Intake Inquiry Form – NESCA
  • PLEASE READ THESE INSURANCE FAQs CAREFULLY BEFORE COMPLETING THIS FORM

    Does NESCA take insurance for neuropsychological evaluations?

    For neuropsychological evaluations, Drs. Asher, Burns, Creedon, Currie, Dautoff,  Gibbons, Hess, Manning, Milana, O'Brien, Rodriguez, Talamo, Weieneth, and Weinberg are providers to Blue Cross Blue Shield.

    Dr. Weinberg and Dr. Burns are also providers with United Behavioral Health. Please note, they only see clients out of our Newton, MA office.

    NESCA does not bill any other insurance companies directly for evaluations. If you wish to seek partial reimbursement from your insurer, we will provide you with a detailed invoice (i.e. a superbill) at the conclusion of the evaluation.

    Does insurance cover the full neuropsychological evaluation fee?

    No. Health insurance companies provide coverage only for testing that meets their "medical necessity" criteria.

    All evaluations at NESCA include testing that insurers consider "educational" and therefore do not fund. For this testing and subsequent feedback, you will be billed a separate fee for Educational Program Planning and Consultation Services.

    If you have questions about your neuropsychological evaluation coverage, we encourage you to speak with your health insurance provider prior to completing this intake.

    Does insurance cover transition services?

    Transition consultation, planning, and assessment services are all considered "educational" services and are not covered by most insurance plans.

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  • If patient is a minor, please indicate Marital Status of Custodial Parents/Guardians. If patient is an adult, please indicate patient's Marital Status*
  • Insurance Information

    NESCA does not accept Mass Health. For neuropsychological evaluation, NESCA is able to direct bill BCBS and for some clinicians, UBH. We do not direct bill for any other services or any other insurance companies. IF YOU INTEND TO USE BCBS or UBH INSURANCE, PLEASE COMPLETE ALL FIELDS BELOW. Please note that you are responsible for knowing the benefits, limitations, and responsibilities of your health insurance plan.
  • Insurance plan*
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  • Do you have an HSA (health savings account) or FSA (flexible spending account?
  • If you’re unsure whether you currently have an HSA or may be eligible to open one, would you like an Opus Health representative to reach out and help you determine your options?
  • Referral Info

  • Which services are you interested in? *Please note that NESCA only bills insurance (BCBS/UBH) for neuropsychological evaluation services.*
  • Are you most interested in services that can be delivered:
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