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fees, payment & insurance

fees/rates

We do not take a  "one size fits all" approach. As such, there is no set fee for a given evaluation (except for Admissions testing) because each assessment is unique. You are invited to contact us for a free consultation. After having the opportunity to gather relevant information, the clinician will provide you with a testing plan as well as a carefully articulated (and formally presented) estimate of cost. 

Full payment in advance is only required for Saturday admissions testing appointments. 

cancellation

We aim to treat you and your family the same way that we would hope to be treated. Sometimes missing an appointment is outside of your control. If an Admissions testing appointment is cancelled within 48 hours, it is subject to a $50 fee. However, we strongly encourage (and may require) postponement in the event of illness, as we aim to preserve a healthy environment for all. Cancelling a diagnostic testing appointment is more complex and we appreciate as much advanced notice as possible, as there is often a waiting list for our services.  

insurance

WPA clinicians operate as "out of network" providers. Services may be covered in full or in part by your health insurance or employee benefit plan. Insurance typically reimburses at the conclusion of psychological evaluation. Therefore, you are responsible for making payment directly to your WPA evaluator. In turn, you will receive a statement that is appropriate to share with your insurance carrier for reimbursement.

It is advisable to contact your provider well in advance of testing to determine what your coverage may be. Please be aware that as of January 1, 2019, widespread changes were made to the Current Procedural Terminology (CPT®) code set that drives how psychological and neuropsychological testing is billed. Reimbursement remains at the sole discretion of insurance carriers. They are guided primarily by medical necessity. Benefit verification is not a guarantee of coverage, and we encourage you to ask the following questions and follow up with a supervisor when uncertainty remains:

  • What benefits do you have that cover psychological evaluation (primary billing codes 96130/96131 and 96136/96137) and neuropsychological testing (primary billing codes 96132/96133 and 96136/96137)?
  • What is the rate of reimbursement? (confirm that this is for an out-of-network provider)
  • Is pre-authorization required? (if yes, gather information about the process and required forms, then complete as much of the form as possible before forwarding to us)
  • Are there limits to the coverage? (diagnosis, deductible, number of hours, etc.)


reduced fee

Reduced fee services are available on a limited basis.

payment

Cash and check (made out to Washington Psychology Associates) are accepted for payment.

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