We understand that seeking a comprehensive assessment, therapy, or other support services is an investment in yours or your child’s future and well-being. For 2E, ADHD, Learning Disability, and psychological assessments, it is important to note that the vast majority of insurance plans specifically exclude assessment for education-related issues. This is the case even for insurance plans for which we are in-network providers. Their position is that these issues fall within the realm of school systems to address and provide. However, and most unfortunately, in this era of drastic budget cuts, many school systems lack the appropriate resources and adequately trained staff to offer the types of comprehensive assessments that will best identify a child’s true capabilities and challenges.
PEAK is currently In-Network for most Cigna and Anthem/Blue Cross Blue Shield plans. However, due to many problems with obtaining coverage for testing services, these contracts will end at the end of April, 2021
For all other insurance plans/companies, PEAK Exceptional Services is considered “Out of Network” and we do not bill insurance directly (other than Anthem/BCBS and Cigna). Many insurance plans allow you to file an out of network claim to obtain reimbursement for part or all of your out of pocket costs. Please check with your insurance company if you would like to pursue this option. If your plan does have some coverage for these services, PEAK will provide you with all necessary documentation to seek reimbursement from your insurance plan (i.e. “Superbills”), but we cannot guarantee reimbursement for services.
If you are seeking insurance reimbursement for assessment services, please inform us in advance. We can provide you with some information on how you can contact your insurance plan to get details about your coverage.
**Please note that IQ testing specifically for admission to specialized gifted schools or academic enrichment programs (our “Gifted Screening” service) is not covered by insurance and is not a qualified expense for most Flex/Health spending accounts. However, we are happy to provide a detailed receipt for all services rendered.
We are not in-network with Medicaid and Medicaid does not allow subscribers to see Out of Network providers. If you have Medicaid, please contact your plan for In-Network providers.