Neuropsychology is a speciality of psychology focusing on brain-behavior relationships. Clinical neuropsychology is generally focused on the assessment and treatment of individuals that may have brain disorders and conditions that can affect cognition (e.g., Alzheimer's disease, stroke, traumatic brain injury). Cognition refers to thinking skills, like memory, attention, and executive functioning.

A cognitive or neuropsychological evaluation is a formal evaluation of cognitive abilities. It involves an interview with a clinical neuropsychologist and administration of various paper and pencil tests to test skills such as memory, attention, and executive functioning.

Minder developed the dual phase cognitive evaluation process to increase accessibility and reduce costs for patients. Other neuropsychology clinics require all patients to complete 4-6 hours of cognitive testing. However, much of this test data is only useful if the patient is diagnosed with a cognitive disorder and we need more data to determine what is causing the disorder (e.g., stroke, Alzheimer's disease, TBI). Therefore, patients can save time and money by completing the evaluation in phases. At Minder, all patients complete a 2-hour cognitive evaluation (Phase 1) and only the minority of patients who could benefit from more testing are asked to complete Phase 2. Click on the link below to watch a video about the dual-phase process.

Video link

The Phase 1 testing will take place online and will last approximately 2 hours. First, you will complete a clinical interview with one of our expert neuropsychologists, to better understand your history, symptoms, and concerns. Next, you will complete tests that measure a range of cognitive functions, including memory, language, and attention. These tests are non-invasive and will be administered through our online portal using oral and written questions, paper and pencil tests, and other standardized procedures. Most patients will only need to complete Phase 1 testing and will be given immediate feedback. Feedback will be provided by the neuropsychologist and will include a discussion of results, diagnoses, and recommendations. Patients will also be provided with a written report. For the minority of patients who need to complete additional Phase 2 testing, they will typically receive results within 7 days of the Phase 2 testing appointment.

All fees are refundable within 24 hours of purchase.

After you book your appointment, you will be sent a set of instructions for preparing for the cognitive evaluation, including how to access the Zoom platform, which will be used for the appointment. You will also be sent some testing materials by mail, including a tripod for your phone/tablet and a paper-based tests. Generally, patients should wear their glasses or hearing aids, if applicable, and take all medication as prescribed on the day of testing. We recommend using over-the-ear headphones that plug directly into your electronic device during the assessment, unless you frequently use Zoom and do not have any trouble hearing from your electronic device. If you think you will need headphones but don't have any, Minder can mail you a set of headphones. Regarding other technical preparations, we have created a document and a video to help you get your electronic devices ready for the online appointment. We can also call you before your appointment for a "Tech Check" to make sure everything is ready to go.

Fees for the Phase 1 cognitive evaluation are $1800 and are due at the time of booking. Most people will only need to complete phase 1 testing, so they can save 40-60% by approaching the evaluation in phases. For those who are recommended for Phase 2 testing, an additional $1800 will be due upon scheduling the additional testing. Fees for other services, including cognitive treatment groups and annual repeat cognitive testing are also due at the time of booking.

Click links below to see current pricing:
Cognitive Evaluations
Cognitive Tracking & Goal Setting
Cognitive Treatment & Education

For those with Medicare/Medicaid/Supplemental insurance, Minder offers up to 50% off of costs. The remaining costs after applying the discount are due up front before the first visit. Call us to find out what discount you qualify for.

‍If you have PPO insurance, Minder is an out-of-network provider. Therefore, many services may be eligible for reimbursement. Generally patients with PPO insurance can expect their insurance to reimburse most costs associated with completing Phase 1 of the evaluation. However, our fees are due up front before the first visit and we cannot communicate with your insurance provider. Your insurance company should be able to tell you how many hours of each CPT code you can expect reimbursement and at what rate. After completing the evaluation, patients will be provided with a SuperBill that includes all of the appropriate CPT codes that were used. Below are the codes you can use to inquire about your out-of-network insurance coverage.
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Probable diagnostic code:
294.9 (F09) Cognitive Problems
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Phase 1 Evaluation Codes (needed for all patients):
96116 – Neurobehavioral status exam by QHP (1 hour)
96121 – Each additional 30 minutes (1 hour)
96136 –Psychological/neuropsychological test administration/scoring by QHP (30 min)
96137 –Each additional 30 minutes (30 min)
96132 –Neuropsychological Testing Evaluation Services by QHP (1 hour)
96133 –Each additional hour (1 hour)
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Phase 2 Evaluation Codes (*needed for minority of patients):
96138 –Psychological/neuropsychological test administration/scoring by tech (30 min)
96139 –Each additional 30 minutes (4-5 hours)
96132 –Neuropsychological Testing Evaluation Services (1 hour)
96133 –Each additional hour (3-4 hours)

*All patients will utilize Phase 1 evaluation codes. Only a minority of patients may be recommended for additional Phase 2 testing. For those who complete both, Phase 1 and Phase 2 testing will be reflected on one SuperBill.

