Frequently asked questions

Dr. Guerra is out of network with insurance plans. Many PPO plans can reimburse part of an out-of-network visit, and we can give you what you need to ask your plan. We do not bill Medicare or Medi-Cal.

A superbill is an itemized monthly receipt you can send to your plan. It carries a diagnosis code that your plan will see. Your plan decides whether it pays you back, and reimbursement is not guaranteed.

If you pay without insurance, you have the right to receive a Good Faith Estimate of what your care will cost before you start, and we give you one in writing. If a bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

Your fee is given to you in writing before you book, and it is the same for every session. Our fees page explains insurance, self-pay, receipts and estimates.

Yes, a health savings or flexible spending card can be used to pay for sessions.

We ask for 24 hours' notice to cancel or move a session. A late cancellation or a missed session is charged the full fee, and we can talk through exceptions.

We talk about what you want from therapy, and Dr. Guerra explains how she works, what stays private and what does not. No hard memory is processed in the first session.

No. In EMDR you hold a memory in mind in small steps and you decide how much to say aloud. We prepare first, and you can pause or stop at any time.

Sessions are 50 minutes for individuals and 80 minutes for couples. How often you come, and for how long, is set together and reviewed as we go.

She is a psychologist licensed in California. She sees clients in person in San Francisco, and by video when you are in California at the time of the session.

Call or text 988, the Suicide and Crisis Lifeline, at any time. In an emergency, call 911. This practice does not monitor messages around the clock.

What you say is kept private. The law sets a few limits, such as a risk of serious harm to you or to someone else, and Dr. Guerra explains them in your first session, before you share anything.