Couples Counseling and Therapy in Berkeley, CA

FAQs About Therapy and Couples Counseling

Rates, Insurance and Policies

I also have some availability for those who need a sliding scale, let’s discuss if you need a slightly lower fee.

I do not accept insurance directly and am considered an out-of-network provider for insurance companies. Some insurance companies will provide coverage for out-of-network providers, usually at a 40-80% rate.

I can provide you with a superbill to be reimbursed by your insurance. Use Nirvana’s Benefit Calculator to determine your reimbursement rates.

Yes.

As for what a superbill is… A superbill is a detailed receipt you can submit to your insurance provider to seek reimbursement for out-of-network therapy services. It contains essential details about your therapy sessions such as dates, services received, diagnosis codes and associated costs.

You pay your therapist directly and are reimbursed by your insurance later. HMOs like Kaiser generally don’t offer reimbursement.

I suggest contacting your insurance provider to understand the specifics of your out-of-network benefits. This can help you make informed decisions about the financial aspects of therapy and manage expectations regarding out-of-pocket costs.

Some helpful questions you can ask them:

  1. What are my mental health benefits?
  2. What is the coverage amount per therapy session?
  3. How many sessions per year does my plan cover?
  4. How much does my insurance pay for an out-of-network provider?
  5. Is there a deductible I have to reach before reimbursement starts?
  6. How do I submit a superbill for reimbursement?

Questions About Therapy

Yes.

I offer in person sessions at my office in Berkeley and online therapy via HIPPA compliant Zoom platform.

Sessions are held weekly or every other week and are 50 minutes in length. I meet weekly with new clients. Some clients reach a point where they see improvement and would like to meet every other week and I am open to discussing this.

We can collaborate around if/when this might be beneficial for you. I don’t meet with new clients every other week because it’s essential to build a relationship for me to offer the most effective support.

Together we will develop an individualized treatment plan with specific, achievable goals. The duration of therapy depends on the depth and intensity of your objectives. Whether you find value in six months of weekly sessions or prefer more extended, ongoing therapy, we will discuss and decide together. I prioritize collaboration around your readiness to move on to the next chapter of your life and would never encourage you to stay in therapy if you feel prepared to progress independently.

Yes, all information shared during therapy sessions is strictly confidential, with the following exceptions:

  • In consultation with professional colleagues, I may discuss your counseling sessions in order to review what is happening, and to give our work together appropriate attention. Your name and other identifying information would be omitted from these discussions.
  • If I learn that there exists a serious threat to self and/or others.
  • If there is evidence of, or reasonable suspicion of, child, elder, or dependent adult abuse or neglect.
  • If I receive a court order to appear or produce client records.
  • If you are trying to get insurance reimbursement, some information may be given to your insurance company, after you sign the release of information portion of the form.

Serving San Francisco and the East Bay

For individuals seeking therapy services and planning to use health insurance coverage, a Good Faith Estimate is crucial for understanding the potential out-of-pocket costs associated with therapy sessions. It outlines key details such as the estimated cost of each session, the insurance coverage, and the patient’s potential financial responsibility. What Information is Included in a GFE for Therapy?
  • Estimated Session Costs: The GFE provides an estimate of the cost for each therapy session. This includes the therapist’s fees, facility fees (if applicable), and any other associated costs.
  • Insurance Coverage: The document outlines the portion of the therapy costs that is expected to be covered by the patient’s health insurance. This information helps individuals understand the extent of their coverage.
  • Patient Responsibility: The GFE specifies the amount that the patient is anticipated to pay out of pocket for each therapy session. This includes deductibles, copayments, and coinsurance.
  • Total Estimated Costs: The GFE provides a summary of the total estimated costs for the entire course of therapy. This is beneficial for patients to plan their budget and be aware of the financial commitment involved.
How to Use the GFE:
  • Review with Your Insurance Provider: Patients are encouraged to review the GFE with their health insurance provider to ensure accuracy and to clarify any questions regarding coverage.
  • Informed Decision-Making: Armed with the GFE, individuals can make informed decisions about their therapy options, considering both the quality of care and the financial aspects.
  • Budgeting: The GFE helps patients budget for their healthcare expenses, allowing them to plan for potential out-of-pocket costs associated with therapy.
My Commitment to Transparency: I am committed to transparency in my billing practices. I provide Good Faith Estimates to all clients seeking therapy services, ensuring that you have the information you need to make informed decisions about your mental health and well-being. For further details or to request a personalized Good Faith Estimate for your therapy sessions, please contact me directly.

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