Good Faith Estimate Notice

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.  

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.  

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. 

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. 

For questions or more information about your right to a Good Faith Estimate, visit http://www.cms.gov/nosurprises. 

Using Your Insurance:

I am an in-network provider for the following insurance:

  • Medi-Cal with Carelon Behavioral health (Partnership HealthPlan of California )
  • HealthNet (commercial plans)
  • Optum (United Healthcare and Western Health Advantage)
    • There are no out of pocket costs for Medi-Cal clients.
    • Co-payments for Optum and HealthNet clients are based on your individual insurance plan. Co-payments will be confirmed prior to our first appointment with an expectation that all co-payments are made at the beginning of sessions.

Out of Pocket:

Intake: $190 (licensed clinicians) / $135 (associate clinicians)

50-60 minute sessions: $160 per session (licensed clinicians) / $135 (associate clinicians)

45 minute sessions: $130 (licensed clinicians) / $100 (associate clinicians)

15-30 minute session : $85 (licensed clinicians) / $70 (associate clinicians)

*sliding scale is offered on a case-by-case basis*

All Clients Regardless of Insurance Status

Late cancellation or No-Show Fee : $50

Psychological Immigration Evaluations

My fee for a 10-15 page thorough psychological evaluation for immigration purposes is $1100. The evaluation includes a diagnosis, diagnostic criteria, clinical summary, and clinical recommendations. This fee includes clinical interviews, review of supporting documentation, and signed copies of completed evaluation to both client and client’s lawyer. Psychological immigration evaluations are a different service from outpatient psychotherapy services.

Lic. No. LMFT98711