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Services

Rates

Individual Session

$135 - $150

( Adults, Adolescents, or Children ) 50-55 Minutes

Couples Session

$150 - $165

60 Minutes

Family Session

$165 - $200

60- 75 Minutes

Insurance

  

In-Network Insurance Providers:

(Availability depends on the therapist. Please check with us to confirm.)

· Optum/United Health Care/United Behavioral/UMR

· Health Net

· MHN Medi-Cal

· Molina Medi-Cal

· Cigna

· Aetna

· Lyra (EAP)

Out-of-Network Coverage:

(Out-of-network means that we do not have a direct contract with your insurance company, but you may still receive partial reimbursement for our services depending on your plan.)

· If you have a PPO plan, you may have some out-of-network coverage. Please contact us to confirm. 

· We are an "out-of-network" provider for all other insurance companies.

· We offer electronic courtesy billing for your PPO insurance plan.

· Contact us for assistance with out-of-network coverage details.

Important Note: 

Insurance acceptance may vary by therapist. Please contact us to confirm your therapist's specific insurance coverage.

cancelation policy

The time scheduled for your appointment is assigned to you and you alone. If you need to cancel or reschedule a session, we ask that you provide at least a 24 hour notice. If you miss a session without cancelling, or cancel with less than 24 hours notice, the policy is to collect the full session fee or the contracted rate if you are using your insurance.  It is important to note that insurance companies do not provide reimbursement for cancelled or no show sessions; thus, you will be responsible for the portion of the fee as described above.

Good Faith estimate notice

Good Faith Estimate Notice


Under Section 2799B-6 of the Public Health Service Act, health care providers and facilities must inform individuals who are not enrolled in a plan or coverage, or not seeking to file a claim with their plan or coverage, of their right to receive a "Good Faith Estimate" of expected charges. This information must be provided both orally and in writing, either upon request or when scheduling health care items and services.


Your Rights:

  • Good Faith Estimate: You have the right to receive a "Good Faith Estimate" detailing the cost of your medical care.
  • No Insurance: Providers must give an estimate to patients who are uninsured or not using insurance.
  • Expected Costs: You have the right to a Good Faith Estimate for the total expected cost of any non-emergency items or services, including medical tests, prescription drugs, equipment, and hospital fees.


Requirements:

  • Written Estimate: Ensure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.
  • Requesting an Estimate: You can request a Good Faith Estimate from your provider or any other provider you choose before scheduling an item or service.
  • Billing Discrepancies: If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.


Remember to save a copy or picture of your Good Faith Estimate. For questions or more information, visit https://www.cms.gov/nosurprises

El Molino Family Therapy, PC. South Pasadena, CA

(626) 252-7964

Copyright © 2024 El Molino Family Therapy, PC. - All Rights Reserved.

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