Insurance
Clear Foundations is out of network with insurance companies. If requested, superbill may be provided for services for submission to your insurance company to seek reimbursement. If you would like to seek Out of Network benefits for service, Clear Foundations will assist with pre-authorization for services if required by your insurance company.
The following services are not covered by insurance: ADHD evaluations, psychoeducational/learning disorder testing, groups/classes, educational consultation, and executive functioning/ADHD coaching.
Reasons not to seek insurance reimbursement for psychological assessment:
- Required Diagnosis of Mental Illness– Insurance companies require a diagnosis or potential diagnosis to help determine the necessary treatment. Once a diagnosis is shared with your insurance company, it becomes a permanent part of your medical record.
- Delayed Services– Seeking reimbursement from your insurance company can be a lengthy process and can delay treatment and assessment. It may take weeks for an insurance company to authorize services, especially psychological assessment, and to reimburse insurance claims. You may also wait weeks to finally receive your psychological report.
- Long Wait Times– In-network providers providing psychological assessment are often overwhelmed and may take months to years to return the results.
- Surprise Costs– Individuals seeking reimbursement may be surprised that insurance will only cover a portion of the bill or promise to cover it only to deny the claim. The individual is left with a large bill they were not expecting.
- Your Diagnosis Becomes a Preexisting Condition– once a mental health diagnosis is on record, insurance companies may deny or reduce coverage based on preexisting conditions that they consider “high risk.”
- Loss of Confidentiality– When an insurance company processes a claim, multiple people will access your diagnosis and health information as they process your claim.
Insurance
Clear Foundations is out of network with insurance companies. If requested, superbill may be provided for services for submission to your insurance company to seek reimbursement. If you would like to seek Out of Network benefits for service, Clear Foundations will assist with pre-authorization for services if required by your insurance company.
The following services are not covered by insurance: ADHD evaluations, psychoeducational/learning disorder testing, groups/classes, educational consultation, and executive functioning/ADHD coaching.
Reasons not to seek insurance reimbursement for psychological assessment:
- Required Diagnosis of Mental Illness– Insurance companies require a diagnosis or potential diagnosis to help determine the necessary treatment. Once a diagnosis is shared with your insurance company, it becomes a permanent part of your medical record.
- Delayed Services– Seeking reimbursement from your insurance company can be a lengthy process and can delay treatment and assessment. It may take weeks for an insurance company to authorize services, especially psychological assessment, and to reimburse insurance claims. You may also wait weeks to finally receive your psychological report.
- Long Wait Times– In-network providers providing psychological assessment are often overwhelmed and may take months to years to return the results.
- Surprise Costs– Individuals seeking reimbursement may be surprised that insurance will only cover a portion of the bill or promise to cover it only to deny the claim. The individual is left with a large bill they were not expecting.
- Your Diagnosis Becomes a Preexisting Condition– once a mental health diagnosis is on record, insurance companies may deny or reduce coverage based on preexisting conditions that they consider “high risk.”
- Loss of Confidentiality– When an insurance company processes a claim, multiple people will access your diagnosis and health information as they process your claim.
