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. 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 (teens, adults, couples) session is $80 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 (GFE)
You have the right to receive a “Good Faith Estimate” (GFE) explaining how much your health care (Counseling Services) will cost
In compliance with the federal “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 before those services are provided.
You have the right to receive a GFE for the total expected cost of any mental health care services upon request or when scheduling services.
For questions or more information about your right to a GFE, visit www.cms.gov/nosurprises/consumers, or email FederalPPDRQuestions@cms.hhs.gov, or call 800-985-3059
Record Requests and Compliance Public Notices
PUBLIC NOTICE
HB4224 TX HEALTH & SAFETY
Section 181.105 of the Health and Safety Code
RECORD REQUESTS
Records are kept of all your and your counselor’s communications, including contact via phone, text, and email. Records are the property of Dr. Marcey Mettica of Prosper Counseling, PLLC and are stored in SessionsHealth.com which provides security features including passwords, SSL encryption of notes, FIPS140-2 encryption on web browser, and audited restricted access to servers. All client records are backed up daily. Client records are disposed of seven years after the file is closed. Files of clients who are minors, or who were minors, when they began treatment will be disposed of five years beyond when the minor reaches 18 years of age. In the case that Dr. Marcey Mettica is unable to serve as custodian of records (i.e. upon death or other incapacitation) Danett Moseley will assume the role and can be reached by email at Danett.prospercounseling@gmail.com or by phone at 972-347-4413.
Should you provide a written request to your counselor, Dr. Marcey Mettica, or Prosper Counseling, PLLC to release a copy of your records, please be aware that both a record preparation fee will be charged and a Release of Information (ROI) form must be signed and remitted before records will be released. Per the Texas Health and Safety Code Subtitle E, Chapter 611.008, we will charge a reasonable fee ($25 for the first twenty pages and $.50 per page for every page thereafter), plus your counselor’s rate multiplied by the time spent preparing the records. A professional may not charge a fee for records requested for filing for disability or Medicaid. A copy of the record will be provided within 15 days AFTER receipt of the ROI and payment.
In the case of shared custody of a minor, multiple individuals may have rights to the minor’s record. If one parent/guardian, requests a copy of the records, additional copies will be provided to the other parent/guardian who also have legal rights to the records, at the same cost. If records are requested or subpoenaed, this does not indicate an automatic release of records and Prosper Counseling, PLLC or Dr. Marcey Mettica may choose to seek a court order quashing the subpoena or providing protection should disclosure be deemed not in the client’s best interest. Your counselor, Dr. Marcey Mettica, or Prosper Counseling, PLLC may deny access to any portion of a record if they determine that release of that portion would be harmful to the patient’s physical, mental, or emotional health, as detailed in Section 611.045 of the Texas Health and Safety Code.
Texas Behavioral Health Executive Council Complaint Process
Your counselor’s services will be rendered in a professional manner consistent with the current ethical practices promulgated by the ethical codes of the Texas Behavioral Health Executive Council (TX BHEC), the Texas Family Code (TFC), and the Texas Administrative Code Chapter 681. If at any time you are dissatisfied with your counselor’s services, please let your counselor know, or his/her supervisor, or Prosper Counseling’s practice owner and director, Dr. Marcey Mettica, so that any issues can be worked through. If your concerns remain unresolved, you have the right to report your complaints to the TX BHEC for further investigation.
The Texas Behavioral Health Executive Council investigates and prosecutes professional misconduct committed by marriage and family therapists, professional counselors, psychologists, psychological associates, social workers, and licensed specialists in school psychology. Although not every complaint against or dispute with a licensee involves professional misconduct, the Executive Council will provide you with information about how to file a complaint. You can find information on their website at: https://bhec.texas.gov/complaints-enforcement-faqs/ or for more information you can contact them at: 1-800-821-3205 or Texas Behavioral Health Executive Council, 1801 Congress Ave., Ste. 7.300 Austin, TX 78701
ATTORNEY GENERAL CONSUMER PROTECTIONS
If you feel your concerns have not been adequately addressed by the counselor, the practice owner, and/or the TX BHEC, you also have the right to contact the Office of the Attorney General’s Consumer Protection at https://www.texasattorneygeneral.gov/consumer-protection.