UNLOCK Your BRAIN
Questions To Ask Your Insurance Company
About Neurofeedback Coverage
Do you cover biofeedback?
If yes, is it under Medical or Psychological Services?
Will you cover biofeedback for (your symptom)?
What rate do you pay?
(e.g. 80% of usual and customary vs. 80% of billed amount)
If it is covered under Medical Services, do I need a
prescription or letter from my MD to say it is medically necessary?
Do I need to send the letter before I see the biofeedback
therapist or can it go in with the first bill?
How many sessions of biofeedback will you cover?
Before I see the doctor again?
Is there a limit of total amount paid out?
(e.g., pay for biofeedback only to $1500 in one year or 6 months)
Do you pay an out-of-network provider?
If so, do I need to see my primary care physician to make a
referral to a biofeedback provider?
What is the licensing requirement of the provider?
Would it be helpful to have the biofeedback code?
If so, is it 90901 (biofeedback)/ 90875 or 90876
If not any of these, what is the code to use for coverage
What is Neurofeedback?
Neurofeedback is direct training of brain function, by which the brain learns to function more efficiently. We observe the brain in action from moment to moment. We show that information back to the person. And we reward the brain for changing its own activity to more appropriate patterns. This is a gradual learning process. It applies to any aspect of brain function that we can measure.
Neurofeedback is also called EEG Biofeedback, because it is based on electrical brain activity, the electroencephalogram, or EEG. Neurofeedback is training in self-regulation. It is simply biofeedback applied to the brain directly. Self-regulation is a necessary part of good brain function. Self-regulation training allows the system (the central nervous system) to function better.
Neurofeedback addresses problems of brain dysregulation. These happen to be numerous. They include the anxiety-depression spectrum, attention deficits, behavior disorders, various sleep disorders, headaches and migraines, PMS and emotional disturbances. It is also useful for organic brain conditions such as seizures, the autism spectrum, and cerebral palsy
How Does it Work?
We apply electrodes to the scalp to listen in on brainwave activity. We process the signal by computer, and we extract information about certain key brainwave frequencies. (All brainwave frequencies are equal, but some are more equal than others...) We show the ebb and flow of this activity back to the person, who attempts to change the activity level. Some frequencies we wish to promote. Others we wish to diminish. We present this information to the person in the form of a video game. The person is effectively playing the video game with his or her brain. Eventually the brainwave activity is "shaped" toward more desirable, more regulated performance. The frequencies we target, and the specific locations on the scalp where we listen in on the brain, are specific to the conditions we are trying to address, and specific to the individual.