My colleagues have shared their reasons for refusing insurance. The following is the summary. If you’d like to see the long version, click here!

1) Significantly more work for significantly less pay; 2) Many counseling services are not covered by insurance; 3) Insurance companies tend to hinder/limit the therapeutic process by limiting services; 4) Insurance companies will bill therapists for thousands of dollars if they later decide to not cover a client after they had already paid for months of services.

2025: $107/50-minute session

Bosco Counseling seeks to provide therapy at rates that are significantly below market.

For comparison, here are market rates in the Knoxville area for 2024:

$25-$60: Therapist is a college student working toward their degree.

$70-$115: Therapist is working towards their license in a community mental health setting (similar to residency).

$115-$140: Therapist is in their initial years of private practice.

$140-$200: Experienced Therapist

Bosco Counseling has both in-person and telehealth sessions available. All things being equal, Bosco Counseling recommends in-person for optimal therapeutic depth. However, that is not always possible. If you desire to utilize Telehealth, Bosco Counseling can accommodate that desire.

NO SHOW: If a client does not show up to an appointment, then the full fee is charged. However, if the client does not make the appointment because of an unexpected major life event, then we invite the client to request that Bosco Counseling consider reducing or eliminating the charge as a way to share the financial burden.

CANCELLATION: There is no charge for cancellations made with a 24 hours advanced notice.

LATE CANCELLATION: If the client does inform Bosco Counseling that they can’t make their appointment within the 24-hour window, Bosco Counseling may charge less than the full fee for the missed appointment.

RESCHEDULING: There is no charge for rescheduling when it is done with a 24-hour advanced notice. Otherwise, the appointment is treated as a late cancellation.

Something to keep in mind is that insurance companies generally do not cover certain forms of counseling (for example, marriage counseling). Additionally, there are likely other counseling services that are not covered by most insurance plans.

Bosco Counseling does not accept insurance for several reasons. The most important reason is that we want to provide the level and amount of care deemed necessary for the particular situation.

All Saints Catholic Church in Knoxville, TN. The counseling room is located in the back of the main sanctuary. From the parking lot, go down the covered walkway that is to the left (and south) of the entryway labeled “office.” At the end of the walkway are the doors to the main church. When you enter, you will be in the Narthex. Continue walking forward and you will go through the glass doors as you enter the main sanctuary. Turn to the right and walk along the back of the sanctuary. The counseling room is the first door on your right. It will have a sign on it labeled, “Bosco Counseling.” If you are early, sit anywhere nearby. The therapist will bring you in to start the session.

No. Bosco Counseling serves the public as a marriage and family therapist and follows all laws regarding access to mental health care.

Therapists at Bosco Counseling are concerned about the well-being of the client. Some clients place significance on prayer while others do not. Care is tailored to the client as they progress through care. It could be that a client changes their preference for prayer throughout treatment. Therapists adjust to the client’s needs in an ongoing process.