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Member
Member Since Mar 2011
Location: Brooklyn, NY
Posts: 178
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#21
Reader, I found your situation to be incredible; that Blue Cross dropped your mental benefit eff. 1/1/11! But you are correct, as I googled their website. The catch 22 here has to do with Federal Mental Health Parity Regulations; which mandate a carrier to provide the same co-pays and levels of service as would be paid to a regular doctor. However, insurance companies are not obligated to offer mental health, and due to the fact that mental health is a financial burden, many companies are dropping the insurance.
Having worked in the health care industry for 20 years (for a union); I can tell you that we dropped Blue Cross many moons ago, due to their limited benefits and exorbitant premiums. Why not shop around; try some new carriers like Aetna Advantage, US Healthcare, or a group based in CA called United Behavioral Health (425 Market St, 27th Fl, San Francisco CA 94105)? If you google: "Best Mental Health Care Insurance companies to consider", a list comes up. I suspect that this might require you to pay another premium on top of your regular insurance, but perhaps it might not be outrageous. Good luck! |
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reader1587
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Member
Member Since Jan 2009
Location: U.S.A.
Posts: 135
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#22
yes i had called united behavioral health in the fall for some reason i didn't qualify but i will try again
also aetna thanks for the suggestions __________________ "Psychiatric diagnoses are very useful metaphors." |
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#23
Wow I am glad I switched insurances before this happened. I used to have this same exact insurance. Same area. They did do a poor job at mental health services to begin with. They dropped me a week into my eating disorder inpatient stay because the doctor recommended NG removal. Meaning I could eat without a tube. Forget the behavioral stuff, as long as I'm stabilized medically. The hospital felt so bad that they kept me another 3 weeks free of charge.
this website might be helpful. There is a list of all the insurance companies in Pa and their credentials. I know a few people in at my office who work and receive just over a 1,000 dollars a month that are not eligible for mcaid who receive benefits. It's a shame they recently cancelled adultbasic in Pa. Which was basically the CHIP for adults. They have a new one coming called "FairCare" which is generally the same thing. However they don't start the coverage till 2014. You can however start applying June 1 2011. And it's a first come, first serve basis. http://www.insurance.pa.gov/ http://www.portal.state.pa.us/portal...ir_care/666211 This may also be helpful. How to choose. http://www.naic.org/documents/consum...ount_cards.pdf http://www.portal.state.pa.us/portal...015/health_pdf This website outlines all the laws and low income insurance Acts in Pa. http://www.portal.state.pa.us/portal...insurance/9189 Also have you been deemed disabled? If you're receiving SSDI under the age of 65 you can get medicare after a two year waiting period. Which seems it should be coming up soon for you, since this was started awhile ago. I am currently getting SSDI and will eligible in August for medicare. If you are getting SSI though, well you'd be covered under medicaid for a low income, so you're probably not. I have been my basic own caseworker my whole time in treatment and know the system pretty well. If you have any questions I can try my best to answer. |
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Member
Member Since Jan 2009
Location: U.S.A.
Posts: 135
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#24
Quote:
Thanks for your responses but I don't qualify for any of the low-income stuff and I'm not disabled, I'm just looking to switch private insurance plans. __________________ "Psychiatric diagnoses are very useful metaphors." |
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Legendary
Member Since Aug 2007
Location: West of Tampa Bay, East of the Gulf of Mexico
Posts: 14,352
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#25
Paying for your mental health expense on your own may be less expensive than buying an insurance policy. Your mental health providers may offer a cash discount to you when they don't have to answer to the insurance company or file claims and supporting documentation.
Just a thought. |
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reader1587
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Member
Member Since Jan 2009
Location: U.S.A.
Posts: 135
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#26
Quote:
__________________ "Psychiatric diagnoses are very useful metaphors." |
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