Out-of-Pocket Administrative & Session Fees

There are instances when you may choose not to use your insurance benefits for services. Or, you may not have insurance that offers behavioral health coverage. Or, there may be times when you make a request of me that is not an insurance-covered service but may be essential for you to have and require concentrated effort by me to complete outside of your normal appointment time (e.g., writing a letter, completing forms for school). The rates on this page apply to these instances when insurance is not billed.

Please note: I do not write letters for individuals seeking approval for emotional support animals. Such letters require their own specialized assessment, and I can provide referrals to professionals who conduct these assessments with individual and the support animal.

Initial consultation, 60 min $200
Test feedback appointment, 60 min $175
Treatment summary letter (1 page) $50
- Includes diagnosis (if applicable), dates of service, frequency of sessions, and functional impacts.
Extended documentation $175+
- (Multi-page letters or form(s) completion, custom narrative)
Copy of evaluation report No charge
- Released directly to you or a third party with signed consent.

Policy on FMLA Paperwork

This practice does not complete FMLA (Family and Medical Leave Act) or work-capacity certification forms.

Our Role: Dr. Jordan’s role is strictly limited to objective psychological and neuropsychological evaluation.
Why: FMLA certification requires an ongoing integration of comprehensive mental and physical health data, which is best overseen by your primary care physician or treating psychiatrist.
How We Support You: If you complete testing here, we will gladly provide a copy of your final evaluation report directly to your physician to assist them in completing your required employer paperwork.

INSURANCE

We are actively contracted (in-network) with the following insurance providers:

Anthem/Blue Cross Blue Shield

Aetna

Cigna

United Healthcare (including Surest)

Optum

UMR

Medicare (including most Medicare Advantage plans)

Georgia Medicaid (Traditional)

CareSource Medicaid

Amerigroup Medicaid

Peach State Medicaid

Tricare

CHAMPVA

If we are not in-network with your specific insurer, you will pay the full evaluation fee at the time of your appointment. We will file your out-of-network insurance claim on your behalf to help you secure direct reimbursement according to the terms of your plan.

Insurance Benefit Check Disclaimer

While we try to be as accurate as possible when verifying your mental health/behavioral health benefits, your fees may change depending on your eligibility and benefits during the date of your sessions. This is an estimate as of the day we check your eligibility and benefits, and we will not know your exact fee until we bill your insurance and get your explanation of benefits (EOB) back from your insurance company. You are also encouraged to call the number on the back of your insurance card and ask your member representative about your 'mental health, outpatient, office visit, psychological/neuropsychological testing' benefits. A common statement from insurance companies is, “A quote of benefits and/or authorization does not guarantee payment. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service.”

Your health insurance company will only pay for services that it determines to be “reasonable and medically necessary.” We will make every effort to have all services and procedures preauthorized by your insurance company, when applicable. However, if your insurance company determines that a particular service is not reasonable and medically necessary, or that a particular service is not covered under the plan, your insurer will deny payment for that service. If your insurance company does not pay for our services, you are responsible for the remaining balance.