Rates
Investment
You are worth the investment you make in yourself and your wellbeing.
Individual Therapy
($120 TO $150, 60-minute session)
Couples Therapy / Family Therapy
($140 TO $170 for a 60-minute session)
*90-minute sessions are Available at a Separate Rate
*Sliding Scale Available
Notice of Privacy Practices (NOPP)
This Notice describes how Medical Information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
(NOPP) Versión en Español
Breakdown
– Free Brief Consultation
– Out of pocket
– Insurance Information
– Superbill
– Sliding Scale
– Investment
– Payment Method
– Cancellation Policy
– Appendix 2
Free Brief Consultation
Initially, My Serenity (MSMW) provides a free and brief (10–15 minute) consultation before scheduling your first session. The purpose of this consultation is not only part of MSMW’s triage but also your time to ask questions about the services that MSMW provides. During the consultation, you are encouraged to share information about the services that you are seeking. After the consultation, if both you and the therapist feel it is a good fit, services would be scheduled.
Private Pay
MSMW accepts out-of-pocket payments for out-of-network clients. Some benefits are that you have more control over your treatment, as insurances typically requires providers to stay within a certain diagnosis and you must meet medical necessity. Some insurance companies go as far as only accepting certain goals, but without insurance, you are able to create the goals you feel are best suited for you in collaboration with your therapist.
Lastly, if for any reason, you change insurance or have insurance delays, this can affect your continuation of mental health treatment until you have resolved those issues. However, this is not an issue when paying out of pocket.
Sliding Scale
MSMW offers reduced rates for clients that may be struggling financially. This is a case-by-case discussion. Once you are able to pay the full fee, the expectation is to notify MS in order to re-adjust those rates. Life hits us with curve balls and having this sliding scale option may help ease some of those challenges and get you the help you currently need.
Insurance
MSMW accepts the following insurances:
– Cigna
– Aetna
– Anthem
– Health Net (MHN- Medical)
– MHN Commercial
– Wellspring EAP
– Workplace Options
– BHS
– Optum
–
UMR
– United Health Care (UHC)
– United Behavioral Health (UBC)
– Inland Empire Health Plan (IEHP)
– Health Savings (Accepted)
*Please inquire further on a Superbill as this may support paying for your fees.
Superbill
At times insurances are able to pay the full amount or partial, please check with your insurance for any questions related to this possible claim.
Statement for Insurance Reimbursement is a detailed invoice that MSMW is able to provide to you for the purpose of getting reimbursed through your insurance for the treatment you received. This document will contain your private health information.
Payment Method
Cash, check, cashiers check, Ivy, and all major credit cards accepted.
*extra fees may apply if payment is rejected.
Cancellation Policy
Please cancel at least 24 hours prior to your scheduled appointment if you are unable to attend session. If you cancel without an early notice you will be charged for the missed session, as per delineated in the consents agreement. This policy also applies for re-scheduling without an early notice.
Sample Good Faith Estimate Notice
[Note: Providers may use this sample Good Faith Estimate Notice to comply with the No Surprises Act.]. The Act requires providers to inform their uninsured and private-pay patients that they have a right to a “Good Faith Estimate” to help them estimate the expected charges they may be billed. Information regarding the availability of a “Good Faith Estimate” must be prominently displayed on the provider’s website and in the office and on-site where scheduling or questions about the cost of health care occur.]
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.
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 www.cms.gov/nosurprises.
Providing mental wellness therapy services to all people residing in the state of California.
My Serenity Mental Wellness | All Rights Reserved
Address
8291 Utica Avenue
Suite 102
Rancho Cucamonga
CA 91730
(909) 727-7207 Mobile
(909) 727-2577 Office
(909) 727-0433 Clinical Quality Administrator
(909) 727-3043 FAX