Does Insurance Cover ADHD Evaluations? What to Know Before You Book
Cost is one of the biggest reasons people put off getting evaluated for ADHD — often based on an assumption about what it costs that turns out to be wrong. Here’s what’s actually true about insurance and ADHD evaluations.
Most commercial insurance plans cover it
ADHD evaluations are typically covered as a standard behavioral health benefit under most commercial insurance plans, the same category as therapy or a psychiatric visit. Coverage details — copay, deductible, number of covered sessions — vary by plan, which is exactly why insurance should be verified before your visit, not guessed at.
Why “verified before your visit” matters
A lot of the anxiety around cost comes from not knowing the number until after the appointment. When insurance is verified in advance, you know your expected cost before you ever see a provider — no surprise bill afterward.
If you don’t have insurance, or it’s not accepted
Self-pay is a straightforward option, with a flat, predictable rate for both the initial evaluation and any follow-up visits. Some people specifically choose self-pay to avoid a mental health diagnosis appearing on insurance records — that’s a personal decision, and a valid reason to ask about it.
What we accept
We work with most major commercial insurance plans, including Aetna, Blue Cross Blue Shield, Cigna, Oscar, Oxford, United Healthcare, and Optum affiliates. Medicaid and Medicare aren’t currently accepted. See the full insurance and pricing details for exact self-pay rates.
Find out your actual cost
Don’t let a guess about pricing keep you from getting evaluated. Start with a free 2-minute screening, then book — we’ll verify your insurance and tell you exactly what to expect before you’re charged anything.
