Most major plans accepted. Key insurers include:
- Neighborhood (all plans)
- UnitedHealthcare (non-commercial)
- Tufts (all plans)
- Blue Cross Blue Shield (all plans)
- ComPsych
- MBHP
- Harvard Pilgrim
- Commonwealth Care Alliance (all plans)
- Medicare (RI & MA)
- MassHealth
- Health Plans Inc
- Mass General Brigham (MassHealth version only)
And more — contact us to confirm your plan.
Questions to Ask Your Insurance Provider
While many insurance plans cover neuropsychological evaluations, before scheduling we recommend contacting your insurance company to verify coverage. Here are the key questions to ask:
- Is Evergreen Wellness Center considered in-network for my plan?
Call the member services number on the back of your insurance card and ask whether Evergreen Wellness Center in West Warwick, RI is an in-network provider for your specific plan. We work with many major insurers, but network status varies by plan, so confirm before scheduling.
- Is remote neuropsychological testing covered under my plan, and is coverage dependent on the diagnosis or reason for testing?
Ask your insurer whether telehealth neuropsychological testing is a covered benefit and whether coverage depends on the diagnosis or reason for testing. Some plans only cover testing for certain medical diagnoses, so it is important to verify both points in advance.
- Does my plan require prior authorization, a referral, or documentation of medical necessity for neuropsychological testing?
Many plans require prior authorization, a physician referral, or documentation of medical necessity before testing. Ask your insurer exactly what paperwork is needed so your evaluation is not delayed or denied.
- Do I have an annual deductible? If so, how much of it has been met, and how much remains?
Ask your insurer for your annual deductible amount and how much of it remains for the current plan year. You are typically responsible for the full contracted cost of services until your deductible is met.
- After my deductible is met, what portion of the cost am I responsible for? Is there a copay or coinsurance for neuropsychological testing?
Ask whether a copay or coinsurance applies to neuropsychological testing once your deductible is met, and request an estimate of your out-of-pocket cost per session so there are no surprises.
Please gather all answers before calling our office to schedule. Having this information ready ensures accurate cost estimates and prevents delays in scheduling your neuropsychological evaluation.