Posted by katekite on April 12, 2002, at 17:05:54
In reply to Re: agitated on trazodone, other weird reactions, posted by jane d on April 12, 2002, at 12:17:00
Yes.
My insurance will pay for more therapy visits per year if I have what they term "a biologically based mental illness". (total crap of course, as if to say that some mental illnesses are not biological?) Basically for them "biological" is just a list that includes: bipolar, major depression (with strict DSM IV guidelines) and schizophrenia, other very serious problems where the person might off themselves at any moment. I think they pretty much exclude other stuff such as dysthymia, all anxiety problems, and ADD. They don't even consider ADD a mental problem, I think its in their learning disorder section, where any remote hope of reimbursement most likely stops as soon as you get out of school.
If I was classified as "only" having an anxiety problem, I would be allowed 30 visits per year, maximum (and they can argue for less). If its a "biologically based" problem the number is "unlimited". Now that doesn't mean I can go every day because they would notice and start really arguing, but I can go once a week all year and occasionally twice a week. It all depends what they've given to other people in the past and how smart my therapist can be with his plan and description of me. Basically the shrinks are on my side and will continue to write down that I'm bipolar II and completely unresponsive to medication but that therapy seems to help my moods. I can just be co-morbidly ADD. I am at least morbid.
Kate
poster:katekite
thread:102572
URL: http://www.dr-bob.org/babble/20020408/msgs/102899.html