My day yesterday and possible legal action

Hello everyone,
So yesterday I called River oaks to ask them if we could do the appeal, and they said they could not because they’re Dr. house to do a peer to peer with meridians medical director, and this cannot be done because they’re Dr. has not seen me. I then called (Meridian) to inquire about other methods, and they said I could not do the appeal that the facility had two. They said we had to do it by today which is not possible. Somehow they have it in their records that I was discharged from river oaks. I don’t know how that is because I have never been there. I contacted an organization called equip for a quality and then working with an advocate named Megan. I told her what my BMI was and how I was being treated by the medical system, and she was shocked. I’m going to see a new primary care provider this morning in about an hour, and hoping that goes well. Maybe she can do the appeal? I’m not sure though, but I can only hope at this point. I am pretty sure we are going to have to sue meridians/Medicaid. Hope everyone has a good day.
Ray
Sent from my iPhone

Therapy yesterday

So we had therapy yesterday. We were exhausted when we got home so went right to sleep afterward. We discussed a lot. have most of the session, and then Emmie had some of it to. I talked about how there’s only so long that we can be expected to be strong, and how that I felt like we were being retraumatised again by the insurance company because it felt like they had all the control. It feels like they are dictating our lives. I was so overwhelmed. Lily introduced us to theraplay. It’s a technique that helps me and other parts get the care we never got as children. It helps us experience what a true attachment is supposed to be. You use things like objects to stemulate the senses. It’s pretty cool. Also, things like good toutching and pressure touch using lotion to show what a good touch is. It was a good session.

Ray

despair

So just got a message from our PCP that River Oaks isn’t an option and that our only options were Passavant psych unit which won’t accept us, and to follow up with our psychiatrist for the other medical issues. We’ve basically been told that the one place in the country that can help us with all our issues isn’t an option because of insurance. don’t even know why I even try.

Ray

what is for insurance for anyway?

what the hell is insurance for? if they won’t pay for the treatment you need? I was even told by someone from the insurance company that sometimes people die because they don’t cover the services they need!!! Like what the hell??? i don’t know anymore. if something doesn’t happen soon, I will become one of the 20% of anorexics who die.

Ray

how?

how do you eat when you don’t know how to nourish your body? how do you heal from something so profound that it changes your life? how!!! i wish someone would tell me how!!! I wish we could get help!!! we can’t do this alone!!!

Ray

Tired of getting my hopes up

Hi everyone,

So I’m tired of getting my hopes up only to have them – to again. I thought I was going to get to go to Renfrew in Chicago for eating disorder treatment. They recommended the residential program, so I assumed that they had that program at the Chicago location. I later looked at their website only to realize they did not have residential at that location. So even if they did do a single case agreement with my insurance, I would not be able to go as the residential location is in another state. I am done reaching out to people to ask for help only to be told that I can’t be helped or to be told by the insurance company that they’re not going to pay for something. I just wish something positive would happen! I don’t want to end up on the medical floor getting a feeding tube because insurance refuses to pay for the treatment that we need!

Ray

CANT do this!! just cant *tw*

so just found out that after all these years, insurance doesn’t even have all my diagnoses listed. They don’t even have PTSD. i basically have to be re-evaluated for everything!! just feel like ing crazy!!! i want out!!! i cant do this!!! this with the news that we got from our dietitian today, just to much!!!Ray

insurance denied the authorization

So the insurance company has denied the prior authorization for river oaks in Louisiana. They say that there is not enough clinical information in the authorization for them to approve it. I am going to have to ask my psychiatrist to send in an authorization which is another one for them to approve or deny. If they deny this one, then we don’t have anywhere else to turn. We don’t have anywhere to go if we are not feeling safe at his new place is more except us at all. Spoke to my therapist earlier, and she got frustrated with me because our conversation was more than five minutes long. Also tried calling back a few minutes ago to speak with another case manager, and the receptionist said you know they’re busy they have other clients. I just don’t see how these people got their job to begin with with the abrasiveness of their attitudes.

Ray