Same clinical work, same price. The five hours Karina spends on your evaluation, the testing tools, the integrated diagnostic formulation, and the written care plan are identical regardless of which state you're in. What changes is who manages your medications afterward — Karina (in NJ/NY) or your local prescriber (in DC/FL/CA). The clinical product is the same.

No. Each $550 (or $850, or $950, depending on visit and service) payment is due at the visit it covers. You're paying for services rendered at each step. If you don't continue past Visit 1 or Visit 2, you only pay for the visits you completed.

We don't currently offer payment plans or sliding-scale pricing. The pay-per-visit structure helps with cash flow — you only commit to one visit at a time. HSA/FSA cards work for all our services. If you have an HDHP with HSA, that's typically the most tax-efficient way to pay.

No. Neurokin is private-pay only. We don't bill any government or commercial insurance directly. We do provide superbills for out-of-network reimbursement.

A superbill is a detailed receipt with billing codes (CPT codes, ICD-10 codes, provider NPI, etc.) that your insurance can use for out-of-network reimbursement. After each visit, we email you a superbill that you submit to your insurance company. They reimburse you directly based on your plan's out-of-network benefits.

It depends on your plan. Plans with strong out-of-network mental health benefits typically reimburse 40-70% after you meet your out-of-network deductible. Plans without out-of-network mental health benefits won't reimburse anything. Call your insurance member services line to confirm.

Existing patients in continuous care since [LAUNCH DATE] are grandfathered at the original $150 follow-up rate. New patient pricing applies to new evaluations and new patient follow-ups booked after the launch date. Continuous care means no more than 90 days between visits.

Medications are paid separately at the pharmacy — they're not included in evaluation or follow-up pricing. Most ADHD and autism-related medications are available as generics, which are usually $5-30/month with HSA/FSA. Branded medications can be more expensive. We can discuss medication options and likely pharmacy costs during your evaluation.

Yes. Cancellations within 24 hours of a scheduled visit are charged the full visit fee. This protects appointment availability for other patients and reflects the time Karina has reserved for you. We're flexible on rescheduling outside the 24-hour window.

We charge per visit, so you only pay for what you've received. If you're dissatisfied with care during evaluation, you can stop after any visit and only pay for what's been completed. For ongoing care, refunds aren't typical (you've received the service), but we'll always discuss any concerns directly.

Call (908) 215-2331.