How fees work

Serenya is out of network with every insurance plan: you pay for each session yourself. We do not take Medicare or Medicaid. If you want someone who bills your plan, we will gladly give you the names of clinics and colleagues in the Valley.

You pay at the end of each session by card, including HSA and FSA cards. Before the first session we tell you in writing what each one costs. We ask for 24 hours' notice to change an appointment.

Each month we give you an itemized receipt (a superbill) with the dates and kind of session, to send to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything; ask it before you start.

If you pay without insurance, you have the right to receive a written estimate of what your care will cost before you start. We give you one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

We do not check benefits, because we do not bill your plan. If you want to know whether your plan reimburses, call it before the first session and ask about out-of-network mental health services.

A conversation of about 50 minutes to get to know each other: you say what you want and your therapist explains how they work, the limits of confidentiality and the possible risks and benefits of therapy. It is charged like any other session.