Frequently Asked Questions

Where is your office?

Prosopon Therapy is located next to Eben G Fine Park in Boulder – at the west end of Canyon Road at the beginning of the foothills.

Here’s the address:

100 Arapahoe Avenue
Suite 9
Boulder, CO 80302

Suite 9 is through the second door after you enter the parking lot – up the stairs and through the door on your left.

What are your hours?
We work on weekdays (Monday through Friday) and have morning, afternoon, and evening appointments available.
How long are your sessions?
Individual sessions are 50 minutes; couples sessions are 75 minutes.
How frequently do I come to therapy, and for how long?

The frequency and length of your treatment will depend on your unique situation. Regardless of your circumstances, we recommend starting with weekly sessions for at least the first six weeks, if not longer. After that, we can discuss the possibility of moving to bi-weekly sessions based on your progress in therapy.

Some individuals seek therapy to address a single issue, which may result in a shorter duration of treatment. However, most people choose to stay in therapy for a few years to work through decades of accumulated experiences and complexities in their lives.

How much do you charge?

Our clinicians charge $160-$200 per session for individuals based on their experience and training.

Couples sessions are longer and range from $240 – $300 per session.

We have a limited number of sliding-scale slots starting at $135 per hour.

Do you take insurance?
We have a limited number of Medicaid slots, but we do not take other insurances.
Why don’t you take more types of insurance?

There are several reasons. First, we are concerned that insurance companies sometimes overrule our treatment recommendations. We believe that treatment should be personalized and not dictated by external entities.

Second, insurance companies often prioritize minimizing their expenses and reimbursements, which can reduce the quality of care you receive. To us, you are much more than just a number; you are a person with unique needs and deserve personalized attention.

Lastly, we have found that managing insurance claims consumes a significant amount of time – time that we would rather dedicate to directly supporting our clients, enhancing our skills, and staying updated with the latest advancements in our field.

What is a Superbill?
A superbill is a detailed invoice provided by a therapist to a client listing the services rendered. The client can submit it to their insurance company for potential reimbursement. It includes important information such as session dates, diagnostic codes, and fees charged.
What is “surprise billing”?

Starting January 1, 2020, Colorado state law protects you from “surprise billing,” also known as “balance billing.” These protections apply when (a) you receive covered emergency services (other than ambulance services) from an out-of-network provider in Colorado or (b) you unintentionally receive covered services from an out-of-network provider at an in-network facility in Colorado.

Surprise or balance billing occurs when you receive care from a provider or facility outside your health insurance plan’s network. Out-of-network providers may bill you for the difference between what your insurer pays and what the provider charges.

When you CANNOT be balance-billed:

Emergency Services

For emergency services, the most you can be billed is your plan’s in-network cost-sharing amounts (copayments, deductibles, and/or coinsurance). You cannot be balance-billed for any additional amounts, including services from both the emergency facility and any providers that see you for emergency care.

Non-emergency Services at an In-Network or Out-of-Network Provider

Providers must inform you if you are at an out-of-network location or an in-network location using out-of-network providers. They must also inform you if any services may be provided by out-of-network providers.

You have the right to request that in-network providers perform all covered medical services. If an in-network provider is unavailable, you may have to receive services from an out-of-network provider. In this case, the most you can be billed is your in-network cost-sharing amount (copayments, deductibles, and/or coinsurance). These providers cannot balance bill you for additional costs.

Additional Protections:

Your insurer will pay out-of-network providers and facilities directly.

Your insurer must count any amount you pay for emergency services or certain out-of-network services toward your in-network deductible and out-of-pocket limit.

Providers, facilities, hospitals, or agencies must refund any overpayments within sixty days of being notified.

No one, including providers, hospitals, or insurers, can ask you to limit or give up these rights.

Exceptions:

If you receive services from an out-of-network provider or facility in other situations, you may still be balance-billed or responsible for the entire bill.

If you intentionally receive non-emergency services from an out-of-network provider or facility, you may also be balance-billed.

Filing a Complaint:

If you want to file a complaint against your health care provider, submit an online complaint with the Colorado Department of Regulatory Agencies (DORA) Complaint

If you believe you have received an incorrect bill, contact the billing department or the Colorado Division of Insurance at (303) 894-7490 or (800) 930-3745.

Note: This law does NOT apply to all Colorado health plans. It only applies if you have a “CO-DOI” on your health insurance ID card.

For any questions, contact your health insurance plan using the number on your health insurance ID card or the Colorado Division of Insurance.

What is a “Good Faith Estimate”?

You are entitled to receive a “Good Faith Estimate” that outlines the expected costs of your medical care. According to the law, healthcare providers must provide this estimate to patients without insurance or those not using insurance. This estimate should cover the total expected cost of any non-emergency medical items or services, including related expenses such as medical tests, prescription drugs, equipment, and hospital fees.

Ensure that your healthcare provider gives you a written Good Faith Estimate at least one business day before your scheduled service or item. You can also request a Good Faith Estimate from your healthcare provider or any other provider you choose before scheduling any service or item.

If the bill you receive is at least $400 higher than your Good Faith Estimate, you have the right to dispute it. Remember to save a copy or take a picture of your Good Faith Estimate for your records.

How do I set up an appointment?

Call or email us from the website, and we will schedule an initial phone screen to ensure we are a good fit for you and your concerns.

We’ll then assign you a therapist who best meets your needs, and you’ll have a free 30-minute consultation with them.

At the end of the consultation, if everything still feels right, you will schedule your intake appointment and begin working with your therapist.

What is your cancellation policy?
We have a 48-hour cancellation policy unless you have an illness or an emergency. If you cancel less than 48 hours in advance, you are responsible for the full cost of your session.
What if I’m late?
If you are 15 or more minutes late to your appointment, your therapist may treat it as a late non-emergency cancellation. You will only receive the remaining time of your scheduled appointment, which will still end at the originally scheduled time. You will be responsible for paying the full cost of the appointment.