Understanding how you think, learn, and grow

Questions we help answer

Many people come to us with more than one question. Your evaluator builds a single, integrated plan that addresses everything without redundant testing.

How we work, and why it matters

An evaluation is a relationship before it is a procedure. We hold ourselves to three standards.

Most evaluations at OpenWorld are conducted by an assessment team rather than a single clinician. Your licensed assessment lead supervises every case, contributes to interpretation, and joins your feedback session. Testing sessions may be conducted by the lead, a postdoctoral psychologist, or doctoral students and psychometrists working as part of our doctoral training program. You always know who is working with you, and your fee is the same whoever on the team is involved. Meet our team.

Five steps, usually four to six weeks

From the first phone call through your feedback session, the path is the same. You will know what each step costs before you take it.

One flat fee, from consultation to feedback

Starting November 1, 2026, every evaluation has one flat fee instead of an estimate built hour by hour. It covers the whole process, and it does not change if testing takes longer than planned. If you’re already scheduled, you’ll pay the lower of your current estimate or the new flat fee. If your evaluation is already underway, nothing changes for you.

Your initial consultation, testing and scoring, your psychologist’s review, a comprehensive report, tailored recommendations, letters of support when relevant, and a feedback session.

If a new question comes up along the way, such as whether autism is also part of the picture, we talk with you first. If you choose to add it, you receive a new estimate and pay only the difference.

Three locations, one team

Using insurance, Medicare, or Medicaid

Our flat fees apply when you pay for your evaluation yourself.

• If you have Montana Medicaid or Healthy Montana Kids Plus and are seen in our Kalispell office, we bill Medicaid directly, and these fees do not apply.
• If you have Medicare, please call us before scheduling so we can explain how your evaluation would be billed.
• For evaluations, we accept ComPsych with pre-approval. Our Spring Health and Lyra Health partnerships cover therapy only and do not apply to evaluations. With other plans, you can pay the flat fee and request a superbill for possible out-of-network reimbursement.

Payment and superbills

Payment is processed securely through our online patient portal. A 50% deposit is due when you schedule testing, and the balance is due on your first day of testing. We accept most HSA and FSA cards. If cost is a barrier, please ask; we can sometimes help you find lower-cost options through other providers in the region.

If you have out-of-network benefits, we can give you a superbill after your evaluation to submit for possible reimbursement. Coverage varies by plan and reimbursement is not guaranteed. Services provided by trainees may not be eligible, and we do not contact insurance companies on your behalf. See our billing page for details.