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Insurance denied request for treatment

Posted by Racer on June 14, 2008, at 8:54:53

My insurance company denied my request for treatment. They said that I didn't need residential treatment. Now, there are a few irregularities in their review process -- it seems, for instance, that their doctor called my doctor for more information related to the review process AFTER the date on which the decision was made. I'm thinking that might be interesting information to use during the appeals process.

The insurance company did offer to send me to a lower level of care, and intensive outpatient program about half an hour from here. I had contacted them years ago, and decided that it would not meet my needs. Some of you may remember that I had a very traumatic experience with treatment a few years back, so I'm not especially open to trying treatment that looks suspicious to me. And this looks and sounds custom made to traumatize me again.

It's moot, though. The program will do the assessment, but if I can keep my weight down until they do, I won't qualify for their program. Their paperwork will reflect the fact that their protocol indicates I require residential treatment.

At this point, of course, I've gotten hit with so much [excrement] at home, and had another crossfire with my therapist, and am running out of OP benefits for the year -- which means I may have to stop therapy... I'm just feeling so overwhelmed, and as though we've lost that window of opportunity to get good work done. I don't know that it's worth trying anymore.

So, I would say, I'm not in great shape.




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