Yes, I offer 15 minute video consults. The purpose of these brief meetings is to connect and answer questions that will help you feel comfortable getting started on your healing journey. There is no pressure to continue services following a consult, and this meeting does not establish a therapeutic relationship.

$260/50 minute individual sessions. Heath Savings Account (HSA)/ Flexible Savings Account (FSA) are accepted to cover the cost of sessions, and a billing statements called a “superbill” can be provided upon request.

If you have PPO insurance you can check your out-of-network coverage with your insurer directly to determine how much is covered, and a superbill can be provided monthly for you to submit to your insurer for possible reimbursement.

Running a private practice involves many costs beyond session time—License renewal fees, professional insurance, professional membership dues, continuing education, administrative work, and so on, that all add up. This funding model helps me:

• Offer therapy at a lower cost to those who need it

• Maintain a sustainable income to provide quality, consistent care

• Grow my practice responsibly

I’m committed to transparency and fairness. If you have questions about fees or availability, please don’t hesitate to ask. My goal is to make therapy accessible while ensuring I can continue offering high-quality care for all clients.

For Individual Therapy and Intakes: Your intake and follow-up sessions are scheduled just for you and to ensure you have a chance to build a solid therapy connection with your therapist, our session times are kept at regular days and times. This means that our reserved sessions cannot easily be offered to another client. To ensure clarity and fairness, please take a moment to review my cancellation policy:

• All late-cancellations and No shows are charged at the full session rate, if notice is less than 24 hours from the scheduled session time. If you would like to reschedule a session, then you will need to purchase an additional session.

• Please complete all rescheduling, and cancelations via the Carepatron portal. Messaging me is appreciated, but will not remove the need for you to modify your appointment via the patient portal to avoid a charge.

• If you cancel on-time within the 24 hour window, then you will not be charged. Please keep in mind that frequent cancelations, or rescheduling of sessions may lead to discussing a better meeting time to ensure consistency, or a referral if needed.

Other situations where a partial refund cannot be provided:

• If you attend under the influence or drugs/alcohol.

• If you are in another state outside of CA.

• If you are actively driving, or in a moving vehicle and unable to park within 15 minutes.

• If you are unable to obtain the privacy needed to conduct session, miss the appointment entirely, or attend 15 minutes past the grace period, then you may not be eligible for a 50% refund.

Thank you for understanding! This policy helps me keep my schedule fair and ensures that I can provide consistent, high-quality care to all clients.

I do not accept insurance directly and operate as a fully private pay practice.

I do contract with a select few third party mental health platforms that work with insurance outside of my practice, and you are welcome to contact me for more details.

A few reasons why I don’t take insurance:

1. The diagnosis: Insurance companies require that I give you a diagnosis. It then turns into a constant back and forth of proving why you need care, explaining how many sessions are needed, and basically places insurance on the driver’s seat of your treatment rather than you. This matters because at the end of the day the goal of insurance is to stop paying for services as soon as they can, or cover as little as possible. This can sometimes lead to unimaginable headaches with insurance abruptly refusing to cover previously covered sessions, which can add more stress for clients when unexpected bills arrive.

2. It can compromise your confidentiality: Once your insurance gets billed, they will begin the process of evaluating your treatment. They want to know your diagnosis, whether, or not you’ve improved and many other details. In order to make this determination, your insurance company can request access to your records at any time. As your claim is being processed, any person handling your claim will have access to your treatment record, including your diagnosis, and progress notes. By offering private pay sessions without insurance, clients who wish to maintain a higher degree of privacy have the option to do so.

3. It’s a lot of hoops to jump: Rather than going back and forth with insurance companies all day, I want to focus on providing the absolute highest level of care to my clients.

A limited number of reduced-fee sessions are available at $235. Many clients choose to plan and save in advance to access these spots. Saving ahead to access therapy can bring up feelings related to financial trauma or past money stress. In therapy, I work with clients to acknowledge these feelings, reframe them, and use the process of budgeting and planning as a way to strengthen agency, self-care, and intentionality in their mental health journey. Please fill out the contact form page, or email me at Romina@existnowtherapy.com for more details.