Rates

Investment

You are worth the investment you make in yourself and your wellbeing.

Individual Therapy ($120 TO $140)
Couples Therapy / Family Therapy ($140 TO $160)
*90 Minute Sessions 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 (MS) provides a free and brief (10-15 minute) consultation before scheduling your first session. The purpose of this consultation is part of MS’s triage but also your time to ask questions about the services that MS provides. During the consultation, you are encouraged to share 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.

Cash Pay

MS accepts out of pocket for out-of-network clients. Some benefits are that you have more control over your treatment as insurances typically require 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 suitable 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

MS offers reduced rates for clients that may be currently struggling financially. This is a case by case discussion. Once you are able to pay the full fee’s, the expectation would be 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 to get you the help you currently need.

Insurance

MS accepts the following insurances:
– OPTUM
– UNITEDHEALTH CARE
– UNITED BEHAVIORAL HEALTH
– CIGNA
– INLAND EMPIRE HEALTH PLAN

*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 MS 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 and 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.

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