• Dr. Wilson is currently only in-network with BCBS HMO plans 

  • All other plans (including BCBS PPO plans) are private pay. PPO plans often have out-of-network benefits, and a portion of the fee may be reimbursable

  • BCBS covers neuropsychological and psychological assessments when deemed "medically necessary".

  • For most HMO plans, prior authorization is required for the assessment, and Dr. Wilson will submit necessary paperwork to obtain this authorization.

  • Academic testing and evaluations that are solely for academic purposes are not covered by insurance; however, academic testing is considered to be essential as a part of the comprehensive evaluations that are provided in this practice, so there is an out-of-pocket academic testing/consultation fee for evaluations that are billed to insurance to cover this non-covered service. This fee varies depending on the grade of the child, and Dr. Wilson will provide you with an estimate prior to completion of this testing.

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• If services are out-of-network or not medically necessary, then Dr. Wilson will provide you with an estimated fee for the evaluation. If you have out-of-network benefits, the fee may be reimburseable by your insurance, and Dr. Wilson will provide you with an itemized receipt to submit for such reimbursement. This fee should also be eligible for reimbursement through a health care flexible spending account.

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• Educational consultation services (e.g., participation in IEP meetings, reviewing school evaluations/IEPs) are not covered by insurance and are billed at a rate of $250 per hour. Dr. Wilson will provide you with a complete quote prior to completion of any procedure that may be an out-of-pocket expense.​

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• To keep overhead and fees as low as possible, Dr. Wilson currently accepts cash and check only. ​​