Rates and FAQ

50 minute therapy session is $250

My fee includes any additional care coordination needed for communicating with your doctors, dietitians, or psychiatrists, as eating disorder treatment typically involves a multidisciplinary team approach.

Sliding Scale: I reserve a limited number of pro-bono or sliding scale spots for eating disorder clients and all sliding scale spots are currently full.

If you can’t afford my full fee and need support for an eating disorder, reach out to Project Heal or don’t hesitate to contact me, I’m happy to provide you referrals.

Like most specialty providers, I am not in-network with any insurance plans.

There are many reasons to see an out-of-network therapist. Paying out-of-pocket is a great option for people who want maximum privacy, confidentiality, and flexibility.

Sometimes, though, you may be eligible to use your insurance even if the provider is not in network. You can do this if your insurance plan allows you to see providers outside of their network. Plans like PPO, POS, and HDHP often let you do this. However, plans like HMO, Medicaid, and regular Medicare usually don't cover out-of-network services.

If you are eligible for out-of-network coverage, I can provide you with a document called a Superbill that you send directly to your insurance company at the end of each month.

Providers who are not contracted with a specific health insurance plan are called out-of-network or non-participating providers. Each health insurance plan has its own rules, online systems, and expectations, so it's impossible for one provider to be contracted with all of them.

Your insurance coverage or benefits vary depending on the type of provider you choose to see (e.g., in-network/participating provider versus out-of-network/non-participating provider).

There are several reasons why a provider might not be contracted with a specific health plan:

— The health insurance plan may not be accepting new providers into their network, and the process to become contracted can take months to years.

— Some health insurance plans require extensive additional documentation from the provider, which is time-consuming and leads to provider burnout.

— Your privacy is not as protected because the insurance company can see your provider’s notes.

— The insurance company might only cover a certain amount of time for therapy, which could mean your treatment stops earlier than you'd like.

— Sometimes, insurance companies take back money they paid to the provider, claiming the treatment wasn't needed. This can be tough on providers financially.

You can review your Summary of Benefits or call your health insurance plan for more information. I recommend calling as the summary of benefits can be complicated to understand.

If you have out-of-network benefits, PPO plans can cover anywhere from 30-80% of the session cost. You will be responsible for paying for each session in full at time of appointment.

Call your insurance provider to get an individualized estimate of what your costs would be if you use your out-of-network benefits. Call the number on the back of your health insurance card listed under Member Services and ask them the below questions.

— Do I have out-of-network outpatient mental health coverage?

— Am I able to use these benefits for telehealth?

— What is my out-of-network deductible?

— How much of my deductible has been met this year?

— Do I need a referral from an in-network provider to see someone out-of-network?

— Do I need a pre-authorization to see an out-of-network provider?

— What percentage of outpatient psychotherapy sessions are covered per session?

— Can you explain the difference between an allowed amount and my potential provider’s fee?

— How much will I be reimbursed for a 45 minute psychotherapy session (CPT code: 90834)?

— How do I submit claim forms for reimbursement?

— How long does it take for me to receive reimbursement?

If you would like to review your benefits, your Summary of Benefits is typically accessible through your health insurance plan's online portal. Navigate to the Mental Health Coverage Section within your Summary of Benefits. Locate the Outpatient Services Section. Review the Non-Participating Provider or Out-of-Network Provider Section

This will give you an overview of what your health insurance plan covers for out-of-network/non-participating provider outpatient mental health services, if anything.

Generally, you need to meet your general deductible before insurance covers any expenses. Different deductible amounts usually apply to participating providers (in-network) and non-participating providers (out-of-network). An insurance deductible is the amount of money that you must pay out of pocket before your insurance company begins to cover the costs.

Find the section detailing the general deductible for non-participating/out-of-network providers. You must satisfy this deductible before insurance will pay or reimburse you.

Insurance plans typically have an "allowed amount" they're willing to pay for a specific service. Only the allowed amounts usually count towards your deductible, not necessarily the amount you paid the provider directly.

If your provider charges more than the plan's allowed amount, you'll usually have to cover the difference.

