At The Luminous Mind, psychological evaluation services are offered exclusively in the form of Comprehensive Assessments, which include both insurance-covered, medically necessary components, and non-covered components for which clients are responsible for paying out-of-pocket.
Insurance-Covered Services
- Diagnostic interview
- Psychological test administration and scoring
- Clinical interpretation and diagnosis
- Medical-necessity report writing
These services are billed to insurance using appropriate CPT codes if we are in-network with your insurance. If we are out-of-network, we are happy to issue a superbill for these charges.
Non-Covered Services (not billable to insurance)
1. Enhanced Reporting & Documentation
- Customized Planning Document: Creation of an Executive Summary for the client (and/or family) that synthesizes key findings into clear, non-clinical language, including prioritized goals and individualized recommendations.
- Resource Mapping: Provision of a client-centered list of specific resources, vetted websites, or relevant support groups related to the diagnosis and functioning (e.g., specialized tutoring, vocational programs, peer support).
2. Extended Integration & Advocacy Support
- Extended Integration Sessions: Dedicated time (beyond the standard clinical feedback required by CPT codes) for the client and/or family to explore diagnosis and data and to conduct extensive Q&A regarding implications for their lives.
- Formal Third-Party Advocacy & Consultation: Time spent in active, scheduled consultation with non-medical third parties at the client’s request. This may include treatment coordination with therapist(s).
- Parent/Family Coaching: Customized guidance for parents and/or family members focused exclusively on practical home or academic strategies, behavioral management techniques, and understanding the diagnostic identity (distinct from clinical family therapy).
3. Comprehensive Diagnostic Exploration
- Neuroaffirming Assessment Processes: As part of a comprehensive evaluation, clinicians utilize processes designed to support diagnostic accuracy, client safety, wellness, and meaningful engagement. These processes intentionally prioritize flexibility, sensory regulation, pacing, and individualized accommodations rather than standardized time constraints.
- This may include extended assessment sessions (or several shorter sessions, depending on need), additional breaks, modified testing environments, or alternative administration approaches (e.g., allowing movement, low-stimulation settings, flexible positioning) when clinically indicated. While such accommodations are essential for valid assessment and ethical practice, they often require additional professional time beyond what is typically recognized under standard insurance determinations of minimal medical necessity.
- Elective Screening and Exploration: Clinical discussion and written feedback addressing potential diagnostic considerations or the need for additional assessment. This may include rule-out processes or client-requested exploration, such as screening for low-prevalence conditions, differential diagnosis, or identity-related clinical formulations.
The non-covered fee of $750 covers the professional time and resources required to develop, prepare, and deliver the necessary and requested services listed above. It is a flat fee, not a guarantee of every single item. The specific combination and delivery of non-covered services will be determined by the clinician based on the assessment’s findings and the client’s unique needs, priorities, and specific requests. The client is paying for full access to this specialized set of non-covered services and deliverables; however, only those that are clinically appropriate and/or specifically requested will be provided.
What This Means for You
- Clients who wish to proceed with a Comprehensive Assessment at The Luminous Mind will receive a Non-Covered Services Agreement that must be completed prior to scheduling testing.
- The $750 flat fee is required to cover the components of the Comprehensive Assessment that are not billable to insurance. The fee is charged at the time of scheduling an appointment.
- Clients with insurance coverage through Medical Assistance (PMAP) or have limited income may qualify for a reduced rate.
Self-pay clients will be charged a flat rate of $2,500 for a Comprehensive Assessment.
Scheduling Psychological Testing
Upon receipt of registration paperwork, we will verify that the insurance provided is active and will share additional paperwork requiring review and signatures through our Therapy Portal. Upon completion, this also adds a client to our cancellation call list, which may result in being scheduled sooner.
Clients are contacted to schedule testing appointments approximately two to four weeks prior to an opening, or possibly sooner if there is a last-minute cancellation. Upon scheduling, insured clients will be charged the Comprehensive Assessment fee of $750. Self-pay clients who are uninsured or have out-of-network insurance will be required to pay $1,250, which is 50% of the overall testing cost. The remainder of the balance will be due before receipt of the written report.
Should you have any questions, please feel free to contact AJ Bantley at 612-276-2466 or contact@theluminousmind.com.