What people ask us

Prairie Dawn is out of network with every plan, so you pay for each session yourself. We do not bill Medicare or Medicaid. If someone else holds your plan, a statement from the insurer can go to them, which is one reason many clients choose to pay directly. We can give you names of counselors who bill plans.

A superbill is a monthly itemized receipt you may send to your plan, and your plan decides whether it pays anything. It lists the dates and kind of session and carries a diagnosis code your insurer can see, and a statement about the claim may go to the policyholder. Ask your plan before you start.

If you pay without insurance, you have the right to receive a written estimate of your care before you start. We give you one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

The fee depends on the session and how long it runs, and we give it to you in writing before you start. A limited number of reduced-fee spots are open; ask how to request one. The page on how fees work has the details.

Yes. We take HSA and FSA cards like any other card, at the end of the session.

It lasts 60 minutes. Bertha explains how she works, the limits of confidentiality and the possible risks and benefits of therapy, and she listens. You do not have to tell her what happened. At the end you both decide whether to continue.

Sessions are 50 minutes, usually weekly or every other week. Your counselor sets the pace with you, and there is no set number of sessions.

Bertha is licensed in South Dakota. By video she sees people who are in South Dakota during the session, and nowhere else today.

In an emergency, call 911. If you are in crisis, call or text 988, any time. The National Domestic Violence Hotline answers at 1-800-799-7233. This site and our messages are not monitored around the clock.

What you share stays in the session. The law sets limits: serious risk of harm to you or to someone else, and suspected abuse of a child or a vulnerable adult. If children are in your home, we talk about this at the start. We explain the limits in writing before you begin.

Prairie Dawn sees adults 18 and older. For a teen, we can give you names of colleagues who work with young people, and they will explain their own consent rules.

We ask for 24 hours' notice to change an appointment. If getting to a session is not possible for a reason you would rather not explain, tell us that and we will not charge a late fee.

We do not call, text or mail anything unless you choose it, and the contact form asks how it is private to reach you, including whether a voicemail is fine. The quick exit button leaves this site at once, but your browser may still keep the history, so use a private window or another device.