| ▲ | goda90 a day ago | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
>Randy needed immediate psychiatric care, and as an emergency physician I knew the options. We put our trust in the mental health team at a local crisis receiving unit, and they kept Randy overnight in temporary safe housing where he could be observed. By morning they had devised a plan to transfer Randy to a retreat-like inpatient psychiatric facility that was in-network with our insurance. The psychiatrist felt Randy was very high risk, but that he could heal with eight weeks of inpatient treatment. We were told our insurance would cover it. >But six days into Randy’s eight-week hospital stay, our health insurance company denied any further inpatient care. >The facility appealed Randy’s case, providing psychiatrist’s notes that clearly outlined his need, but the outcome did not change. Because Randy had no prior history of mental illness, the insurance company determined he shouldn’t need to be hospitalized and stopped paying for his care. A day later Randy was forcibly discharged. This is definitely a case where the insurance company holds the majority of the blame. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| ▲ | rayiner a day ago | parent [-] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
> This is definitely a case where the insurance company holds the majority of the blame. What facts are the basis of your conclusion? There is no health system in the developed world where a doctor's recommendation will guarantee expensive inpatient treatment without a layer of bureaucratic review. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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