The fee for an individual session is $200 for 50 minutes. The fee for a couples session is $250 for 50 minutes.

I currently accept plans under Aetna, Optum, and United Healthcare for California residents seeking individual therapy. I am not currently paneled with insurance providers in New York or Florida, but do offer telehealth sessions for NY and FL residents at my cash rate. For cash pay clients, I can provide a superbill if your insurance provider offers reimbursement. Please see below how you can get therapy sessions reimbursed if you are out-of-network.

If you live in New York, Florida, or are a California resident that has an insurance provider that is out-of-network with me, you may still be entitled to reimbursements for our sessions! Many insurance plans offer some form of reimbursement for out-of-network providers. You will want to check your insurance plan and see what percentage or dollar amount of a mental health session is reimbursed. I provide all cash pay clients a monthly superbill to submit to their insurance providers for reimbursement.

If you have more questions about this, please feel free to reach out!

At this time, I only offer virtual sessions. I use a HIPAA-compliant platform to conduct video visits with patients. I am available to work with anyone who resides in California, New York, or Florida.

I prioritize the confidentiality and privacy of every patient and adhere to the legal and ethical guidelines of my license requirements. My documentation and telehealth services are operated on a HIPAA compliant platform.

As a mandated reporter, there are exceptions to maintaining confidentiality: if you pose an immediate danger to yourself or others, I am legally obligated to take steps to ensure your safety or the safety of others. This may mean calling 911, supporting you with a voluntary hospitalization, and/or calling friends or family to get you to safety. In the event another person is in imminent danger, I am legally obligated to warn that person and contact authorities even if that means breaking your confidentiality. Finally, if there is a reasonable suspicion of child, elder, or dependent adult abuse, I am legally obligated report that to the appropriate authorities.

Please contact me via email or phone if you need to cancel or reschedule your appointment. I require at least 24 hours advanced notice to cancel or reschedule your appointment. No-shows and cancellations within 24 hours of your scheduled appointment time will be charged my full cash rate for the session.

If at all possible, I want to avoid charging you for a service you didn’t receive. Since life happens and sometimes we need to reschedule within a day, I will do my best to work with you to reschedule you for the same week. If I can accommodate this, I will not charge you the cancellation fee.

I am available M-F via phone and email at 424-434-8646 or madelineelialcsw@gmail.com. I do my best to respond within 24 hours on weekdays, but try to practice what I preach and do not check email/phone on the weekends! If you need immediate support and I am not available please see below “what should I do if I am in crisis?”

If you are experiencing a mental health crisis, please call 911 or go to your nearest emergency room. There is no shame in asking for help if you are in crisis and you deserve support. The following are resources that may also be helpful if you need immediate support:

National Alliance on Mental Health (NAMI) Helpline: 1-800-950-NAMI (6264) or Text 62640

National Lifeline Text: 988

Trevor Project (LGBTQ Youth): 1-866-488-7386 or Text 678678

National Domestic Violence Hotline: 1-800-799-7233