MEDICARE:
At this time, we only participate with traditional Medicare insurance plans. Individuals with traditional Medicare are not required to pay for the evaluation in advance.
Currently, we are not in-network providers for Medicare Advantage plans through private payers (including but NOT limited to AARP Medicare Advantage, Aetna Medicare, Anthem Blue Cross Blue Shield, CarePartners of Connecticut, Cigna, Connecticare, Humana, Trinity Health Plan of New England, United Healthcare, or Wellcare). If you have a Medicare Advantage plan, we cannot bill the carrier of that plan. However, we invite you to schedule an appointment with us if you are willing and able to pay out of pocket for services.
ALL OTHER INSURANCE PLANS AND SELF-PAYERS:
If you have insurance through any insurance company besides traditional Medicare and would like to have a neuropsychological evaluation done through Person-Centered Neuropsychology, LLC, you will be responsible for the out of pocket costs. The cost of the evaluation will be discussed at the time your appointment is scheduled.
Payment for the evaluation is due in full no later than one day before the testing appointment. If payment has not been made prior to your appointment time, your appointment will be cancelled. In certain situations, a 2-month payment plan may be accepted.
Sometimes, your insurance company may reimburse you for some amount of the assessment, but not always. Thus, we strongly recommend that you contact your insurance company prior to scheduling an appointment to best understand your total expected out of pocket costs.
Typical billing codes used for a neuropsychological evaluation include the following: 90791, 96136, 96137, 96132, 96133. Additional codes may also include 90632, 90634, or 90637.
These billing policies are accurate and up to date as of 08/22/2023.
Click here for information about the evaluation process.