Typically, patients can expect to pay out-of-network costs for a cognitive evaluation, even when using in-network insurance. Most private clinics, like Minder, require payment up front and leave it up to the patient to request reimbursement from their insurance company after services are completed if they have PPO insurance. While you may be able to find a clinic that is in-network with your insurance, most of these clinics also have very long wait-times, as much as nine months and you will likely still incur out-of-pocket costs. It should be noted that Minder's dual-phase process was developed to increase out-of-network reimbursement rates and reduce overall costs for patients.

All fees are refundable within 24 hours of purchase, minus any credit card processing fees that may have applied. All appointments can be rescheduled at no additional cost if done at least 72 hours in advance. If you reschedule with less than 72 hours notice, you will be charged a $199 rescheduling fee.

For Phase 1, close friends or family members can be present during the first part of the appointment (interview portion). In fact, the neuropsychologist will likely have questions for your loved one, such as asking whether they have noticed any changes in your thinking or behavior. However, once cognitive testing begins, friends and family can no longer be present. No one else is allowed to attend Phase 2 appointments as it only includes cognitive testing.

We created Minder to increase accessibility of neuropsychological services and expertise to patients. We are best able to accomplish this by providing our services online. Our online portal allows patients to access our team of experts from the comfort of their own home instead of having to travel long distances. Providing services virtually also allows us to offer services at lower rates. With that said, there are some circumstances where an in-person testing appointment is possible.

Yes, but you do NOT need to be a technology wiz to use Minder's services. For cognitive evaluation appointments, you will need a computer or tablet with a screen that is at least 10 inches wide. This is the screen that you will see your neuropsychologist on. Minder will mail you a tripod that will hold a second device, ideally your smartphone. However, this second device could also be a computer or tablet of any size. This second device will be used to view the papers you will be writing on.  Setting up your devices should only take a few minutes of your time. We  email you simple written instructions and a short video showing you how set up these two devices and how to access Zoom. If needed, Minder will call you before your appointment to help you with any technical issues. For treatment appointments and feedback sessions, you only need one device (e.g., phone, tablet, computer), though we recommend using a screen at least 10 inches wide.

A neuropsych, or cognitive evaluation, can be useful in many ways including: 1) Documenting your cognitive strengths and weaknesses; 2) Determining whether you  may have a cognitive disorder, taking into consideration factors such as age, sex, education, mood, sleep, pain, etc.; 3) Determining etiology, or what is causing the cognitive disorder. For example, determining whether cognitive or behavioral changes are likely related to Alzheimer's disease, Dementia with Lewy Bodies, or another brain disease; 4) Providing a baseline against which subsequent evaluations can be compared. Thereby we can determine whether your functioning has declined because of a disease process or document whether your functioning has improved as a result of treatment (e.g. medications, cognitive training); 5) Determining whether you might benefit from certain cognitive or behavioral treatments or pharmacotherapy.

The Phase 1 evaluation and feedback sessions will be completed with an expert clinical neuropsychologists. Phase 2 (only a minority will be asked to complete this phase) will typically be with a  psychometrist. A psychometrist is a specially trained technician with advanced training on how to administer cognitive tests.

After scheduling your appointment, you will be asked to complete an online intake questionnaire and provided with a link to upload relevant medical documents, such as results from any brain imaging (e.g., MRI, CT) or cognitive evaluations, if available.

The main reason to get a cognitive evaluation is concern related to your thinking skills, or cognition. If you, your doctor, or those close to you have noticed changes to your thinking or behavior, a cognitive evaluation may be helpful.
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We do not recommend cognitive evaluations for individuals who are already dependent on others for basic activities of daily living  (e.g,. showing, bathing, feeding, toileting) due to a well-documented cognitive disorder (e.g., late stage Alzheimer's disease). These patients, who we already know have a cognitive disorder, would likely perform so poorly on our cognitive tests that their scores would not be informative. However, testing may be helpful for those who are dependent on others for daily living but have not been diagnosed with a cognitive disorder yet. We don't recommend cognitive evaluations for those who are currently abusing alcohol or drugs or those with untreated severe psychiatric conditions (e.g., schizophrenia, bipolar).

Most patients will receive feedback from Phase 1 testing on the same day. At the end of your appointment, the neuropsychologist will provide results, diagnoses, and recommendations. You will also be provided with a written short report, which can be given to your referring provider, if applicable. For the minority of patients who are recommended for additional testing, you will receive feedback within 7 days of completing Phase 2 testing, which will also include a longer written report.

You can save your written report for your own record and/or send it to your medical providers. Minder will also keep your results on file so that we can track cognitive changes over time though our annual repeat testing program. You will also be given recommendations for improving your cognitive and brain health. Some of the recommendations will be for services through Minder and others will be for services in the community. It will be up to you to follow the recommendations or not.