This is an understanding of Norwood Behavioral Health (NBH) testing service. This agreement covers the cost of neuropsychological testing between the client and the practice. It is agreed that NBH will perform this testing using all standard and conventional testing methods. The standard battery of tests will include but not be limited to neuropsychological testing, Intelligence testing; academic testing, and personality testing and will be determined by NBH. This service will include a review of the testing with the tester and or Dr. Schembri with appropriate recommendations and planning for further treatment or academic support.
Testing Cost: $3,000.00
Deposit required for appointment: $1,500.00
BCBS Members: NBH will submit an authorization request to Blue Cross Blue Shield for 15 hours of service. This will cover the neuropsychological part of the evaluation. The educational part is paid out of pocket because BCBS will not pay for educational testing.
BCBS will then determine if they will reimburse and the level of reimbursement. This reimbursement will be credited to the cost of the procedure and the client will pay the balance. Please note that this balance will go towards those tests that BCBS does not pay for (i.e. educational). BCBS will pay for the neuropsychological elements and the client will pay for the educational elements of the battery of tests. Both are required to arrive at an accurate and full appraisal of the client's situation. If BCBS rejects the authorizations, the client will be responsible for the remaining $1,500.00. After payment is received in full, the report will be made available to the client.
Non-BCBS Members: If the client does not have BCBS, the client is required to pay the full $3000.00. A $1,500.00 deposit is required before scheduling. The additional $1,500.00 must be paid before the final report is released to the client. The client may request receipt of payment to submit to their insurance company for reimbursement.