Currently there isn't insurance reimbursement for life coaching so it's out of pocket (and often a lot less then therapists) although there are some medical and insurance groups who are beginning to include life coaches in their wellness programs so who knows whether this will change.

In some ways, given how medically oriented care has become, it makes sense that coaching isn't covered as it really doesn't focus on illness but on helping people create their best lives, to become more fulfilled, happy, etc. so whether we value that may be the question.