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orangegoldgreen
Blue Jay
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Joined: 26 Jul 2016
Age: 37
Gender: Female
Posts: 85
Location: NYC

03 Nov 2016, 8:40 am

So frustrated right now. After 8+ failed attempts at therapy and some really bad experiences with some awful therapists, I finally started seeing one I really like about a month ago. Unfortunately, she is out of my insurance network. I was willing to take on the additional cost (I thought my benefits would include being covered for 65% of mental health appointments, as opposed to an in network provider where I would only have a $25 copay.) Just found out from the claims I submitted that yes, they're going to cover 65%, but only AFTER I satisfy a $1000 deductible first. And since it's the end of the year, that'll be $1000 now, and another $1000 after the new year. ARGHHHHHHH. Why do they make this so difficult?! :'(



BeaArthur
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Joined: 11 Aug 2015
Posts: 5,798

03 Nov 2016, 9:12 am

orangegoldgreen wrote:
So frustrated right now. After 8+ failed attempts at therapy and some really bad experiences with some awful therapists, I finally started seeing one I really like about a month ago. Unfortunately, she is out of my insurance network. I was willing to take on the additional cost (I thought my benefits would include being covered for 65% of mental health appointments, as opposed to an in network provider where I would only have a $25 copay.) Just found out from the claims I submitted that yes, they're going to cover 65%, but only AFTER I satisfy a $1000 deductible first. And since it's the end of the year, that'll be $1000 now, and another $1000 after the new year. ARGHHHHHHH. Why do they make this so difficult?! :'(

Sadly, they make it so difficult so you won't use services to which you are entitled. Your premiums are already being paid, now the less service they can provide, the more profit the insurer makes.


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androbot01
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Joined: 17 Sep 2014
Age: 55
Gender: Female
Posts: 6,746
Location: Kingston, Ontario, Canada

03 Nov 2016, 10:10 am

I hope you can afford it. It's great to find a therapist who you have respect for.

In Canada, I'm pretty much stuck with whoever they send me to. I've gotten some real winners ... not.