Fees and Payment
In Network Insurance Plans
I currently am paneled with one insurance plan directly, San Francisco Health Plan through Carelon, formerly Beacon. I am not accepting new folks through this plan.
Out of Network Insurance and Superbills
I am an "out of network provider" for insurance plans other than SFHP Medi-Cal. If you have insurance and your plan provides reimbursement for out of network providers, a superbill can help you get reimbursed for our therapy sessions. You would pay me directly, and I can provide superbills for you to submit to your insurance plan.
Each insurance panel and plan has their own policies, and can differ even within the same company. Some, like Medi-Cal, Medi-Care, and Kaiser, are separate systems that don't generally accept superbills at all or without specific authorization for connecting to an out-of-network provider. Before we meet, we can discuss whether you have insurance, would like to apply superbills, and what we can do to make that possible.
I also use a platform called Thrizer to streamline superbills and insurance reimbursement. If we choose to use this option, you can have superbills submitted directly, directly receive reimbursement, and get information about your claims process. When I use Thrizer, I use my full rate, and your reimbursed rate would be determined by your insurance policy out of network coverage. I would process our fee through Thrizer, you pay the full amount, and they then can help submit your claim and help you get reimbursed as quickly as possible.
When using an insurance plan to help cover 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 always release only required and relevant information to maintain confidentiality and privacy and enable access to any coverage or benefits available.
If you have questions or concerns about insurance, the status or long term certainty of your health plan, or about the Medi-Cal process, I can work with you and your plan to clarify understanding, and identify next steps once or if your health plan changes. We can also discuss this in our first appointment, before we meet, and whenever questions arise.
Under the No Surprises Act, health care providers will provide an estimate of the expected fees for service users who do not have insurance, or who are not using their insurance for therapy or other health care services. You have the right to receive a “Good Faith Estimate” explaining how much your psychotherapy and other therapy and assessment services will cost. If we know how long our work will last it will specifically be indicated in the estimate, and if we are working in a more open ended framework I will provide a yearly estimate and we can always adjust for a shorter or longer time frame, and adjust our estimate and fees if any other changes occur. For additional information you can access the information sheet posted on our Good Faith Estimate page.
Couples and Multi-Partnered Relationships
Assessments + Letters
I accept cash, check, and credit/debit cards for payment options. You are welcome to use flex spending or health saving (HSA/FSA) cards if you have one. When meeting remotely, I accept cards through Ivy Pay, a secure text based platform, as the starting option, and we can explore other options if you are using something other than cards.
If you have questions around your fee, you are always encouraged to let me know so we can discuss finances and make adjustments when we can.
In our contexts and communities, we can have so many ongoing stories about money, wealth, healthcare, wellness, and healing.
My fee plan is part of my ongoing navigation through our systems of capitalism balanced with my values around health, healing, and community. I offer a tier system to create space for a range of rates that can distribute finances and increase access to care for folks wherever they are with access to and relationships with money. Each tier considers and includes access to wealth, resources, barriers, life circumstances, and the ways they move in and out of our lives.
My fees start at $250 for individuals and assessments, and $280 for relationships. Each tier starts with a rate, and include the context of your life and finances like family and community obligation and support, access to income, student loans, access to resources, health costs, savings plans, and debt. As you identify and we set our fee, I welcome you to consider your money and financial relationships, your financial opportunities and access to resources, barriers to finances and financial stability, and how they all influence your financial stories.
I review our fees every year, and include a $5-10$ increase if that feels feasible. We can always discuss fees and how they feel, and make adjustments up or down as impactful and important situations arise.
Current Tiers Available
I currently have openings for the Asteroid, Comet, and Galaxy tiers of $200$, $250, and $280 for therapy services. Assessment and letter writing services are available at all tiers.
The tiers are labeled to offer a reference point for our discussions, so we can say "oh, the Galaxy tier feels comfortable right now" and include each tier without a hierarchy. You are welcome to use the numbers. titles, or fees as we discuss them.