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kathleen slattery
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Default Apr 01, 2011 at 05:44 AM
  #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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Thanks for this!
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Default Apr 01, 2011 at 02:23 PM
  #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

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Default Apr 03, 2011 at 10:51 AM
  #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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reader1587
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Default Apr 05, 2011 at 10:24 PM
  #24
Quote:
Originally Posted by LydiaB View Post
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.
Hi

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.

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Default Apr 06, 2011 at 03:00 AM
  #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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Default Apr 06, 2011 at 11:53 AM
  #26
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Originally Posted by ECHOES View Post
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.
Good point but I'm hoping to find something with a high (or unlimited) number of office visits, I think the numbers will crunch in my favor then but of course it depends on the plan.

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