Insurance paying for treatment (was Light Sensitivity)
Tetrad
>Most of the time (except for managed care) the use of the system is
>reimbursed for the treatment of both physical and emotional injuries. The
>codes we use are either 90908 (EEG biofeedback) or 97770 (cognitive
>rehabilitation).
Today (3/1/96), the Philadelphia Inquirer had an article about health
insurance in the Business Section (http://www.phillynew.com) It said that
3/4 of the people in the US who get health insurance through their employers
are in managed care.
So to say that something is reimbursed except for managed care unfortuately
says that MOST people will not receive the care.
Therefore, IMHO, if we as survivors want access to treatment and the
professionals want to be paid, somehow, the scenerio of managed care NOT
paying for treatment has to be changed.
The sticky wicket, however, is how?
As a survivor, I haven't a clue I'm still dealing with an HMO that, in
spite of neuro-psych tests, acceptance into the PA Head Injury Program, and
an experimental treatment program at Temple for TBI, still says that I'm
just "depressed." (That's better than a few years ago when an insurance
adjuster told my doctor, without ever reading my chart, that I didn't have
headaches [news to me!], I had repressed memories of childhood sexual abuse!
I know some people on this list have been, but I can say without doubt that
I have NEVER been sexually abused as a child, teenager or adult! Of course,
if I had been, they wouldn't have paid for it either because that was
"mental health.") Even when my husband's employer called up the HMO and
told them to let me go to the rehad hospital, they merely took the phone off
the hook and refused to take THEIR calls! The only reason I received
treatment is that my primary care physican told the HMO that she was
directing HER PRACTICE's lawyer to investigate. I had a referral within the
hour!
IMHO, the TBI professionals, who have the access to professional societies,
peer-review journals, and the latest research must take the time to organize
and do whatever scientific studies and the follow-up public relations
necessary to get the managed care organizations to pay for treatments.
Without it, the survivors (except for the financially well-off) will not be
treated and the professionals will not be paid.
As a survivor, I am willing to do my part, but if the TBI professionals do
not take the time to advocate and publicize both their plight and that of
the survivors, we will all be tossed aside as "too expensive" in a society
that continues to emphasize dollars over human suffering.
If I have offended anyone with this post, please let me know, because I do
not mean to. However, I welcome any comments or insights on this subject.
Our lives, literally, depend on it.
Dinara
Francoise Frigola
Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: 7bit
Dinara,
That was a very good post! as sad as this may be!
I do not know how long Medicare and Medi-Cal will let us choose
our own MDs. So far so good, otherwise I would be in great trouble!
Francoise
-------------------
Dinara
------ =_NextPart_000_01BB07C6.03BC1F00
Content-Type: application/ms-tnef
Content-Transfer-Encoding: base64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------ =_NextPart_000_01BB07C6.03BC1F00--