Fees and Payment
I maintain a core belief that supportive psychotherapy and psychological services should be available for individuals from a wide range of backgrounds and economic circumstances. Privilege, oppression, and life circumstances can impact income and access, and I strive to recognize and address this in my practice.
Sliding Fee Scale
I maintain a sliding fee scale, and reserve 1/3rd of my of schedule for people who are using the sliding scale for a reduce fee. I have adapted my scale to our location and cost of living as best I can even though it makes it look ridiculous. What scale starts at $70k!? My fee is $200.00 per session for individuals, and $225.00 for couples, and the scale slides down to $150.00. To participate in this sliding scale, you can view the fee scale and identify the amount that fits with your yearly income. In creating a fee, additional factors are also considered, like family and community obligation and support, student loans, access to resources, and debt. While starting with the scale rate, we can also adjust to reflect the rest of your financial situation. I will let you know when you contact me if there are sliding scale openings available. View Sliding Fee Scale.
I accept Medi-Cal through Beacon/San Francisco Health Plan.
I maintain flexibility with people I have been working with, and adjust my fee up and down whenever possible as life circumstances change and impact your finances or sense of stability.
I apply a yearly fee increase of $5.00 a year, if that feels feasible. If it does not, we can discuss and apply sliding scale rates.
Out of Network Insurance and Superbills
I use a platform called Advekit to streamline superbills and fees if you have insurance other than Beacon. If we choose to use this option, you only pay the rate/percentage you owe, and don't need to wait for reimbursement from your insurance company. When I use Advekit, I use my full rate, and your fee would be determined by your insurance policy on out of network coverage. For example, if they reimburse 70% your fee would currently be $60 and that is what you would pay.
These fee options may still feel out of reach or incomplete. If you have questions about determining your fee, please contact me for more information. I can provide referrals if we cannot create an alternative fee schedule.
I accept cash, check, and credit/debit cards as payment options. You are welcome to use your flex spending or health saving (HSA/FSA) cards for payments. When meeting remotely, I use cards as the starting option, and we can explore other options if you are using something other than cards.
Sliding Fee Scale
Couples and Multi-Partnered Relationships
I currently accept Medi-Cal through Beacon Health Strategies. I don't directly take other plans and am an out of network provider for other insurance policies.
If I do not work directly with your insurance company, I can provide you with an itemized receipt (superbill) for services for you to submit to your insurance company so you can receive reimbursement if your policy offers it. Many plans offer reimbursement for out of network care, you can confirm your specific benefits with your policy. If you have questions or concerns about the status or long term certainty of your health plan, I can work with you to establish a plan or understanding about next steps once or if your health plan changes.
When using an insurance plan to help pay for therapy and other mental health services, there are several factors to keep in mind. Most insurance plans require a mental health diagnosis, and maintain some types of access to treatment records. I believe that using insurance can allow access to needed therapeutic support, and I will work with you to ensure that your confidentiality is maintained as best as possible. If you have additional questions about the Medi-Cal process, feel free to ask. We can also discuss this in our first appointment.