I personally never encountered insurance requiring me to attend groups. The only thing I ever was aware of with insurance is that if you choose to leave the hospital AMA (against medical advice) insurance might choose not to pay, but that goes for any medical admission, not just psychiatric. I've never "tested" it out though to know how insurance would handle such a thing. I certainly didn't attend all classes. In fact, I know my son refused to attend any classes the times he was admitted. Insurance never balked at that.

I've seen patients refuse to take meds. Meds were not forced on them. I do believe they were worked with to get them to take their meds and eventually they did, but not forced. After all, if you are in such poor condition that you require hospitalization for psychiatric illness, most likely you need to take some meds, at least temporarily, in order to get out of the state you are in. Generally the people who were refusing meds were quite honestly the most severe patients on the floor.