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Old Nov 27, 2005, 08:04 PM
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dexter dexter is offline
Grand Magnate
 
Member Since: Dec 2003
Location: New Jersey
Posts: 3,133
>>loved the (duh yea) so simple to us what we need but getting the professionals to know that sometimes is like talking to a wall.

In this case, luckily, the professionals were on my side, it was the insurance company being stupid. The first partial program I was in was my favorite, very personal and caring (and effective). After being in partial for a few weeks, the insurance company wanted me to have ECT. I only knew a little about ECT but I did know that it is not something you try until other things have been ineffective. My total treatment at that time was one week in the hospital and a few weeks in the partial, heck I was still waiting to see if my first ever antidepressant med had time to be effective.

I am so glad I had caring professionals. They told me privately about the ECT, they let it be my decision but agreed with me that they thought it was way way way too soon to be considering that. They helped me by stretching my partial program days throughout the week so I could have more weeks total treatment (and even let me come in a few days no charge so my change would not be abrupt).

A few weeks later my insurance would not authorize any more partial. They helped me transition to a personal therapist even though we both knew I needed more partial. My first visit with the new T he evaluated me and said "you should be in partial!" and he was able to get more time from the insurance company for me, but at a different program. I know that the first program I was in (the inpatient part at least) was a very expensive program, I assume the partial at the same hospital was at the high end of the scale as well.

In other ways my insurance is very good. I do have very good coverage, I had my choice of hospitals which is how I got into that very good hospital in the first place. When I had my relapse this time, if I was going to be rehospitalized, they said I could go to the same facility. Since I was able to do partial instead, I tried this different program because I needed transportation, and this program offered me the free van transport to and from. Luckily I really liked this program also (although the van service sucked big time )

So I can't say I completely hate my insurance, I can say that I've been lucky to have some good doctors on my side, and I can say that I've been lucky to have those doctors advocate me for those parts of my insurance that are a problem.
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