Child and Adolescent Psychologist

Scheduling and Payment

To hold your appointment time, a deposit is required when scheduling. If you're paying out of pocket (self-pay), the deposit will go toward your total balance. If you're using Premera insurance, the deposit simply holds your spot and won’t be charged unless there's a no-show or last-minute cancellation.

Once your evaluation is complete and insurance has processed the claim, the deposit will be refunded. This helps ensure that time is used thoughtfully and appointments remain available for those who need them.

Dr. Streufert currently accepts Premera Blue Cross insurance plans and also offers self-pay options. Additionally, she is available as an out-of-network provider for clients with other insurance carriers. Many insurance plans offer partial reimbursement for out-of-network services; however, coverage and reimbursement amounts vary depending on the specific terms of your individual policy.

In these instances, payment is required directly to Dr. Streufert at the time of service. To assist with the reimbursement process, Dr. Streufert provides a detailed invoice, commonly referred to as a “superbill,” which contains the necessary billing codes and documentation. Patients may submit this superbill to their insurance company to seek reimbursement according to their plan benefits.

We strongly encourage patients to verify their insurance benefits prior to scheduling an appointment to understand their coverage for out-of-network services, including deductible amounts, co-insurance, and any limits or restrictions.

For guidance on navigating the reimbursement process, please refer to the Insurance Reimbursement Tips section below. It includes key questions to ask your insurance provider and outlines important information to help you better understand your coverage.

For those clients using Out-of-Network (OON) services, many are eligible for partial reimbursement from their insurance provider. Coverage for OON services varies by insurance company and individual plan. It is recommended that you contact your insurance provider prior to beginning the evaluation process to better understand your specific benefits.

When speaking with your insurer, consider asking the following questions:

• Do I have Out-of-Network coverage?

• What are my Out-of-Network benefits?

• Do I need a referral or prior authorization to see an Out-of-Network provider?

• What is my annual deductible, and what amount has already been met this year?

• After I meet my deductible, what percentage or dollar amount of the visit cost will I be reimbursed for? (Note: Be sure to reference the specific CPT codes Dr. Streufert will be billing- see below)

• Is there a limit to how many sessions “units” (for testing clients), or dollar amount I can be reimbursed for per year?

• Will Telehealth (video) services be reimbursed by my plan?

• What is the process to submit claims for reimbursement?

Services are billed using Current Procedural Terminology (CPT) codes, which are 5-digit codes specific to each service. Dr. Streufert can give you a “superbill”, which is the document that has all of the information that the insurance company will need in order to process your reimbursement. Prior to calling your insurance company, clarify with Dr. Streufert which CPT code(s) she will bill, so that you can ask your insurance company specifically.

Common assessment CPT codes:

• 90791 (intake appointment)

• 96136 and 96137 (psychological test administration and scoring)

• 96130 and 96131 (psychological evaluation services)

• 96132 and 96133 (neuropsychological evaluation services)

Common therapy CPT codes:

• 90791 (intake appointment)

• 90832 (individual therapy 25-30 minutes)

• 90834 (individual therapy 45-50 minutes)

• 90837 (individual therapy 55-60 minutes)

• 90846 (parent session without child present)

Telehealth visits are typically designated by adding "-95" to the above codes (e.g., 90834-95 is the CPT code for a 50-minute video therapy session).

Many families choose to use their Flexible Spending Account (FSA) or Health Savings Account (HSA) to cover the cost of medically necessary mental health services, such as comprehensive evaluations, consultation services, and individual or group therapy.

*Note: Standalone IQ testing for school admissions is not typically reimbursed by insurance or by HSA/ FSA accounts due to it being educational in nature rather than medically-necessary. If you plan to use these funds for this purpose, be sure to confirm coverage directly with your insurance provider or plan administrator before scheduling the evaluation.