Published On: September 28, 2023
Reviewed On: September 28, 2023
Updated On: September 28, 2023
Attention-deficit hyperactivity disorder (ADHD) is a common mental health condition. Research by the American Psychiatric Association (APA) estimates that 8.4% of children and 2.5% of adults live with ADHD. ADHD can cause difficulty with focus, concentration, hyperactivity, and impulsivity. A formal assessment from a doctor is necessary to get an ADHD diagnosis, but unfortunately, insurance can be a barrier to getting help for some people. In fact, studies show that more than half of people (51%) living with ADHD have insurance but still have trouble accessing an effective treatment plan. Many wonder, ‘does insurance cover therapy for ADHD?’
Even with insurance, several factors can affect how much you pay out-of-pocket for ADHD treatment. Things to consider include:
Your plan might only cover providers who are “in network,” so confirm this before scheduling an appointment. Fortunately, online therapy that takes insurance is a great option. Using HSA for therapy could be another way to afford the therapy services you need even if you do have insurance.
So, does insurance cover ADHD testing and treatment? Read on to learn more.
ADHD testing is a crucial part of diagnosing and treating ADHD. While it can be expensive, insurance companies insurances do cover diagnosis and treatment.
The first step in figuring out will insurance cover ADHD testing is understanding what types of tests your plan might cover. Generally, most insurers will cover psychological evaluations and cognitive assessments for children with ADHD. These tests measure a child’s behavior, attention span, memory skills, problem-solving abilities, and other areas that could indicate underlying issues with attention or hyperactivity.
Some insurers might also cover neuropsychological evaluations, which involve more detailed brain scans, such as MRIs or CT scans, to look for any physical abnormalities that could be causing symptoms associated with ADHD.
The cost of an ADHD diagnosis can vary depending on the type of provider and insurance coverage, so it’s important to explore all your options, some of which can be substantially more affordable.
If you’ve been wondering will insurance cover ADHD testing, you might want to consider self-assessment as a first (but not your only) step. One of the most affordable ways to start getting an idea of your mental health is through a self-assessment.
Several online resources are available to help you determine if you have symptoms of ADHD. These assessments will ask questions about your behavior, focus, and other related topics to assess whether or not you have ADHD.
It’s important to note, though, these ADHD tests cannot provide a definitive diagnosis. They can only indicate if further testing should be done by a professional.
You can also seek a professional evaluation from a qualified healthcare provider, like a psychologist or psychiatrist. A formal assessment involves physical and psychological testing to make an accurate diagnosis.
Your evaluation may be covered by insurance, making the process much more affordable than paying out-of-pocket. If you don’t have insurance, some clinics offer sliding scale fees based on income level, making the cost more manageable.
Another way to get a more affordable ADHD diagnosis is through online therapy platforms. They offer virtual counseling sessions with licensed therapists at lower rates than traditional face-to-face therapy sessions cost.
During sessions, your therapist can evaluate your symptoms and guide you on how to best manage your condition. They also might provide you with referrals for additional testing if necessary.
Finally, many communities have local organizations explicitly dedicated to helping people who can’t afford it access mental health care. These organizations often partner with local hospitals and clinics to which they can refer patients to for evaluations at reduced or no cost. It is possible to get ADHD therapy without insurance.
Yes, ADHD treatment is typically covered by insurance, depending on your plan. Most health plans cover both diagnosing and treating ADHD in children and adults.
Some insurance companies require a referral from a primary care physician before covering any mental health services for ADHD. Additionally, coverage can vary depending on the type of service you receive (e.g., medication management vs psychotherapy).
The total cost of ADHD testing depends on your insurance and how much your plan covers. Insurance may cover some or all of the costs associated with testing and treatment for ADHD.
How much does ADHD testing cost with insurance? If you have health insurance, ADHD testing could be covered in full — or at the very least, it can be partially covered. Most major insurers cover diagnostic tests for ADHD, but you might need to pay a copayment or coinsurance.
The cost of an ADHD evaluation without insurance varies depending on location and provider, but it typically ranges between $200 and $1,000.
ADHD can be difficult to diagnose and treat if you don’t have the proper resources and support, but Talkspace’s online therapy for ADHD can help.
Are you — or is someone you love — struggling with ADHD? We understand that getting the right diagnosis and finding an effective treatment can be a daunting task, but don’t wait any longer. With Talkspace, you can take advantage of online therapy services to access professional, comprehensive testing for ADHD — and it might even be covered by Talkspace insurance partners.
Get the help you need today to start managing an ADHD condition and living life on your terms. Learn how to treat ADHD with Talkspace today.
Elmaghraby, M.D. R, Garayalde, M.D. S. American Psychiatric Association. Accessed January 31, 2023.
CHADD. Accessed January 31, 2023.