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<blockquote data-quote="FlowerGarden" data-source="post: 491108" data-attributes="member: 3068"><p>Back in Nov., difficult child told us he is addicted to pain killers and marijuana. He wanted help. Detox places said he was not addicted enough for inpatient. He wanted inpatient because he could not handle the pain, etc. when he tried to stop on his own. Insurance would not pay for detox if the places said he wasn't addicted enough. Someone here had suggested going through a doctor and see if we could get him in that way.</p><p></p><p>After a lot of searching on our insurance plan's list of doctors, I found a psychiatrist on our plan that specializes in drug addiction. difficult child called for an appointment and they said they didn't take our insurance. I called the insurance and questioned it. The clinician on our plan told me that they do accept the insurance and she even called them to find out why they say they don't take it. They told the insurance they weren't getting paid. It was being denied. The clinician gave them the number to call to speak to their rep to make sure they were sending the claim to the right place, etc. </p><p> </p><p>difficult child made an appointment. and wound up changing it because of difficult child being a difficult child. He finally went today and calls me after the appointment to tell me he had to pay the full price for a visit, not our copay, because they don't take our insurance for drug addiction. They only take our insurance for psychiatric problems. I told him he has a psychiatric problem and he said that the doctor said because he is giving him suboxone (sp?) to detox and not a psychiatric drug, it doesn't fall under psychiatry. They claim every appointment will be $200 from now on.</p><p></p><p>The psychiatrists he had before residential, during residential, and during outpatient rehab a couple of years ago, told us his mood disorder usually goes hand and hand with addiction. </p><p></p><p>I just needed to vent about this. I am so upset. Thanks everyone for listening.</p></blockquote><p></p>
[QUOTE="FlowerGarden, post: 491108, member: 3068"] Back in Nov., difficult child told us he is addicted to pain killers and marijuana. He wanted help. Detox places said he was not addicted enough for inpatient. He wanted inpatient because he could not handle the pain, etc. when he tried to stop on his own. Insurance would not pay for detox if the places said he wasn't addicted enough. Someone here had suggested going through a doctor and see if we could get him in that way. After a lot of searching on our insurance plan's list of doctors, I found a psychiatrist on our plan that specializes in drug addiction. difficult child called for an appointment and they said they didn't take our insurance. I called the insurance and questioned it. The clinician on our plan told me that they do accept the insurance and she even called them to find out why they say they don't take it. They told the insurance they weren't getting paid. It was being denied. The clinician gave them the number to call to speak to their rep to make sure they were sending the claim to the right place, etc. difficult child made an appointment. and wound up changing it because of difficult child being a difficult child. He finally went today and calls me after the appointment to tell me he had to pay the full price for a visit, not our copay, because they don't take our insurance for drug addiction. They only take our insurance for psychiatric problems. I told him he has a psychiatric problem and he said that the doctor said because he is giving him suboxone (sp?) to detox and not a psychiatric drug, it doesn't fall under psychiatry. They claim every appointment will be $200 from now on. The psychiatrists he had before residential, during residential, and during outpatient rehab a couple of years ago, told us his mood disorder usually goes hand and hand with addiction. I just needed to vent about this. I am so upset. Thanks everyone for listening. [/QUOTE]
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