ADHD InsuranceCoverage & Benefits
We accept Medicare, Medicaid, and most major insurance plans for ADHD testing and treatment
8 insurance providers accepted • Free benefit verification • No surprise bills
Insurance Plans We Accept
Comprehensive coverage with major national insurance providers
Medicare
Comprehensive ADHD coverage
Medicaid
Full evaluation and treatment coverage
Aetna
ADHD testing and medication management
Blue Cross Blue Shield
Covers ADHD evaluation and follow-ups
Cigna
ADHD services covered under mental health benefits
UnitedHealthcare
ADHD diagnosis and treatment covered
Humana
ADHD evaluation and medication management
Anthem
ADHD services covered with referral
Other Insurance Plans
If your insurance provider is not listed above, we may still accept it. Call us at 678-437-1659 to verify coverage or request a superbill for out-of-network reimbursement.
What Insurance Covers
ADHD evaluation, testing, and medication management services covered by most plans
Initial ADHD Evaluation
CPT Code: 99214 or 99215
Comprehensive clinical interview, symptom assessment, medical history review
TOVA Computerized Testing
CPT Code: 96116
Objective attention and executive function testing
Psychoeducational Report
CPT Code: 99080
Detailed evaluation report and recommendations
Follow-up Medication Management
CPT Code: 99213 or 99214
Monthly or periodic medication adjustments and monitoring
ADHD Medications (Generic)
CPT Code: Pharmacy Benefits
Amphetamine salts, methylphenidate, and other generics typically covered
Brand ADHD Medications
CPT Code: Pharmacy Benefits
Vyvanse, Concerta, Adderall XR - may require prior authorization
Our Insurance Support
We handle the insurance details so you can focus on your health
Coverage Verification
We verify your insurance coverage, deductible status, copay amounts, and out-of-pocket maximums before your appointment
Prior Authorization
We handle all prior authorization requests with your insurance company to ensure smooth approval
Transparent Pricing
You'll know your exact copay and costs in advance - no surprise bills or unexpected charges
Billing Support
Our experienced billing team works with your insurance to maximize benefits and minimize your out-of-pocket costs
Out-of-Network Options
Even if we're out-of-network for your plan, we can help with superbills for reimbursement
Payment Plans Available
If you need to cover your deductible or out-of-pocket costs, we offer flexible payment arrangements
How to Verify Your Benefits
Simple 4-step process to understand your coverage
Call Us
Contact our billing team at 678-437-1659 with your insurance card information
We Verify Benefits
We'll contact your insurance company to verify coverage, deductible, and copay amounts
Review Your Benefits
We'll explain your coverage details, what's included, and any out-of-pocket costs
Schedule & Confirm
Schedule your appointment with full knowledge of your costs - no surprises at the visit
Ready to Get Started?
Call our billing team today to verify your benefits and schedule your ADHD evaluation
Call 678-437-1659Payment Options
Flexible payment methods for every situation
Insurance Copay
Pay your copay at the time of service
Deductible Payment Plans
Spread your deductible across multiple payments
HSA/FSA Accounts
Use pre-tax health savings for treatment and medications
Out-of-Network Superbill
We provide superbills for out-of-network reimbursement
Out-of-Network Options
If we're out-of-network for your insurance plan, we can still help you access our services and maximize reimbursement.
- Superbills Provided
We provide detailed superbills for you to submit to your insurance for reimbursement
- Reduced Rates
We offer discounted rates for out-of-network patients
- Payment Plans Available
Flexible payment options to make care affordable
Uninsured Patients
We offer affordable options for patients without insurance coverage.
- Sliding Scale Fees
Fees starting at $300 for evaluation based on income
- Payment Plans
Split treatment costs across multiple monthly payments
- Medication Assistance
Free medications through pharmaceutical programs if eligible
HSA & FSA Eligible
Save money on ADHD care with tax-free health accounts
ADHD evaluations, medication management visits, and medications are all eligible for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). Using these accounts provides immediate tax savings of 20-30% on your out-of-pocket costs.
Frequently Asked Questions
What insurance plans do you accept?
We accept Medicare, Medicaid, Aetna, Blue Cross Blue Shield (BCBS), Cigna, UnitedHealthcare, Humana, and Anthem. If your insurance is not listed, please call us at 678-437-1659 to verify coverage.
How can I verify my insurance benefits?
Call our billing team at 678-437-1659 before your appointment. We'll verify your coverage, deductible, copay amounts, and out-of-pocket maximums. You can also check your insurance portal or call your insurance company directly with your policy number.
What CPT codes are covered for ADHD evaluation?
ADHD evaluations are typically covered under CPT codes 99213-99215 (office visits) and 96116 (computerized testing/TOVA). ADHD medication management is covered under 99213-99215 for follow-up visits. Coverage varies by plan and medical necessity.
What if I don't have insurance?
We offer flexible payment plans for uninsured patients. Our sliding scale fees start at $300 for initial evaluation and $100 for follow-up visits. We also accept HSA/FSA funds. Call 678-437-1659 to discuss options.
Are ADHD medications covered by insurance?
Yes, most insurance plans cover ADHD medications. Generic stimulants (amphetamine salts, methylphenidate) are typically $10-30/month with insurance. Brand-name medications have copays of $30-75/month. Many manufacturers offer copay assistance cards reducing costs further.
Can I use HSA or FSA accounts for ADHD treatment?
Yes, ADHD evaluations, medication management visits, and medications are eligible for tax-free HSA and FSA spending. Using these accounts provides 20-30% tax savings on your treatment costs.
Ready to Start Your ADHD Evaluation?
Let us handle the insurance details. Call today to verify your benefits and schedule your comprehensive ADHD evaluation