Insurance
We verify your coverage before you are scheduled.
We electronically check the benefits your health plan reports for neuropsychological evaluation, so you have information about your expected coverage before your appointment is scheduled.
Participating plans
Insurance we accept
We participate with the health plans listed below. If your plan is not listed, you may still submit an evaluation request to learn about available options, including private-pay and use of out-of-network benefits.
- United Healthcare
- Oxford
- HealthFirst
- EmblemHealth
- GHI
- Empire / NYSHIP
- Medicare
- New York State Workers' Compensation
- No-Fault (automobile accident)
Insurance participation changes periodically. Our office verifies your eligibility before your appointment, and will tell you plainly if we cannot bill your plan.
Benefits verification
How verification works
As part of your online evaluation request, we use the information you provide about your insurance to electronically check the benefits your health plan reports for neuropsychological evaluation.
Insurance companies vary in the information they provide, and some evaluations may require prior authorization or additional documentation. If additional information is needed, our office will follow up with you before scheduling.
- Whether your plan is active and in force
- Your copay for the relevant benefit category
- Your coinsurance percentage
- Your deductible, and how much of it remains
- Whether prior authorization appears to be required
Verification is not a guarantee of payment
This is what your insurance company reports during verification, not a guarantee of payment. Your final responsibility is determined by your plan and by how the claim is processed. Our staff will confirm your exact benefits before your visit.
You remain responsible for any deductibles, copayments, coinsurance, or non-covered services determined by your insurance company. We will never tell you a service is definitely covered, and we will never quote you a figure your insurer did not actually return.
Billing codes
The codes testing is billed under
If you want to check coverage with your carrier yourself, these are the codes to ask about. Quoting them gets you a far more precise answer than asking about neuropsychological testing generally.
- Neurobehavioral status exam, first hour
- Neurobehavioral status exam, each additional hour
- Neuropsychological testing evaluation, first hour
- Neuropsychological testing evaluation, each additional hour
- Test administration and scoring, first 30 minutes
- Test administration and scoring, each additional 30 minutes
Payment
When payment is due
Copayments, deductibles, coinsurance, and private-pay fees are due at the time of your appointment.
If testing is not covered by your insurance, private-pay options may be available and our office will discuss the fees with you before anything is scheduled. You will not be surprised by a bill.
If you would like to discuss financial arrangements or a payment plan, please speak with our billing office — they can help in ways the front desk cannot.
Check your coverage as part of your request
The online request runs your benefits check for you. Prefer to talk it through first? Call (631) 366-3369.
Verify your benefits before you request an evaluation
We check your plan electronically, the same way we do when you call. It takes about a minute and does not commit you to anything.