Dr. Carole Goguen, PsyD
Licensed Psychologist (CA PSY 17685)
ADHD-Certified Clinical Services Provider
25+ Years of Clinical Experience
ADHD Therapist for Women
Serving All of California
Late-Night Therapy
As Late As 10 pm
Fees and Insurance
ADHD Treatment for Women
Anxiety and Trauma Therapy for Adults
Online Late Night Therapy
Based in Los Angeles and Across California
Fees and Insurance
Investing in therapy is a significant decision, and you deserve clear, straightforward information before you take the next step. Here's everything you need to know.
Session Fee
Individual therapy sessions are $250 for 50 minutes.
Sessions are typically scheduled weekly, though we can adjust the frequency based on what works best for you — more often if you want more intensive support, or every two weeks if that fits your life better.
Your first step is a free 15-minute phone consultation, so we can talk through your situation and make sure we're a good fit before anything else.
Payment
Payment is due at the end of each session. I accept:
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All major credit and debit cards — Visa, Mastercard, American Express, Discover, JCB, and Diners Club
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Flexible Spending Accounts (FSA)
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Health Savings Accounts (HSA)
FSA and HSA cards are a great way to use pre-tax dollars to cover the cost of therapy — if you have one, it works just like a regular card.
Cancellation Policy
I hold your session time exclusively for you and don't offer it to other clients, so I ask for at least 24 hours' notice if you need to cancel or reschedule. Cancellations with less than 24 hours' notice are charged the full session fee.
I understand that life is unpredictable — if something genuinely unexpected comes up, just reach out and we can talk through it.
Insurance
Do you take insurance?
My practice is private-pay, and I do not accept health insurance. The one exception is the Lyra Health Employee Assistance Program (EAP), through which eligible clients may receive covered sessions.
Using Out-of-Network Insurance Benefits
Although I do not accept insurance or bill insurance companies directly, you may be eligible for partial reimbursement through your out-of-network mental health benefits.
Payment is due at the time of each session. I provide a superbill (a detailed receipt containing the information typically required to submit an insurance claim), which you can submit directly to your insurance company for possible reimbursement.
Reimbursement amounts vary depending on your insurance plan, deductible, and out-of-network benefits. Reimbursement is not guaranteed.
How Do I Find Out What My Insurance Covers?
Call the member services number on the back of your insurance card and ask:
"What are my out-of-network benefits for outpatient psychotherapy provided via telehealth by a licensed psychologist?"
You may also want to ask:
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“Does my plan reimburse out-of-network providers?”
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“What services does my insurance plan cover for mental health services?”
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“Does my plan include out-of-network benefits for mental health care? Specifically, for outpatient online video psychotherapy (telehealth, telemental health) with a licensed psychologist?”
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“Do I have a deductible for out-of-network mental health services?” If yes, “what is the remaining amount I will have to pay before my health plan starts to reimburse me for fees that I pay out-of-pocket?”
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“What is the maximum amount my plan will reimburse for 45-50 minute individual psychotherapy sessions with a Psychologist?” If the representative does not provide a clear answer, ask: “What is the maximum allowed amount for mental health service code 90834 with a psychogist, and what percentage of the maximum allowed amount will my plan pay?” (This percentage of the maximum allowed amount is the amount you would receive as reimbursement.)
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“Is there a limit to the number of sessions per calendar year?”
A note on privacy and insurance
One thing worth knowing: when you use insurance — including out-of-network benefits — the insurance company may request access to your session notes as part of their review process. If privacy is a priority for you, paying out of pocket gives you more control over your records. We can talk through this during your consultation if it's something you'd like to understand better.
Why don't you take insurance?
For more information about the reasons that many therapists do not accept insurance, the following article from ProPublica may be helpful: Why I Left the Network
If you have any questions, we can discuss them in your free phone consultation.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare 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 healthcare 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 877-696-6775.