Does Health Insurance Cover an ADHD Assessment?

Look at your policy schedule for a moment. Does it mention "outpatient psychiatric assessment" or "outpatient mental health" cover, and if so, what limit sits next to it? That single line is usually the answer to whether an ADHD assessment is covered, and most people have never checked it.

By Dr Shaeraine Raaj, MRCPsych, Consultant Psychiatrist. Last reviewed: 20 October 2026.

Where would ADHD assessment cover appear on a policy?

An ADHD assessment is a psychiatric outpatient appointment, so if your plan covers anything here, it is most likely to appear under a benefit called something like "outpatient psychiatric assessment", "outpatient mental health cover" or "consultant fees, outpatient". Whether a specific policy includes this benefit, and at what limit, depends entirely on the plan — there is no single rule that applies to every VHI or Laya policy. We do not know the specific benefit levels of any individual plan, and would never guess one on your behalf.

Does VHI or Laya cover an ADHD assessment?

Laya Healthcare and VHI both recognise MindBridge's clinicians — Dr Shaeraine Raaj, Dr Matthew MacGillivray and Dr Jean McCabe — but whether your specific policy covers an ADHD assessment depends on your plan, not on which insurer you are with in general. Two people with the same insurer, on different plans, can have very different outpatient mental health cover. The only reliable way to know is to check your own policy document or call your insurer directly.

What should you ask your insurer before booking?

Call your insurer and ask specifically:

  • Does my plan include outpatient psychiatric assessment or outpatient mental health cover, and if so, what is the annual limit?

  • Is a private psychiatric assessment for ADHD eligible under that benefit, or only certain types of appointment?

  • Do I need pre-approval, or can I claim after the appointment with a receipt?

  • What information does the receipt need to include for my claim to be processed?

Naming the type of appointment clearly — a private psychiatric assessment, consultant-led, by video — when you call tends to get a clearer answer than asking a general question about "ADHD cover".

How do you claim back an ADHD assessment on insurance?

MindBridge issues an itemised receipt for every assessment, showing the fee breakdown and Dr Raaj's Irish Medical Council registration number, which is the kind of documentation an insurer typically asks for when processing an outpatient claim. You submit that receipt to your insurer through their normal claims process — by app, post or online portal, depending on the insurer — and how much comes back, if anything, is decided by your plan's own outpatient limit, not by MindBridge.

What if your policy does not cover it, or you are not insured?

If your policy has no outpatient psychiatric benefit, or you do not have private health insurance, MindBridge also offers Klarna: pay in 3 instalments via Stripe, arranged at /klarna, as a way to spread the €950 assessment fee. This is a separate, non-insurance option, not a replacement for checking what your policy allows.

If you know of a specific VHI or Laya plan that covers, or does not cover, an ADHD assessment from direct experience, that is useful information MindBridge does not currently hold on file — this page deliberately does not name specific plan tiers because none are confirmed.

Need help now? In an emergency call 999 or 112, or go to your nearest emergency department. Samaritans: call 116 123, free, 24 hours a day. Text About It: free-text HELLO to 50808, 24/7. More ways to get urgent help, on hse.ie

About this article

This article is general information. It is not medical or legal advice and it cannot tell you whether you have a condition. It does not replace an assessment by a qualified clinician, and reading it does not make you a patient of MindBridge Medical. Insurance cover depends entirely on your own policy; always confirm directly with your insurer before booking.

If you are worried about your health, speak to your GP or another registered clinician. In an emergency call 999 or 112, or go to your nearest emergency department.

Written by Dr Shaeraine Raaj, MRCPsych, Consultant Psychiatrist.

Medically reviewed by Dr Shaeraine Raaj, MRCPsych, Consultant Psychiatrist (Irish Medical Council 409852, Specialist Division). Reviewed 20 October 2026.

Last reviewed: 20 October 2026. How we review our content

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