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  #1  
Old Jan 29, 2014, 12:40 PM
camel2009 camel2009 is offline
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that most therapist won't take Medicaid or Medicare now since obamacare went into effect. Just wanting to know if it true

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  #2  
Old Jan 29, 2014, 01:03 PM
Puglife Puglife is offline
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My understanding is a lot of therapists haven't taken either long before Obamacare. The amount of paperwork and justifcation involved vs the amount they will pay is just not worth it. My H is a a therapist working with low income families on Medicaid and he spends his nights doing a ton of paperwork for each appt. And he is not paid for that time.
Thanks for this!
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  #3  
Old Jan 29, 2014, 01:50 PM
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Victoria'smom Victoria'smom is offline
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I have had medicaid and have had no issues finding a competent therapist but I do go through clinics because all 3 of us want a separate team that works together. If you call the costumer care number on the back of your card they can give you a list.
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  #4  
Old Jan 29, 2014, 02:24 PM
camel2009 camel2009 is offline
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Quote:
Originally Posted by Miguel'smom View Post
I have had medicaid and have had no issues finding a competent therapist but I do go through clinics because all 3 of us want a separate team that works together. If you call the costumer care number on the back of your card they can give you a list.
I have Medicare I called them and they said 14 visit a yr and your therapist should keep seeing you. so I guess I'll find out in 3 wks when I see therapist.
  #5  
Old Jan 29, 2014, 03:08 PM
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Perna Perna is offline
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Yes, I think a lot of individual, sole practitioner therapists may not have taken/take Medicare/Medicaid but I think clinics often do. I don't think that will change with Affordable Care in place.
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  #6  
Old Jan 29, 2014, 03:33 PM
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Auntie2014 Auntie2014 is offline
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Sometimes the Dx makes a difference in what the insurance is required to pay. I do not have the insurance now. During my first hospital stay it was determined that with my conditions a pdoc was better fit for meds adj than GP. My ins would would not pay out of network. Problem was that there were not any in network pdocs taking new clients. By law they were forced to pay for out of network and unlimited visits. That was back in 2001 though. Lucky for me the patient advocate at the hospital knew which buttons to push and what laws to quote.
  #7  
Old Jan 29, 2014, 03:42 PM
Anonymous817219
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I have read some hospitals have dropped certain insurance companies but that isn't necessarily perm and I don't think that affects Medicare/caid. That would only matter if your t is associated with the hospital network. I don't understand why aca would cause T's to drop Medicaid/care. It is separate funding and paperwork.

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  #8  
Old Jan 30, 2014, 01:01 AM
Anonymous35535
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This was going on way before Obama came into office. in 2009 only 59% of psychiatrist took any insurance. It was the insurance companies that started this trend years ago. in fact that is what lead most psychiatrist to dump the 50 minute therapy hour to just do pill therapy. Because of the amount of paperwork, many other mental health therapist are getting fedup and refusing insurance. Until recently, I payed over $12,000/year, because my therapist did not take insurance. She was an LMFT. Back in 1992 I payed $180/hour for a Jungian psychologist that did not take insurance.

My understanding is that mentalhealth benifits have to be more in parity with other illnesses/diagnosises. Only plans that have been grandfathered in for a limited time (not sure what that time is) don't have to meet obamacare guidelines. So for many of you that think you have a session limit don't anymore as of 1 January 2014. CHECK IT OuT. also, your copay cant bemore than your other copays. Of course, your insurance company is not going to publish that info in a way that you will take notice. An, I'm sure there will be more paperwork for your therapist.

The Government is increasing funding to public mental heath entities, because the private sector is saying no to insurance, so insurance will contract with public places to take your insurance.

ETA: Medicare has different rules. If I am remembering correctly they had parity a year or two ago. Another statistic only 89% of other M.D.'s taken any health insurance.

Last edited by Anonymous35535; Jan 30, 2014 at 01:15 AM.
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