Rates & Policies

 

Rates

Integrative Mental Health Services

 

1.5 Hours - $450

-80 minutes for therapy; 10 minutes for Shirley to do clinical notes, scheduling, billing and medication refills if needed

 

1 Hour - $375  *Initial Consultation rate

-50 minutes for therapy; 10 minutes for Shirley to do clinical notes, scheduling, billing and medication refills if needed

 

1/2 Hour - $215

-25 minutes for therapy; 5 minutes for Shirley to do clinical notes, scheduling, billing and medication refills if needed

Quit Smoking Hypnotherapy Service

1.5 Hours - $1,000

*Most clients with PPO insurance (who have met their annual deductible) are typically reimbursed around 50% of Shirley's fees. 

Policies

  • After the free staff consultation/assessment, Shirley's regular rates apply.

  • Payment is due at the time of service. We accept all major credit cards and the easiest way to pay is with Ivy Pay.

 

  • Please keep in mind that there is a 2-day cancellation/reschedule policy. If it is critical that a client needs to make any changes, they must do so more than 2 days prior to avoid being charged the full amount for your session.

  • It is the client's responsibility to make sure he/she has sufficient medication to last to his/her next appointment. Client's should check the prescription bottle for remaining refills and contact his/her pharmacy if unsure.

  • Shirley does not bill insurance directly and her fees are the client's responsibility. If needed, Shirley can provide a Superbill that the client can send to his/her PPO insurance for reimbursement. 

  • Shirley is a Non-Provider for Medi-Cal and Medicare. 

    • ​Shirley Furman, PMHNP does not participate in Medicare.  Shirley Furman has not been excluded from Medicare under sections 1128, 1156, or 1892 or the Social Security Act. By law, Medicare-eligible patients are required to enter into a private contract with Shirley Furman, PMHNP and she delivers medical care on a a fee-for-service basis, which is NOT reimbursable by Medicare. By accepting the treatment contract with Shirley Furman, PMHNP, the client agrees not to submit a claim for payment under Medicare for services rendered, even if such items and services would otherwise be covered by Medicare. This means that you agree not to bill Medicare nor ask Shirley Furman, PMHNP, to bill Medicare, for her services rendered to you.

  • Shirley does not prescribe stimulants, pain medication nor medication for Bipolar Disorder (Mood Stabilizers).​

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  • You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost 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