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  • Families should know that health insurance companies rarely pay for this service unless there is a medical emergency requiring hospitalization, in which case it can sometimes be billed as an inpatient consultation. Occasionally some of the cost can be covered outpatient if the evaluation can be coupled to a legitimate treatment issue.

  • Sometimes family members pay directly for services on an hourly basis and sometimes they pay indirectly through their lawyer. Services to evaluate capacity include direct interview, history gathering, review of old records, report preparation, and occasionally court testimony.

  • Payment will be in the form of a retainer for an average number of the hours, with the balance refunded if fewer hours are needed.

  • Referral for more complex cognitive testing may be advisable in some cases. I know a number of excellent practitioners to whom I can refer, who will explain their own charges.