Good Faith Estimate
Yeni Hercules, LMFT (146151)
Yen Wellness Family Counseling Professional Corporation
You have the right to receive a “Good Faith Estimate” explaining how much much your medical and mental health care will cost.
Under the law, Health Care providers are required to give patients who do not have insurance or who are not using insurance an estimate of total costs for medical items and services. Therefore:
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 877-267-2323
FAQs
• Individual Therapy
$152 per 53-minute session.
• Couples $170 per 55-minute session – $270 for 85 -minute
Session Payment: Sessions are paid on the day of your appointment with a credit card. You must provide a credit card to secure your appointment.
Cancelation Policy: Due to the nature of this service, your appointment is reserved and held for you. If you do not show up to your scheduled therapy appointment and do not notify your therapist 24 hours in advance, you will be required to pay the $75 for the missed appointment.
• Aetna
• Quest Behavioral Health
• Oxford
• United Healthcare
• Anthem Blue Cross California
• Kaiser Permanente of Northern CA
• United Healthcare Medicare Advantage
• Kaiser Permanente of Northern CA Medicare Advantage
If you don’t have insurance, we provide sliding scale fees and membership options to accommodate your needs.Please reach out to me to discuss how I can assist you.
Unfortunately, we currently do not accept medi-cal insurance.