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<blockquote data-quote="slsh" data-source="post: 104245" data-attributes="member: 8"><p>First off, they probably sent the letter to your son because he's over the age of consent for psychiatric treatment in MN. Welcome to the nightmare that is HIPAA. Our lovely insurance company will not even speak to me about claims for psychiatric treatment for my 16 y/o without a *major* hassle that usually entails me faxing them yet another copy of IL's stature re: minors, confidentiality, psychiatric treatment, and who can talk to who about what. HIPAA defers to state statutes regarding privacy. One of these days, I may just make them talk to him directly about a claim - and I'll listen in for giggles. That should cure them. :devil: </p><p></p><p>Secondly, I absolutely agree that it's absurd and in my humble opinion dangreous for clerks and bean counters to decide what medications are appropriate. We are stuck with- one of those mandatory mail-in plans, which is ridiculous for a kid who's medications change as often as the weather. Force me to buy 3 months worth of medication A, that will be changed to B in 2 weeks, buy another 3 months worth of B that will be changed to C in 2 more weeks. There's cost effectiveness for you. </p><p></p><p>If the insurance is through a self-insured employer that has hired this insurance co to manage the benefits, call the benefits people at the employer. If not, call the insurance company and ask them for a waiver. Go up the chain of command if you get a hard time from the clerks. Explain why stimulants are unacceptable - would help to have a note or script from doctor.</p><p></p><p>I go through this every year with- our insurance company, and it usually drains a couple of hours to get it all straightened out, but in the end thank you gets the medications that he needs in monthly quantities from the pharmacy that his facility uses rather than through the mail order place.</p></blockquote><p></p>
[QUOTE="slsh, post: 104245, member: 8"] First off, they probably sent the letter to your son because he's over the age of consent for psychiatric treatment in MN. Welcome to the nightmare that is HIPAA. Our lovely insurance company will not even speak to me about claims for psychiatric treatment for my 16 y/o without a *major* hassle that usually entails me faxing them yet another copy of IL's stature re: minors, confidentiality, psychiatric treatment, and who can talk to who about what. HIPAA defers to state statutes regarding privacy. One of these days, I may just make them talk to him directly about a claim - and I'll listen in for giggles. That should cure them. [img]:devil:[/img] Secondly, I absolutely agree that it's absurd and in my humble opinion dangreous for clerks and bean counters to decide what medications are appropriate. We are stuck with- one of those mandatory mail-in plans, which is ridiculous for a kid who's medications change as often as the weather. Force me to buy 3 months worth of medication A, that will be changed to B in 2 weeks, buy another 3 months worth of B that will be changed to C in 2 more weeks. There's cost effectiveness for you. If the insurance is through a self-insured employer that has hired this insurance co to manage the benefits, call the benefits people at the employer. If not, call the insurance company and ask them for a waiver. Go up the chain of command if you get a hard time from the clerks. Explain why stimulants are unacceptable - would help to have a note or script from doctor. I go through this every year with- our insurance company, and it usually drains a couple of hours to get it all straightened out, but in the end thank you gets the medications that he needs in monthly quantities from the pharmacy that his facility uses rather than through the mail order place. [/QUOTE]
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