Our Approach

Practical Matters

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Weekly Sessions:

Neurofeedback is a form of training, and like all training must be repeated consistently to be effective. We recommend twice weekly sessions whenever this is possible. Although progress does seem to be more rapid with twice weekly visits, many of our clients have made good progress with weekly visits.

Length of sessions:

Training sessions last for 45 minutes, with 30 minutes of actual feedback time.

Time of sessions:

Neurofeedback sessions can be scheduled in our office Monday through Thursdays. We try to see school age children during after school hours.

Number of sessions needed:

Unfortunately, there is simply no way to predict how many sessions will be needed to attain the goals our clients specify in advance. We ask all those considering neurofeedback to commit themselves to a minimum of 20 sessions. Some of our clients are able to attain their goals within this time frame.

Roughly speaking, there seems to be a relationship between the severity of the problem and the length of training required. Less severe difficulties (with attention, mood, anxiety, for example) can sometimes be resolved within 20 sessions. More severe difficulties may require a longer period of training. For some types of difficulty (for example, autistic spectrum disorders) regular ongoing raining may be best.

Cost of sessions:

The fee for neurofeedback services in $100.00 per session.

Insurance reimbursement:

Unfortunately, some health insurers do not cover neurofeedback. The only way to know if your carrier will cover is to contact them directly and inquire. Our recent experience suggests that Blue Cross Blue Shield may cover EEG biofeedback under some policies. This is a recent development. Please be sure to confirm coverage from them yourself.

Here are our recommendations on how to inquire about coverage:

First, get the name and employee number of the representative you are talking to. Explain that you are seeking services from Affective Neurosciences PLLC, and that it is not a participating provider:

Then, for each of the procedure codes listed below, ask the insurance representative, ‘Is this a covered service, and if so, how much is reimbursed for it?’ If the representative gives you a percentage, ask “percent of what (dollar amount.” If they tell you that that information is only given to providers, tell them that Affective Neurosciences, PLLC is not a participating provider and is not able to obtain this information for every patient for every insurance carrier and policy. Emphasize that you are responsible for the fees so you need to know how much will be reimbursed to you. Be patient but firm and persistent. If the representative continues to refuse to give you an amount, ask to speak to a supervisor. How can you make an informed decision about your health care, if you don’t know what it will cost?

Obtain and record the following information:

Whenever possible, get a written response from your representative confirming coverage.

We do not accept reimbursement assignment directly from most insurance companies, as we do not choose to serve as participating providers for most plans. We ask that our clients pay the fee at the time of the session. We then provide our clients with statements and HCFA forms to submit to their insurance carriers to be reimbursed by them.

qEEG assessment is not usually required before beginning neurofeedback. When a client’s difficulties are unusually severe or complex, or when we have reason to suspect that there may be an undetected medical condition underlying these difficulties (such as epileptic activity or sequelae of a head injury), we may require formal EEG assessment, including medical review, prior to beginning NFB.

Otherwise, this decision is left to the client to make. There is no research to demonstrate conclusively that having a qEEG assessment to guide the NFB training improves outcomes; one preliminary study did suggest this however.



Neurofeedback