INSURANCE AND ASSESSMENT
Insurance companies vary significantly in their coverage of psychological testing.
Specific rules often apply, with limits on what is allowed. Also, some plans do not allow for any psychological testing AT ALL, even if providers are in network, and many plans have high deductibles that must be met before services can be covered. Even if testing is ‘covered’, all testing approval is based on “medical necessity” and only certain diagnosis codes are allowed.
Therefore, it is essential that you contact your insurance company, as you are ultimately responsible for knowing the details of your coverage and will be responsible for payment of any services your plan does not reimburse.
To ensure that you have accurate information for the psychological testing that you wish to pursue, please review the FAQ and agreement form below and contact your insurance company as soon as possible to find out the necessary details:
A variety of assessment services are conducted at Beacon Pediatric Behavioral Health, including:
Identification of Specific Learning Disorders (Dyslexia/Impairment in Reading, Dysgraphia/Impairment in Written Expression, Dyscalculia/Impairment in Mathematics)
Identification of Developmental Delays
Determination of unique student profile of academic, cognitive, and neuropsychological strengths and weaknesses
Diagnostic psychological evaluations
Autism Spectrum Disorder
Attention Deficit Hyperactivity Disorder
Mood or Depressive Disorders
Disruptive Behavior Disorders (Oppositional Defiant Disorder, Conduct Disorder, etc.)
Depending on presenting concerns, a psychological or psycho-educational evaluation may be recommended by your therapist or requested by the caregiver. An assessment is typically necessary for diagnostic clarification (e.g., to rule out diagnoses such as Autism, Asperger’s Syndrome, Attention Deficit Hyperactivity Disorder , Learning Disorders, etc.) and can be helpful for treatment planning. At times, an evaluation may be warranted when a child is struggling at school. Assessment results can provide a detailed explanation of the child’s cognitive strengths and weaknesses and learning style, which is often useful in determining appropriate academic interventions and accommodations. Additionally, a Gifted Evaluation may be requested by parents to determine if a child displays the intellectual strengths typical of a ‘Gifted’ child, as required for placement within the Gifted and Talented program of the public school system. All assessment tools used at BPBH are valid and reliable measures regularly utilized in the field of clinical and school psychology and are recognized and accepted by the public school districts in Florida.