Frequently Asked Questions
Answers to common questions about our services, insurance coverage for therapy and medication, evaluation timelines, self-pay options, and how to get started.
General
What is psychological testing?
Psychological testing is a series of paper-based or computer-based assessments administered to assess factors such as cognitive, executive, and adaptive functioning. Typically completed in one 3-4 hour sitting, though learning assessments may take 5-6 hours.
Why get tested at Twilight Psychology?
We offer neuro-affirming evaluations that aim to answer the referral question clearly and produce useful recommendations for treatment, school, work, and daily life. When insurance covers testing, plans often limit the number of units available, so we use the most clinically relevant measures within the hours approved. Self-pay remains available when a referral needs a broader battery or more documentation.
What ages do you offer therapy for?
Twilight Psychology offers neuro-affirming therapy for ages 3 through 99. We currently have clinicians whose work spans child therapy, adolescent therapy, adult therapy, couples counseling, and family-supportive care, so the best fit depends on age, goals, and clinical needs.
Do you accept Medicaid?
Yes, for covered services. We are credentialed with Traditional Kentucky Medicaid, Aetna Better Health, Humana Healthy Horizons, UHC Community Plan, Passport by Molina, and Wellcare of Kentucky. Therapy and medication visits are usually the clearest Medicaid-supported services. When Medicaid covers psychological testing, the plan still limits the number of approved hours, and those hours include record review, collateral information, interviewing clients and parents, scoring, interpretation, consultation, and documentation. Medicaid clients cannot be charged beyond covered amounts, so those evaluations must stay within the hours approved. Court, school, benefits, waiver, and other documentation-only evaluations are generally not billed to Medicaid. We cannot accept out-of-state Medicaid.
What is the cost for Autism or ADHD testing with insurance?
Costs depend on your specific plan and whether the testing is approved as a covered, medically necessary service. Insurance usually approves only a limited number of testing units, and those hours include records review, collateral information, client and parent interviews, test administration, scoring, interpretation, consultation, and report writing. We use the most clinically relevant tests within the hours approved. If you want a broader battery or more documentation than a plan allows, we can review self-pay options. Medicaid clients cannot be charged beyond covered amounts, so Medicaid testing must stay within approved hours.
How long does it take to receive a formal diagnosis?
Self-pay evaluations can often move from intake to assessment, feedback, and report within a single week. Insurance-based timelines are usually longer because scheduling depends on benefits review, authorization, clinician availability, and the number of testing hours a plan approves for the referral question.
Will insurance cover learning disability assessments?
Usually not. Most plans, including Kentucky Medicaid, treat learning-disability, accommodation, and school-focused testing as educational rather than medical. If there is also a separate treatment-focused diagnostic question, we may be able to bill only the medically necessary portion of an evaluation, with educational components handled on a self-pay basis.
Where are you located?
Our main office is in Lexington, KY. However, through Psypact, we provide remote psychological services in over 40 states across the U.S.
Wait Times & Scheduling
How long is the current waitlist?
Wait times vary by provider and service. Self-pay evaluations can often be scheduled within 3 weeks, therapy wait times vary by clinician and panel, and medication management may have faster in-network availability. Insurance-based evaluation openings are also available, but timing depends on authorization and the number of testing hours approved. For the most current wait times, please visit our Waitlist Times page.
How long is the current waitlist for an evaluation?
Self-pay evaluations can often be scheduled within 3 weeks, depending on the provider and service. Insurance-based evaluation slots are more limited and may run around 4 months because demand, authorization review, and approved testing hours all affect scheduling.
Why is there a difference in wait times?
The difference is largely administrative. Insurance and Medicaid testing usually requires benefits review, prior authorization, and a medical-necessity determination before the calendar can be finalized. Plans also often cap testing units, and those hours must cover records review, collateral information, interviews, scoring, interpretation, consultation, and documentation, so insurance-based evaluation slots are more limited.
Can I choose to 'Self-Pay' if I have insurance?
Yes, for many commercial plans. Some clients choose self-pay when they want a broader battery or more documentation than insurance authorizes, or when they want scheduling that does not depend on insurer review. Medicaid clients cannot be charged out of pocket for covered testing, so Medicaid evaluations must stay within the hours approved by the plan.
Do you offer a "cancellation list"?
Yes, we maintain a cancellation list for clients who wish to be notified of earlier appointment openings. If a cancellation occurs, we reach out to clients in the order they joined the list to offer them an earlier appointment.
Still have questions?
Contact our office for insurance questions about therapy or medication management, to ask about therapy ages 3-99, or to talk through the best evaluation pathway.
Helpful Blog Posts
Still comparing next steps?
These are the best companion pages when your question is really about timing, intake, or cost.