Evaluation Models

Making High-Quality Neuropsychological Evaluations Accessible

At Horizon Neuropsychological Services, we believe that everyone should have access to high-quality neuropsychological evaluations. That’s why we offer three evaluation models designed to fit different needs and budgets.

Understanding Insurance & Medical Necessity

Insurance companies cover only what they consider medically necessary—meaning services needed to diagnose or treat a medical condition. Unfortunately, this means they do not cover certain important assessments, such as academic achievement testing for learning disabilities, because they see it as an “educational issue” rather than a medical one.

Additionally, insurance companies limit the number of hours they will reimburse for testing, scoring, report writing, and reviewing results—often far fewer hours than what is truly needed for a thorough evaluation. Because of these restrictions, many neuropsychologists do not accept insurance and only offer private pay options.

Our Commitment to Affordable & Comprehensive Care

At Horizon Neuropsychological Services, we are dedicated to finding a balance—making evaluations as affordable as possible while maintaining the highest quality of care. That’s why we offer three different evaluation models, allowing you to choose the option that best meets your needs. More details are outlined below.

For questions, please contact our office at (720) 242-7533.

Basic Evaluation

Cost (Insured): Covered by insurance. You will only be responsible for your copay, coinsurance and/or your deductible amount (if any).

Cost (Uninsured): $1900.00

Description: This type of evaluation is entirely deemed to be “medically necessary” by insurance companies. As such, it will not include many additional bonuses that are included in the Standard and Comprehensive models, which we find to be tremendously beneficial for patients.

What is included:

• • • • Clinical Interview: The doctor will conduct a 30–60 minute interview with the patient regarding their symptoms, evaluation goals, and prior history (e.g., medical, developmental, adaptive, social, emotional/behavioral, academic, and occupational history).
      • Collateral Interview: If permitted, the doctor will conduct a 15–60 minute in-person or Zoom interview with a close friend or family member (that they choose) regarding their concerns and a chronological account of how those concerns have manifested across time.
      • Testing: The doctor will conduct 4 hours of testing plus 1 hour of questionnaires with the patient either virtually, in-office, or in-home (if needed). The battery will cover the following areas: IQ, verbal, visual-spatial, attention, executive functioning, memory, motor, social, and emotional/behavioral.
      • Feedback Session: The doctor will conduct a 1-hour feedback session with the patient or parent/guardian (for those who have given power of attorney to another adult). The feedback session will include a review of the testing data, diagnosis, and recommendations.
      • Evaluation Report: The report will include the referral question, background section summarizing information from the clinical and collateral interviews, list of all testing protocols, clinical behavioral observations, a summary of the diagnoses, clinically indicated recommendations not pertaining to an academic or vocational setting, and a testing data appendix.

What is not included:

• • • • The report will only include medically necessary recommendations and is not well suited for individuals who will want extensive recommendations (i.e., outline of specific behavior modification steps) across settings (including academic and vocational).
      • Academic achievement testing in reading, writing, or math to identify or rule-out a learning disability is not included.
      • Participation in school or work meetings, pertaining to implementing accommodations, will be charged at a rate of $250 per hour (billed in 15-minute increments).

Standard Evaluation

Cost (Insured): There is a $1,700.00 add-on fee that cannot be billed to insurance. This fee will be in addition to what is not covered by insurance (based on your benefits).

Cost (Uninsured): $3,300.00

Description: This type of evaluation goes beyond what is considered to be “medically necessary” by insurance companies.

What is included:

• • • • Clinical Interview: The doctor will conduct a 30–60 minute interview with the patient regarding their symptoms, evaluation goals, and prior history (e.g., medical, developmental, adaptive, social, emotional/behavioral, academic, and occupational history).
      • Collateral Interview: The doctor will conduct a 15–60 minute interview with the patient’s parent, guardian, family member, partner, or friend (that they choose) regarding their concerns and a chronological account of how those concerns have manifested across time.
      • Testing: The doctor will conduct 4 hours of testing plus 1 hour of questionnaires with the patient either virtually, in-office, or in-home (if needed). The battery will cover the following areas included in the Basic Evaluation: IQ, verbal, visual-spatial, attention, executive functioning, memory, motor, social, and emotional/behavioral.
      • Feedback Session: The doctor will conduct a 1-hour feedback session with the patient or parent/guardian (for minors or those who have given power of attorney to another adult). The feedback session will include a review of the testing data, diagnosis, and recommendations.
      • Evaluation Report: The report will include the referral question, background section summarizing information from the clinical and collateral interviews, list of all testing protocols, clinical behavioral observations, a summary of the diagnoses, clinically indicated recommendations not pertaining to an academic or vocational setting, and a testing data appendix. Additionally, the report will include pages of recommendations that are applicable to vocational and academic settings (note: this does not include interventions for a learning disability in reading, writing and math).
      • Participation in School 504/IEP and Work Accommodation Meetings: Per request, the doctor will participate in the 504 Accommodation Plan or Individualized Education Program (IEP) meeting through the school district, or work accommodation meetings through the patient’s employer, via Zoom or phone free of charge. If families wish their doctor to participate in-person, however, this will be an additional charge ($250 per hour of drive time).

What is not included:

• • • • Academic achievement testing in reading, writing, and math to identify or rule-out a learning disability is not included.

Comprehensive Evaluation

Cost (Insured): There is a $2,200.00 add on fee that cannot be billed to insurance. This fee will be in addition to what is not covered by insurance (based on your benefits).

Cost (Uninsured): $3,800.00

Description: This type of evaluation goes beyond what is considered to be “medically necessary” by insurance companies and also includes academic achievement testing to identify or rule-out a learning disability.

What is included:

• • • • Clinical Interview: The doctor will conduct a 30–60 minute interview with the patient regarding their symptoms, evaluation goals, and prior history (e.g., medical, developmental, adaptive, social, emotional/behavioral, academic, and occupational history).
      • Collateral Interview: If permitted, the doctor will conduct a 15–60 minute in-person or Zoom interview with a close friend or family member (that they choose) regarding their concerns and a chronological account of how those concerns have manifested across time.
      • Testing: The doctor will conduct 6–8 hours of testing plus 1 hour of questionnaires with the patient either virtually, in-office, or in-home (if needed). The battery will cover the following areas included in the Basic Evaluation: IQ, verbal, visual-spatial, attention, executive functioning, memory, motor, social, and emotional/behavioral. Additional testing includes academic achievement testing in reading, writing, and math to identify or rule out a learning disability.
      • Feedback Session: The doctor will conduct a 1-hour feedback session with the patient or parent/guardian (for minors or those who have given power of attorney to another adult). This will include a review of testing data, diagnosis, and recommendations.
      • Evaluation Report: The report will include the Basic and Standard Evaluation sections: Referral question, background section summarizing information from the clinical and collateral interviews, list of all testing protocols, clinical behavioral observations, a summary of the diagnoses, clinically indicated recommendations not pertaining to an academic or vocational setting, and a testing data appendix. This will also include academic testing review to identify or rule-out a learning disability in reading, writing, and math. Moreover, this report will include a school section outlining all the recommended accommodations and curriculum modifications that should be provided to the school for review.
      • Participation in School 504/IEP and Work Accommodation Meetings: Per request, the doctor will participate in the 504 Accommodation Plan or Individualized Education Program (IEP) meeting through the school district, or work accommodation meetings through the patient’s employer, via Zoom or phone free of charge. If families wish their doctor to participate in-person, however, this will be an additional charge ($250 per hour of drive time).