You will need to provide the following information to your health insurance plan to understand how much they will cover and how much you will pay for out of network services. You can also check out companies like Reimbursify or Mentaya who can help you navigate the reimbursement process in a few clicks.

— Your member ID (found on your insurance card)

— License number of provider. My license numbers are: MFT#105661 (CA), T#1887 (OR), LMFT#15854 (AZ)

— NPI number of provider. My NPI is 1477972057

— Provider business address. My business address is 3041 Mission Street #311 San Francisco, CA 94110

— Procedure codes. I typically bill under code 90834 (45 minutes of psychotherapy) or code 90847 (45 minutes of family therapy)

— Place of treatment. Tell them “telehealth.”

— Diagnosis codes. Here are common diagnosis codes I bill under:

F50.01 Anorexia nervosa, Restricting type

F50.02 Anorexia nervosa, Binge-eating/purging type

F50.2 Bulimia nervosa

F50.81 Binge-eating disorder

F50.82 Avoidant/restrictive food intake disorder

F50.89 Other specified feeding or eating disorder

F45.22 Body dysmorphic disorder

F41.1 Generalized anxiety disorder

F40.10 Social anxiety disorder

F42.2 Obsessive-compulsive disorder

F42.4 Excoriation (skin-picking) disorder

F43.0 Acute stress disorder

F43.10 Posttraumatic stress disorder

F43.20 Adjustment disorders, Unspecified

F43.21 Adjustment disorders, With depressed mood

F43.22 Adjustment disorders, With anxiety

F43.23 Adjustment disorders, With mixed anxiety and depressed mood

F43.24 Adjustment disorders, With disturbance of conduct

F43.25 Adjustment disorders, With mixed disturbance of emotions and conduct

F32.0 Major depressive disorder, Single episode, Mild

F32.1 Major depressive disorder, Single episode, Moderate

F32.2 Major depressive disorder, Single episode, Severe

F32.3 Major depressive disorder, Single episode, With psychotic features

F32.4 Major depressive disorder, Single episode, In partial remission

F32.5 Major depressive disorder, Single episode, In full remission

F32.81 Premenstrual dysphoric disorder

F32.89 Other specified depressive disorder

F32.9 Major depressive disorder, Single episode, Unspecified

F32.A Unspecified depressive disorder

F33.0 Major depressive disorder, Recurrent episode, Mild

F33.1 Major depressive disorder, Recurrent episode, Moderate

F33.2 Major depressive disorder, Recurrent episode, Severe

F33.3 Major depressive disorder, Recurrent episode, With psychotic features

F33.41 Major depressive disorder, Recurrent episode, In partial remission

F33.42 Major depressive disorder, Recurrent episode, In full remission

F33.9 Major depressive disorder, Recurrent episode, Unspecified

No, sessions are virtual via secure telehealth platform.

No, I work with adults (18+) located in California, Oregon, and Arizona.

I do not work with children and adolescents but I’m happy to send you child and adolescent provider referrals so feel free to contact me for a list of referrals.

Generally, I meet with therapy clients on a weekly or biweekly basis. To build and maintain therapeutic momentum, I usually recommend meeting weekly (or sometimes 2 times per week if clinically needed), for at-least the first 4 weeks.

We will increase or decrease the frequency of sessions to best meet your needs. The length of therapy (i.e., overall number of sessions) will depend on your current concerns, progress, and preferences.

25 minute or 50 minute consultation options available, fee varies. The fee for clinical consultation is determined by your fee. For example, if you charge $150 for a 50 minute therapy session, then the cost for 50 minutes of clinical consultation and support is $150. If your hourly rate is $40 then I would charge you $40 for 50 minutes.

I subscribe to this model in an effort to make specialized eating disorder and body image consultation as accessible as possible since few supervisors and therapists have this expertise.

For online 1:1 Clinical Consultation, I meet with therapists for consultation on a biweekly, monthly, quarterly, or as-needed/ad-hoc. The length and frequency of consultation support is entirely up to you.

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 bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or 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 OR CALL (800) 368-1019.Item description