Fees and Payment
Fees are based on your budget, and can shift and be adjusted as your budget shifts. As we set our fees, we will consider and include access to resources, social and institutional systems, and life circumstances and they way they move in and out of your life.
My rates are adjusted to our location and cost of living as best I can even though it makes it seem ridiculous. A fee scale that starts at $70k!?
My therapy fee is $225.00 per session for individuals, and $250.00 for relationships, and the rate ranges between those rates and $160.00. As a start, you can view the fee scale and identify the amount that most comfortably and sustainably fits what you can pay. The range listed here starts with income, and can include a lot more of the context of your life and finances like family and community obligation and support, student loans, access to resources, health costs, savings plans, and debt. As we set our fee, I welcome you to consider opportunities and access to resources you have or had, and how this has influenced your financial story.
For assessment, the fee ranges from $300 to $150, depending on the assessment. I reserve assessment spaces at free or lower fees for folks financially impacted by the various systems they are navigating.
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-$10.00 a year, if that feels feasible. If it does not, we can discuss and apply the fee scale rates.
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 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. I can provide referrals if we cannot create an alternative fee schedule.
Couples and Multi-Partnered Relationships
I currently am paneled with one insurance plan directly, San Francisco Health Plan through Beacon Health Strategies. However, those spaces are full and I am not currently accepting new folks through this plan.
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.
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.
A range from $300 to $150 is available for assessments based on finances and circumstances.
Good Faith Estimate
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.