Insurance Plans & Coverage

Despite its phenomenal utility, psychological testing can be quite expensive. Because of this, PACC is actively working with several managed care organizations (MCOs) to ensure the provision of quality, cost-effective services.  Directly below, you will find a list of insurance payers that PACC is currently in-network with.  Please check this page or email scheduling@psychassessclt.com for updates on PACC's credentialing status with local MCOs.​

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• Blue Cross Blue Shield of North Carolina (BCBS NC)

• Aetna

• Alliance Health (NC Medicaid)

• Vaya Health (NC Medicaid)

• AmeriHealth Caritas (NC Medicaid)

• Medicare

• Healthy Blue (NC Medicaid) - Beginning January 2026*

 

Please note that all school entry assessments are conducted at the self-pay rate, as they are not considered a “medical necessity”, hence the reason that such assessments are not covered by insurance.  Please visit the “CAIS School Entry Assessments” and “Non-CAIS School Entry Assessments” sections on the “Scheduling & Fees” page for specific information regarding school entry testing fees.

 

While PACC will make every reasonable effort to verify a client’s insurance benefits, it is ultimately the responsibility of the client to ensure that they have appropriate coverage for the services being requested.  Below are a few questions that you may find helpful to ask your insurance provider prior to initiating the evaluation process.

 

Do I have outpatient, mental health coverage?

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Do I have a deductible? How much is it and has it been met?

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Are there stipulations regarding the number of visits that I am allowed and/or the number of hours of testing that I can undergo per visit?

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Does my provider have to complete a Prior Authorization Request for me to proceed with the evaluation process?

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Do I have a co-pay for psychological assessment services? If so, are CPT Codes 90791, 96136, 96137, 96130, and 96131 covered under my co-pay, or will those claims be applied to my deductible?

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Are there certain diagnoses/conditions that my plan will not cover?

 

 

GOOD FAITH ESTIMATE

 

Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals both orally and in writing who are not enrolled in a coverage plan or a Federal health care program, or those who are not seeking to file a claim with their plan or coverage of their right (upon request or at the time of scheduling services) to receive a “Good Faith Estimate” of expected charges.  Please click HERE for more information related to the No Surprise Act under (OMB Control Number: 0938-1401).