Dr. Melissa Jackson-Westbrook does psychological testing with individuals 6+ years of age.

Insurance Information

Dr. Melissa is in-network with:

• Aetna, including Duke Select and Basic plans, and some Aetna CVS plans

• Blue Cross Blue Shield (BCBS) (but does not accept Blue Home)

• Cigna/Evernorth

Dr. Melissa can do a brief check of insurance benefits. However, she highly recommends calling your insurance company directly, before scheduling the intake, to see what their coverage is for psychological testing and/or therapy.

Some questions to consider when verifying insurance coverage:

1. What is my coverage for mental health services for therapy or psychological assessment (see insurance codes below)? Is Dr. Melissa in or out of network?

2. Do I have a deductible that has to be met before insurance covers a portion or all of my mental health services? If so, when does that deductible re-start?

3. If I don’t have a deductible, what is my co-pay or coinsurance? Coinsurance is a specific percentage of the cost of service that you will pay (i.e. 20% of a therapy session). A copay is a defined amount you owe per session (i.e. $25 for every therapy session).

4. Do I need a preauthorization/precertification for psychological testing?

*Always keep track of any calls/write down any reference numbers given to you when speaking to an insurance company representative.

Billing/CPT codes are below :

• Dr. Melissa typically only does 60-min therapy sessions. The CPT code is 90837.

The CPT codes used to bill testing are:

• 90791 (Initial evaluation/intake for therapy or testing)

• 96130/96131 (Psychological evaluation services such as report writing, consultations, review of documentation, and interpretation of results)

• 96136/96137 (Test Administration and Scoring)

Additional Fees/Private Pay Rates:

• No Show/ Late Cancellation Fee: $100 per hour (sometimes testing appointments are multiple hours)

• Note: Each client will be required to sign a late cancellation/no show policy form before services begin. Dr. Melissa understands that emergencies will happen and will review each situation carefully (this may include illness and weather-related events).

• Attendance at outside meetings (such as an IEP meeting): $300 per hour

• Completed and signed forms for accommodations requests for school or work: $50

• Completed disability packets or paperwork: $100

• Private Pay Rate for Therapy: $200 for 60-min session

• Private Pay Rate for Psychological Testing: $200 per hour (typically takes 8 to 12 hours for a full evaluation)

• Private Pay Rate for Initial Intake for Testing or Therapy: $200

*Good Faith Estimate under the No Surprises Act. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. For more information, you can go to: https://www.cms.gov/medical-bill-rights/help/guides/good-faith-estimate