Insurance Accepted at BrainWorks Behavioral Health

Sharp Health Plan primarily serves members in San Diego County, making it particularly relevant to patients using our San Diego and Chula Vista locations. Members may have different behavioral health benefits depending on their specific plan, including employer-sponsored, individual, family, and Medicare options.

TRICARE provides healthcare coverage for eligible active-duty service members, National Guard and Reserve members, retirees, and their families. Because referral and authorization rules can differ among TRICARE plans, the steps for accessing psychological or neuropsychological testing may depend on the type of TRICARE coverage you have.

Medicare Part B includes coverage for certain outpatient mental health services, including diagnostic services when Medicare’s requirements are met. For psychological or neuropsychological testing, coverage is generally tied to the clinical purpose and medical necessity of the evaluation rather than testing performed solely for non-medical purposes.

Cigna offers behavioral health benefits through many of its employer-sponsored and individual health plans. Members seeking psychological or neuropsychological testing should check the behavioral health portion of their benefits, as evaluation services may be handled differently from routine office visits or therapy.

Aetna offers commercial health plans as well as Medicare plans, so benefits can look different from one Aetna member to another. For diagnostic evaluations, the reason testing is being requested and the services involved can affect how the claim is reviewed.

UnitedHealthcare members can use eligible benefits for psychological and neuropsychological services. For diagnostic testing, the scope and clinical purpose of the evaluation help determine which services are appropriate and how they are billed.

Blue Shield of California offers individual, family, employer, Medicare, and Medi-Cal coverage in California. The type of Blue Shield plan you have matters when determining the network and behavioral health benefits that apply to psychological or neuropsychological services.

Desert Oasis Healthcare serves the Coachella Valley and surrounding desert communities, making it particularly relevant to patients near our Rancho Mirage location. Desert Oasis operates as a medical group rather than a traditional health insurance carrier, so patients may have a separate health plan in addition to Desert Oasis appearing in their coverage information.

Regal Medical Group is a physician network rather than an insurance carrier itself. Patients affiliated with Regal may therefore have a separate health insurance plan, with the medical group involved in coordinating certain referrals, authorizations, and specialty care.

Optum administers behavioral health benefits for a variety of health plans and employers. This means a patient may have another company named as their primary health insurer while Optum handles the behavioral health portion of the plan, so both pieces of coverage information can be relevant when arranging care.

Anthem offers several types of health coverage, including employer-sponsored, individual, Medicare, and Medicaid plans. Because the plan type determines the applicable network and benefits, two Anthem members may have different requirements for the same psychological or neuropsychological service.

IEHP is a public health plan serving residents of Riverside and San Bernardino counties through Medi-Cal and other programs. Its service area overlaps our Riverside and Rancho Cucamonga locations, providing a local option for members seeking psychological or neuropsychological evaluation.

Carelon Behavioral Health administers mental and behavioral health benefits for health plans, employers, and other organizations rather than functioning only as the name patients see on their primary medical insurance. If Carelon manages your behavioral health benefits, it may be the relevant network for services even when another insurer appears on your health plan.

Molina Healthcare has a significant presence in government-sponsored healthcare, including Medi-Cal and Medicare plans in California. Patients should identify which Molina plan they have when seeking testing, since benefits and network requirements are tied to the specific coverage program.

Community Health Group is a local nonprofit health plan serving San Diego County, including Medi-Cal members. Its regional focus makes it particularly relevant to families seeking Community Health Group autism testing, ADHD evaluations, or neuropsychological testing through our San Diego-area locations.

L.A. Care Health Plan is a publicly operated health plan serving Los Angeles County, including a large Medi-Cal membership. For patients searching for L.A. Care ADHD evaluations, autism testing, or neuropsychological testing, our Los Angeles location provides a geographically relevant starting point for accessing care.