Psycho-Babble Medication | about biological treatments | Framed
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Re: Bidding Goodbye to the Patch - Bob

Posted by Adam on March 17, 2000, at 15:11:14

In reply to Re: Bidding Goodbye to the Patch, posted by bob on March 16, 2000, at 20:18:32

> [sorry, but I read that thread subject as "Bidding Goodbye to Patch Adams" ;^]

Hah! :)
> Pardon me for being naive about your insurance plan, but how much coverage do you get for going out-of-network?

None, zero, zip, nada. My docs thought they would make an exception, since such exceptions can be made, but they wouldn't even consider it. A flat out and immediate no has been the answer.

They seem a bit draconian vs. my Doc's expectations. I wonder if Tuft's is in trouble. Another local HMO, Harvard Vangard, just tanked recently and is now being resucitated by the university which shares its name, and the State. Tufts had to pull entirely out of Northern New England, and as a result is getting sued by a big military contractor in Maine, Bath Iron Works. Chances are there are other suits too. The certainly pulled the plug on my psychotherapy last year rather abrubtly, and I think prematurely. If it wasn't for the selegiline trial, I might be in dire straits right now.
> Just mentioning it because for me, my insurance plan is so screwed on in-network coverage that my therapist quit from that plan, and it actually works out better for me AND my therapist for her to be out-of-network! Go figure.

No mystery there. Managed care can stink.
> cheers,
> bob




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