provider.

All psychological evaluations are private-pay.  You may be able to be reimbursed for out-of-network services if your plan offers these benefits; however, your out-of-network coverage is likely a percentage of the full cost of the evaluation, and the percentage can vary widely and depends on your particular insurance plan.  Upon request, you can be provided with an invoice (superbill) which you can submit to your insurance company for reimbursement.

 

Why does TCP choose to not accept insurance for evaluations?

Most insurance companies do not cover psychological testing for developmental delays or learning issues, as they deem these services “educational” rather than “medical,” even if the provider is ‘in-network.’  Insurance companies only pay for things that are ‘medically necessary.’  This means that someone has to actually diagnose the patient with a mental health disorder AND prove that it is impacting their health on a daily basis.  Fortunately, many parents seek treatment before their child’s issue would meet criteria for diagnosis as a mental health disorder.  Your insurance company will tell you, “A quote for benefits does not guarantee payment…”  This means that you can be told over the phone that something is covered and you can be given an authorization number, but you can still be denied once they review the diagnosis.  Another issue is that pre-approvals involve the insurance company granting permission for each and every individual test that will be administered, prior to the start of the testing process.  Since each assessment is tailored to your child and the referral question, Dr. Luley may refine the test battery after she starts working with and getting to know your child, rather than administering the same tests to each child.  This individualized approach does not fit with the insurance pre-approval process.  Lastly, providers are typically required to give a mental health diagnosis/code in order to receive reimbursement.  This is problematic if in fact your child does not meet criteria for a diagnosis, and it also requires that any diagnoses be shared with third parties, which violates your privacy.

 

Payments

Payments may be made via cash, check, credit card, FSA (Flexible Savings Account), or HSA (Health Savings Account) card.  For intake sessions,  consultations, and therapy appointments, payment is due at the time of service.  For assessments, 50% of the balance is due when the first testing session is scheduled, and the balance is due at the last testing session.

 

Cancellation Policy

If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged a cancellation fee.

 

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