Fees & Insurance

A note about insurance:

Insurance companies usually do not fully reimburse psychological testing services. This is often because the insurance company does not consider psychological testing “medically necessary”. Sometimes only a portion of testing will be covered, for example,  4 hours when 12-18 hours are typically required for a full evaluation. It is your responsibility to verify coverage with your insurance company prior to consenting to services.

If paying privately, here are my fees:

The average cost is $1,200 for a comprehensive psychological assessment (e.g. for ADHD, academic achievement, learning disorders, mood, personality concerns). However, it can range from $800 to $2,400 depending on your concerns and the questions you would like answered. A comprehensive evaluation includes:

  • An initial consultation of 90 minutes
  • 6-8 hours of face to face testing time
  • include  comprehensive intelligence (IQ) testing
  • memory testing
  • continuous performance tests
  • assessment of academic achievement
  • behavior/emotional/social assessment as needed
  • reviewing prior reports, interpreting, scoring, and analyzing results
  • researching interventions
  • report writing
  • a follow-up meeting with you to review results
  • a comprehensive report (typically 15-25 pages) with suggestions for intervention.
  • May also include personality testing or specific neuropsychological tests (e.g. processing speed, visual-motor skills, visual-perceptual skills, auditory processing skills, phonological processing skills).

If you are paying privately, I will gladly provide receipts with billing codes for you to submit to your insurance company. You may receive some reimbursement if the testing is considered by them (not me) to be related to a medical issue  (e.g., a traumatic brain injury or seizure disorder) or a complicated psychiatric diagnosis. Generally, however, it is best to assume insurance will not cover an entire psychological evaluation.

One half of the estimated cost of testing is due at the beginning of testing, with the balance due at your results review appointment. I will not provide the results of your evaluation until payment has been made in full. Payment can be made by cash, check, or credit card.

Please consider the following very carefully if you wish to use insurance. :

  • Nobody likes unpleasant surprises. Past experience has taught me that insurance companies often tell me or my biller ahead of time that psychological testing is covered by your policy. We have even been given an authorization number and proceeded with a psychological evaluation. Then after submitting the claim, insurance companies have denied coverage after they review the diagnosis. Insurance companies can (and often do) deny coverage even if you have been covered in the past. In this case, I would have no other option than to ask you to pay for whatever the insurance company denied.
  • Insurance companies require a mental health diagnosis (e.g. OCD, ADHD) before reimbursing. The insurance  company will only reimburse if THEY (not you or me) consider psychological testing “medically necessary.” The medical diagnosis goes into your health record.
  • Health insurance companies always have access to your healthcare records. Your information may be shared with databases that are accessed by organizations such as life insurance companies. This may affect your ability to obtain health or life insurance or even employment in the future. For example, if you apply for a job, your future employer may ask you to sign a waiver authorizing the release of your health information in order to be considered eligible for the position.
  • Health insurance companies require your personal information before they determine what, if anything, they will cover. An average of 14 people views each claim while it is being processed.
  • Your health records may be audited at any time without warning by your insurance company. They may decide to deny claims for seemingly trivial reasons (e.g. my biller does not include your middle name on a claim form). You would then be required to repay the insurance company for previous sessions which you thought were covered by insurance.

Cancellations/ Missed Appointments: When we set up an appointment, I set aside that time exclusively for you. Unlike doctors, who usually have a waiting room filled with people, I schedule only a limited number of patients per day so that I can give you the attention you deserve. Because it is very difficult to fill sessions canceled at short notice, please give me at least 24 hours’ notice if you wish to reschedule or cancel an appointment otherwise a fee of $50 will be charged. Extenuating circumstances (illness, inclement weather) will be taken into consideration and worked out between us.

After one or more missed or canceled appointments with less than 24 hours’ notice I may ask for your credit card number to keep on hold. In this case, you will not be charged until you attend your appointment, at which time you are free to use another form of payment at your session. I will only charge the card $50 if you cancel or reschedule with less than 24 hours’ notice. If this occurs frequently we may need to discuss whether now is the right time for you to seek treatment.

*Louise is a contracted clinician for a group practice called the Institute for
Christian Counseling, PC, which is a group of about 12 clinicians. Louise Langdon does not practice as a “Christian counselor” but welcomes clients of all faiths as well as those who do not identify with any organized religion. My LLP credential (which governs all Michigan clinicians with a Master’s degree in Clinical Psychology) permits me to bill insurance in my supervisor’s name, John Varani, Ph.D. (NPI 1740326446;  Michigan license no. 6301004055).

*A Michigan limited license permits practice under the supervision of a fully licensed psychologist.  I consult regularly with my supervisor, John Varani, Ph.D., LP (Michigan license number 6301004055) and Carrie Hatcher-Kay, Ph.D. of Partners in Healing (Michigan license number 6301011682).