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Old Dec 07, 2010, 01:02 PM
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chancy512 chancy512 is offline
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Member Since: Sep 2009
Location: California
Posts: 65
I know I should be happy.... I have a nice place to live and a job. I feel so selfish that I am so down.
It really started last Monday when my T. said we were having issues with my insurance. Now instead of just going and not worrying about it, every 12 visits need to be approved. Immeadiatly I thought to myself..what if they don't approve me????? I expressed to my T what I was feeling and she said to not worry about it, that even if insurance was a problem, she would do a sliding scale.
Mondays are the one 50 min time during the week I can just release any of the feelings that are bothering me. Lately I have had a lot of little things going on and I feel like I am falling deeper into depression.
I wouldn't do this, but has anyone felt like if they were worse their insurance would approve more visits?
I want to be happy and well , but I really need my T once a week.
Has anyone had this issue before with insurance?

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  #2  
Old Dec 07, 2010, 01:34 PM
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sunrise sunrise is offline
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Quote:
Originally Posted by chancy512 View Post
I wouldn't do this, but has anyone felt like if they were worse their insurance would approve more visits?
Usually Ts know what diagnosis to give the insurance company in order to get more visits approved. Exactly how you present in session may not be exactly how your T writes a diagnosis for the insurance company. So you don't have to pretend to be worse to get your T to submit a reimbursable diagnosis. It's a little game the Ts play with the insurance companies. For example, I see a PNP for ADHD and she never gives that diagnosis to insurance. I'm not sure why, but there must be a downside, so she puts something else.
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Thanks for this!
chancy512
  #3  
Old Dec 07, 2010, 06:50 PM
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darkrunner darkrunner is offline
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Member Since: Jul 2008
Posts: 2,259
Sunrise is right about that. Your T probably knows how to deal with the insurance company to ensure your visits continue. Did you talk to your T about it? She may be able to reassure you that she will be able to get your session approved.

And try not to be so hard on yourself.
You're not selfish, and it's ok to need to see your T.
Thanks for this!
chancy512
  #4  
Old Dec 07, 2010, 06:57 PM
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WePow WePow is offline
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Member Since: Oct 2006
Location: Everywhere and Nowhere
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Yes. My insurance only does 10 at a time. I only have 1 session left for the rest of this year but need to see T every week. If I skip a week, I end up in a very bad place. Uggggggg. Then insurance said they only gave me 5 visits for next year - I almost cried laughing at that non-sense!

My T fights to make sure they pay what I need. He has done it this whole year. One time I was sitting there in his office and he called them and told them that he wanted it approved NOW because I needed it.

But I do know how you feel about the process. It is rough to think that we are denies seeing T when that is needed the most.
Thanks for this!
chancy512
  #5  
Old Dec 07, 2010, 07:27 PM
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chancy512 chancy512 is offline
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Member Since: Sep 2009
Location: California
Posts: 65
Thank you everyone. I have spoken to my T. and she is aware of the anxiety I am going through. I have 4 more visits left for the year, so at least we have time to figure it all out.
I feel badly that she has to do extra work and deal with the insurance company and also in my twisted mind I feel like she is relieved that I only have 4 more visits approved.
I have not said that to her, but every once in a while I feel that way and it makes me incredibly sad.
She did make a comment that the insurance may want further treatment for me. I have already been inpatient once before for my eating disorder, but I believe this is more depression then anything else.
Wow, If I could just see her everyday and then again for dinner, I am sure I would be 100% cured. But we all know that won't happen.
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