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Archive for August, 2011

You Gotta Fight! For Your Right! To Providers!

by Weston PsychCare, P.A. on Friday, August 5, 2011 at 3:58pm

Are you having difficulty accessing mental health professionals who are in network providers for your insurance company? You are not alone. Unfortunately, insurance companies will limit the number of providers with whom they will contract in any particular area. By doing so, they create a high demand for providers to become providers for the company (supply and demand). Why do this? Simply put, they can reimburse the providers at a low rate. Their logic? “Hey doctor, if you don’t like what we’re paying, we have a wait list of doctors who would love what we have to offer.” The consequence for you the consumer? Few doctors who will be too busy to get you an appointment in a reasonable amount of time. If this happens to you, it is crucial that you be an advocate for yourself and family. Call the insurance company and tell them that waiting three weeks to meet with a therapist is unacceptable. Have a case manager find you a doctor. For, if you can find a doctor who will see you sooner, then insist that the insurance company establishes a “single case contract” with this doctor. Never just accept what you are given!

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