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Trouble getting insurance approval for psychotherapy

Jul 29, 2014

I just read the response for the person who couldn't get antidepressant medication unless they also got therapy. I am currently with a large HMO with blue logos and I had to fight to get a therapist and meds. It is very discouraging in this system (which I am dropping at the next Medicare open enrollment) This is a new trend. I don't agree as theses big healthcare companies are just getting away from any mental health providers at all. After fighting, screaming and finally a Medicare grievance Ii am going to a therapist. It took 6 months after my primary referral before I even was able to get a psychiatrist within an hour's drive its really impossible unless in a big city. As a former psych professional (now disabled) this saddens me greatly.

Response from Dr. Fawcett

Thanks for writing. Mental health benefits are supposed to have parity (be the same as) medical benefits but with various copays, pre-authorizations, and other obstacles actually getting care can be difficult. If you have a case manager you can ask them to help you maneuver the system.

Best, David

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