At Merkaba Integrative Psychiatry, I believe meaningful mental health care should be accessible, respectful, and sustainable.
Financial circumstances are different for every person, and they can change throughout our lives. My goal is to create a way of paying for care that honors those differences while also allowing Merkaba to remain a small, sustainable practice capable of providing deeply individualized care.
For clients paying out of pocket, Merkaba offers Community Access Pricing — a trust-based, tiered fee structure that allows you to choose the rate that best reflects your current financial circumstances.
There is no application and no income verification.
I simply ask that you choose thoughtfully and honestly.
The same care is provided at every level.
Your tier does not determine the quality, attention, time, or type of care you receive. The tiers simply recognize that the same healthcare expense can have very different impacts on different people.
Seed is intended for those experiencing meaningful financial hardship who would otherwise have difficulty accessing care.
Seed may be a good fit if:
Because Seed represents a significant reduction in fees, the number of Seed spaces available may be limited.
Bloom is intended for those who can contribute toward the cost of their care but for whom the standard fee would create meaningful financial strain.
Bloom may be a good fit if:
Bloom allows you to access care at a reduced rate while still contributing meaningfully toward the cost of providing that care.
Rooted represents Merkaba's standard private-pay rate.
Rooted may be a good fit if:
The Rooted rate reflects the actual time, expertise, preparation, documentation, administrative work, and resources involved in providing individualized care through Merkaba.
Choosing Rooted when it is financially comfortable for you helps keep the practice sustainable and preserves reduced-fee spaces for others.
Radiant is an optional community-supporting rate for those who have greater financial flexibility and would like their payment for care to help extend access to others.
Radiant may be a good fit if:
Choosing Radiant helps Merkaba continue offering Seed and Bloom rates to people who might otherwise be unable to access care.
Radiant is always voluntary.

There is no perfect formula for determining which tier you belong in.
Consider not only your income, but your overall financial reality: housing costs, debt, dependents, medical expenses, savings, access to family resources, employment stability, and other circumstances that affect your ability to pay for care.
A simple way to think about it:
🌱 Seed: Paying for care at a higher rate could compromise my ability to meet essential needs.
🌸 Bloom: My essentials are covered, but the standard rate would create meaningful financial strain.
🌳 Rooted: I can pay the standard rate without significant financial hardship.
✨ Radiant: I have greater financial flexibility and can comfortably contribute above the standard rate to help sustain access for others.
I trust you to choose the tier that most honestly reflects your circumstances.
There is no application or income verification. I trust clients to thoughtfully select the level that best reflects their current financial circumstances.
A complete Community Access fee schedule is available upon request.
Seed and Bloom availability may be limited based on practice capacity.

As part of my commitment to transparency, trust, and informed consent, I provide Good Faith Estimates for services when required by law and whenever it is clinically and ethically appropriate to do so.
A Good Faith Estimate (GFE) is a written explanation of the expected cost of your care before services are provided. It is meant to help you understand what you may be charged for a specific service or course of treatment.
Good Faith Estimates are required under the No Surprises Act for individuals who:
I believe that clarity around cost is part of ethical, respectful care. Providing a Good Faith Estimate allows you to:
For clients using a sliding scale, the Good Faith Estimate reflects the fee tier you have selected, not the full standard rate.
A Good Faith Estimate typically outlines:
Because mental health care is individualized, actual costs may vary depending on clinical needs, changes in treatment frequency, or additional services requested.
If you receive a Good Faith Estimate and are billed $400 or more above the estimated total, you have the right to dispute the bill.
You may start a dispute resolution process by contacting the U.S. Department of Health and Human Services (HHS).
More information is available at:
www.cms.gov/nosurprises
If you have questions about your estimate or would like one before scheduling, please let me know — I’m happy to help.
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