Cost is one of the first things people ask about when they're thinking about an ADHD evaluation. The good news is that most health plans cover it. The details depend on your plan, so here's what to know before you book.
Mental health care is covered like other medical care
Federal law requires most health plans that cover mental health care to cover it on terms comparable to physical health care. Washington has its own mental health parity rules as well. In practice, that means a psychiatric evaluation for ADHD is usually treated like a specialist visit, with the same copay, coinsurance, or deductible you'd pay to see other specialists.
Psychiatric evaluation vs. psychological testing
These are two different things, and insurance treats them differently.
- A psychiatric evaluation is a clinical visit with a psychiatric provider. It includes a detailed history and standard rating scales, and it ends with a diagnosis and a treatment plan. This is what we provide, and it's widely covered.
- Neuropsychological or psychological testing is a longer series of tests, often several hours, done by a psychologist. Some plans require prior authorization for it, and some limit coverage. Most people don't need it to get diagnosed and treated for ADHD.
Questions to ask your insurance
- Is a psychiatric provider in network, and what's my specialist copay?
- Have I met my deductible this year?
- Do I need a referral from my primary care provider?
- Are telehealth visits covered the same as in-person visits?
Or skip the phone tree. When you book with us, our team verifies your benefits before your first visit and lets you know what to expect.
Plans we work with
We're in network with most major plans in Washington, including Premera, Regence, Aetna, Cigna, UnitedHealthcare, and Medicare. You can see the full list of plans we accept. If yours isn't listed, call us at (253) 525-5536 and we'll check.
Ready to get started?
Learn more about our ADHD evaluations for teens and adults, or read about what happens at a psychiatric evaluation.
If you or someone you love is in crisis, call or text 988 to reach the Suicide and Crisis Lifeline, or call 911. Mind & Metabolism is an outpatient practice and can't provide emergency care.
Ready to talk with someone?
Our board-certified psychiatric providers see teens and adults across Washington State by telehealth, with limited in-person visits in Lakewood. Most major insurance accepted.
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