Insurance Information

 

We accept all major Insurance Plans in Tennessee listed below:

 

  • Aetna
  • Blue Cross Blue Shield, all plans including Anthem
  • Cigna
  • Humana
  • Medicare
  • TriCare

 

If you have a question about your insurance, feel free to give us a call. Assessment fees for those using insurance vary depending on your coverage and benefits and are different for each insurance plan. Some plans have a particular co-pay that is due at the beginning of each session. With other plans you may have a high deductible that must be met before insurance will begin to pay. I cannot give you an accurate estimate of your out of pocket expense because each plan is different. I would recommend that you call your insurance company to determine your out of pocket expense.

 

If you choose not to use insurance I can discuss my fees with you over the phone. This includes our face to face time in the sessions, the time it takes to complete the report, and other administration time related to your assessment (i.e., review of records, sending information and forms to teachers and others). The time and cost will be different for each evaluation as the testing and number of sessions depends on the complexity and number of assessments needed.  Payment will be required at the beginning of each session. A report will be provided only after your account has been paid in full.

 

While I do conduct evaluations for learning disorders in reading, math, and writing (including Dyslexia, Dyscalculia, and Dysgraphia) insurance typically does not cover the cost of these evaluations because insurance companies do not consider these evaluations “medically necessary”; however, you should check with your insurance company to be sure as each plan is different and there are a very few plans that will cover this cost. When calling your insurance carrier to determine if my services are covered it may help to have a few codes when you call. Typically, the person you talk with at the insurance company will need a diagnosis code and a procedure code to determine if the service is covered. The diagnosis code will depend on the presenting concerns that you have. Codes for each condition are different and there is no room to list them all here; however, common ICD-10 diagnosis codes for learning disorders are: F81.0 Specific Reading Disorder, F81.2 Mathematics Disorder, and F81.81 for a Disorder of Written Expression. The procedure code (often called a CPT code) for Psychological Testing is 96101. This is the code that I use to bill for my testing services.

 

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108 W. Summit Hill Drive

Knoxville TN 37902

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