Fees and Insurance

Fees and Insurance

Our office operates as an out-of-network provider. Your counselor can provide you all the necessary paperwork for you to file for your own insurance reimbursement. Generally speaking, most insurance companies will pay a percentage (80%, 70% or 60% are common) after you meet your deductible. Check with your insurance company for information about your specific benefits.

 

There are many reasons mental health professionals do not join insurance panels. The most important one is that filing with insurance companies usually requires a significant breach of client confidentiality. For example, to meet the requirements for in-network reimbursement, the counselor must submit a mental health diagnosis (DSM-5), and may also need to provide an ongoing progress report and modified treatment plans.

For children, a mental health diagnosis may follow them into adulthood and limit future opportunities for some military or government jobs. Most children, who come to therapy, are dealing with adjustments to life’s difficulties and not a mental health illness. 

The fee for each 45-minute (play therapy) or 50-minute session is $110 to $265, depending upon the counselor’s level of education and experience and the services provided. Payment can be made by cash, check, HSA/FSA, or credit card at the time of service. 

 

Good Faith Estimate – 

You have the right to receive a “Good Faith Estimate” explaining how much your health care (Counseling Services) will cost

In compliance with the new federal law, the No Surprises Act of 2022, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

  • You have the right to receive a Good Faith Estimate (GFE) for the total expected cost of any health care items or services upon request or when scheduling such items or services.
  • If you schedule a health care item or service at least 3 business days in advance, your health care provider or facility should give you a Good Faith Estimate (GFE) in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate (GFE) in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate (GFE) before you schedule an item or service. If you do, your health care provider or facility should give you a Good Faith Estimate (GFE) in writing within 3 business days after you ask.
  • If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate (GFE) from that provider or facility, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate (GFE) and the bill.

For questions or more information about your right to a Good Faith Estimate (GFE), visit www.cms.gov/nosurprises/consumersemail FederalPPDRQuestions@cms.hhs.govor call 800-985-3059

Contact us

972-292-0007 ProsperCounseling@gmail.com

About us

Professional counseling for children, teens, adults, couples, and families in a private and confidential setting.

Where to find us
By Appointment Only

102 E. 3rd Street
OR
3067 Falcon Rd
Prosper, TX 75078