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Fees

Scroll down for the fees for services offered at Prism Counseling and Support LLC. Please note that we do not accept insurance as payment for our services. See below for an explanation of the reasons for this, and why it benefits our clients.

Individual Counseling (Youth and Adult)

50 minute session

$130

(Initial intake session $160)

Sliding scale available (limited number of openings)

50 minute session

$130

(Initial intake session $160)

Sliding scale available (limited number of openings)

6 sessions, 50 minutes each

$240 total ($40/session)

Full amount must be paid upon registration. No refund is given for missed sessions.

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Prism Counseling and Support LLC is a private pay practice and does not accept insurance. However, depending on your coverage, you may be eligible to receive partial or full reimbursement through your insurance company as an out-of-network service, or through your HSA or flex spending account, if applicable.

There are many reasons why many mental health providers do not accept insurance, and there are benefits for the practitioner and the client. Some of these include:

  • Insurance companies require a diagnosis in order to approve and pay for treatment, and this may not always be clinically supported. There are many times when individuals seek out counseling for personal growth or to help with a difficult life situation, and a diagnosis may not be appropriate in these situations. Many insurance companies even require a diagnosis after the first session.

  • Insurance companies often limit the number of sessions that are covered for an individual, which may run out just as the individual is making progress. Allowing an insurance company to dictate the length and course of treatment rather than the licensed counselor could negatively impact your outcomes.

  • Not using an insurance company allows for increased patient confidentiality. Any documented mental health treatment is required to go on your permanent medical record. Additionally, when using insurance for therapy, your therapy records become accessible to your insurance company.

  • Insurance often doesn’t cover group or family therapy. If they do, they will ask the therapist to identify one member of the family as the patient (requiring a diagnosis for that person) and consider the other members to be in the session to support that person. Sessions must then be used to address the diagnosed medical condition of that individual. This is often not the focus of family therapy, where the focus is usually on communication and relationships, which are not considered “medically necessary” by insurance companies.

  • Insurance companies do not allow therapists to truly specialize. When a therapist accepts insurance, their contract with the insurance company requires them to provide services to anyone who requests them, as long as they have availability. This requires clinicians to be a “jack-of-all-trades” rather than mastering their skills in a particular area.

 

Mandatory Good Faith Estimate Information

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.