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Payment/Fees

Fees
  • To reduce demand and allow families to be seen sooner, Dr. Wilson is only in-network with BCBS HMO plans 

    • If you have a PPO plan, then services will be out-of-pocket; Most PPO plans 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 by 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.

  • If services are out-of-network or not medically necessary, then Dr. Wilson will provide you with an estimated fee for the evaluation. The most common evaluation is a comprehensive neuropsychological and educational evaluation, which is currently $3800. Some of this fee may be reimbursed by your insurance provider if you have out-of-network benefits, and Dr. Wilson will provide you with an itemized receipt to submit for such reimbursement. This fee may also be eligible for reimbursement through a health care flexible spending account.

  • All consultation services (e.g., participation in IEP meetings) 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.​

  • Dr. Wilson currently accepts cash and check only.​​

© 2016 by H. Kent Wilson, PhD.

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