Home Menu

Menu


Reply
Thread Tools Display Modes
  #1  
Old Jan 12, 2006, 06:42 PM
Hopefull Hopefull is offline
Grand Member
 
Member Since: Nov 2005
Posts: 732
I know I rant alot. But, I want to rant and I don't want to pester anybody. So I will rant in a way where the readers can choose to ignore me if they are not in the mood.
I started thinking about my odd dependence on this near stranger that I have only talked to three times. At first, I needed her to soothe my worries like a parent would do with a child sometimes. Now, I feel like I just need her to encourage me to believe that it is possible to change my negative thinking. I seem to stop believing it is not possible until she reminds me that it is. Why is that? I don't want to become dependent on someone else for psychological needs. It scares me. I feel like I am not in control when I need someone else especially when it comes to an emotional/psychological need. grrrr!
On the mental health insurance, I called my EAP today to see what the co-pay is. Every time I go in I get rather confusing responses from the receptionists on what my co-pay. While on the phone, she stated that the counselor needs to certify for the next sessions. (I am guessing this means ask them for permission to meet again) Since this was supposed to be done after the second visit, I am not sure what this means. I left a message and will mention it in our next session. I am wondering if she did and they just didn't see the file. My EAP gave me a startle. She couldn't even find my file at first. She had to repeatedly try. I made a joke about me being lost. She made a comment that she thought momentarily that she was going crazy because she remembered talking to me. I felt the need to say that noone is going crazy not you or me.
Why is a person's medical insurance different than their mental health insurance? Why does someone have to get permission to talk to a counselor from their EAP before talking to one or get fined? Could you imagine me having to set there and describe my symptoms over the phone before I can talk to my regular doctor? I can't. So why do I have to in the mental health area? I tend to feel that I want to be more private about mental health matters than medical health. But, maybe thats because I usually get a "You are normal" letter in the mail from my doctor. My health insurance has a card that has the co-pay information and tells you things on a yearly basis. I didn't hardly know what my mental health benefits are without the EAP having to tell me. My counselor's agency have been told that she is in network and outside of network. Apparently, if you look her up on the website in one way, you can find her as a provider. If you look her up another way, she doesn't come up. What are some of your experiences with your mental health insurance? EAP? I got a slight headache from talking to them.

advertisement
  #2  
Old Jan 12, 2006, 10:49 PM
Peanuts Peanuts is offline
Member
 
Member Since: Dec 2003
Location: Ohio
Posts: 297
The company that I work for provides a written description every year of exactly what the health benefits include, where to send in the paperwork, how to find the listing of preferred providers, where to call for questions. Mental health is included with the health care coverage and mental health care providers are included in the preferred provider listing.

We also have an EAP which provides so many free sessions per year. If further treatment is needed, they refer you to a provider on the approved listing and then treatment is covered under the medical plan.

Perhaps you can make contact with your company's human resource dept and request to get a copy of the benefit plan where all the details should be spelled out. The EAP contact you are speaking with might not be directly connected to your plan's administration. Meaning that they might be 3rd party contractors who have been hired to provide EAP services but not necessarily have the ins and outs of your company's specific plan.

It can be difficult to keep track of everything especially since most plans change from year to year.

Hope this helps
  #3  
Old Jan 14, 2006, 10:02 PM
Hopefull Hopefull is offline
Grand Member
 
Member Since: Nov 2005
Posts: 732
I did get the information on the co-pay. Now, I hope my T did the certification thing (beg for more sessions). I left a message to the fact that the insurance claims that she hadn't done it yet.
Oddly my EAP didn't even want to try giving me any free sessions. They just referred me. I must have scared them with my silly thought of suicide. Hey, I do that now and again. *grin*
  #4  
Old Jan 14, 2006, 10:27 PM
JustBen JustBen is offline
Grand Poohbah
 
Member Since: Jul 2004
Posts: 1,562
I never went through an EAP, but my company switched MD providers for me once when I was seeing a therapist and he was suddenly out-of-network. He had me write a letter to the insurance company explaining why I wanted to keep working with him. They didn't reimburse fully, but I ended up with only a $30 co-pay. (That added up after a few weeks, but it was better than starting over with someone new.)
  #5  
Old Jan 14, 2006, 10:35 PM
(JD)'s Avatar
(JD) (JD) is offline
Legendary Wise Elder
 
Member Since: Dec 2003
Location: Coram Deo
Posts: 35,474
I had trouble following, sorry, it's because of the big paragraph without breaks. What I was thinking though, is that it often takes a few weeks before a T can set a dx under which to bill.. and maybe having to describe your symptoms initially was for the office person to be able to bill? Certainly keep tabs on this with your T, let him/her be your liaison if you continue to be confused about the whys, imo. TC
__________________
Dependence on T/MH insurance rant
Believe in Him or not --- GOD LOVES YOU!

Want to share your Christian faith? Click HERE
Reply
Views: 690

attentionThis is an old thread. You probably should not post your reply to it, as the original poster is unlikely to see it.



Similar Threads
Thread Thread Starter Forum Replies Last Post
Lamictal is too expensive!! & Insurance rant... Razzleberry Bipolar 12 Jul 30, 2010 12:59 PM
How to get over Over-dependence? jamminpianogirl Relationships & Communication 4 Apr 18, 2008 12:53 PM
Psychological dependence Other Mental Health Discussion 2 Jul 22, 2007 12:53 PM
session update and insurance rant lauren_helene Psychotherapy 22 Apr 16, 2007 10:45 PM
Insurance??? ADDNotGettenMeDown Attention Deficit Disorder (ADD/ADHD) 1 Mar 22, 2006 04:40 AM


All times are GMT -5. The time now is 09:21 PM.
Powered by vBulletin® — Copyright © 2000 - 2025, Jelsoft Enterprises Ltd.




 

My Support Forums

My Support Forums is the online community that was originally begun as the Psych Central Forums in 2001. It now runs as an independent self-help support group community for mental health, personality, and psychological issues and is overseen by a group of dedicated, caring volunteers from around the world.

 

Helplines and Lifelines

The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

Always consult your doctor or mental health professional before trying anything you read here.