Kelley Bryan Gin, PsyD‚Äč

Good Faith Estimate


As part of the Federal "No Surprises Act" (2020), healthcare providers must furnish uninsured/ self-pay patients with a Good Faith Estimate of costs when inquiring about services or prior to scheduling a service.  


I will provide this estimate at the time of inquiry for services, or if we schedule an appointment. 


The American Psychological Association has more information about this rule (here). 


Fees & Insurance Participation 


$190 usual-and-customary hourly rate (effective 1/1/2022)

$180 usual-and-customary 45-minute rate (effective 1/1/2022)

Need-based graduated fee schedule available



In-Network Provider:


  • Anthem-Blue Cross of California
  • Beacon Health Options (Non-MediCal plans only)
  • Blue Shield of California (including Blue Shield Covered California plans)
  • Evernorth (Formerly CIGNA)
  • MHN / Health Net
  • Magellan
  • Optum / UnitedHealth 


Contracted Provider:

  • Kaiser of Northern California (pre-authorization required) 






If you wish to seek out-of-network reimbursement from another insurer, I will provide you with a statement of services with applicable procedure codes and fees.