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Health Insurance Coverage
BrainAdvantage is a fee-for-service practice, and payment is expected before assessments or training sessions begin unless other arrangements have been made with our office prior to your appointment. However we do offer savings by way of family and pre-payment discounts. We also take all major credit cards.
If you have a pre-tax medical reimbursement account (or Flex account) all our fees qualify for reimbursement.
If you have health insurance, you may be eligible for reimbursement for all or part of our fees. Ask your insurance company if biofeedback or neurotherapy is covered in your policy. Some insurance companies require a diagnosis code that adhers to their guideline. Find out what diagnosis codes are acceptable and then speak with our physician to see if your issues are covered.
Your insurance comapny may also require a prescription or referral to get reimbursement. Our physician can help with those issues. If your health insurance covers only in-network physicians, ask if they have an "out of network benefit" that covers biofeedback or neurotherapy.
For your convenience we have included CPT codes for biofeedback and neurofeedback so you can inquire whether your insurance company covers these areas. Ask at what rate they cover:
- 96116
Neuro behavioral status exam
- 96125
Cognitive Performance testing
- 97532
Development of cognitive skills, 15 minute unit
- 97110
Therapeutic exercise to develop strength and endurance.
- 97532 or 97533
Neuropsych or cognitive rehabilitation
- 97533
Sensory Integration Therapy-each 15 minutes
- 90901
Biofeedback/Neurofeedback
- 99204 and 99354
New Patient Medical Initial Visit
- 99214
Follow-up medical Office Visit
- 99354
Prolonged office visit
- 93740
Temperature gradient studies (Thermogram)
You will be responsible for filling out your own insurance forms and submitting them to your insurance company.
Medical Reimbursement Accounts (Flex Account)
A Medical Reimbursement Account allows you to set aside part of your salary each pay period on a pre-tax basis to pay for the out-of-pocket medical, dental, and vision care expenses not covered by your health benefits plan. If you have a medical benefits account, all our charges will qualify.
Medical Expense Deductions
IRS Code section 213 deems diagnostic procedures such as testing, evaluation and prescribed treatments for learning disabilities as being tax deductible medical expenses. A neuropsychologist, physician or other qualified professional must diagnose the learning disability condition and recommend appropriate treatments in order to qualify for said deduction. For more information please check with your attorney or tax planner.
Contact us for more info
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