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<blockquote data-quote="OTE" data-source="post: 4371"><p>WOW... you've got so many questions in there...</p><p></p><p>first.. a doctor can't order school to do anything. he can have hospital take child into day program and the SD and hospital will work out the education cost of the total bill... without any involvement on your part. Rest of it is medical and you'll have to talk to your insur co about it.</p><p></p><p>Virtually every insurance policy is different so no one here would know what yours does or doesn't cover. It's best to call them, get names, dates, times recorded, and put what they said in a confirmation letter to them which you send them certified mail. Then they can deny they approved it later.</p><p></p><p>Never use a school psychologist for an evaluation.. EVER!</p><p></p><p>Never use ANY psychologist for a diagnosis... EVER!</p><p></p><p>ADHD is a neurological issue and bipolar is a psychiatric issue. </p><p></p><p>Get the book The Bipolar Child and read, read, read. Start your son on a mood stabilizer first. Then re-evaluate the possibility ADHD. And don't put him on an AD until he's got the mood stabilizer at therapeutic levels. Most of these medications take time to work, time for the side effects like drowsiness and nausea to subside. You just can't give up on a medication without a decent trial and that could easily be 2 months.</p><p></p><p>Psychotherapy is always a good idea. The therapist can keep track of the moods and notify you and doctor of any serious problems. Your son needs to learn to live with his body, his hormones, etc. And when you're talking about mental illness it's best to have a professional working with him to learn to live with it.</p><p></p><p>In terms of running out of insurance it's a real problem for many people. There's Medicaid if you meet the income and asset limits. You can also get him into Medicaid by getting him onto SSI, again income and asset limits. There's the NJ state program which pays for all of a child's unreimbursed medical bills after you meet the minimum amt they want you to pay out of pocket.. which I believe is 10% of your annual income. Under that program they pay the bills directly, you don't go out of pocket more than the % they specify. There's tax write-offs for medical bills you've paid- both federal and state I believe.</p><p></p><p>Bottom line is that it's really difficult for most people with a major illness in the family. There are no easy answers.</p><p></p><p>In NJ the state will pay for residential care in a treatment center but it can be a tough process.. been there done that unfortunately.</p></blockquote><p></p>
[QUOTE="OTE, post: 4371"] WOW... you've got so many questions in there... first.. a doctor can't order school to do anything. he can have hospital take child into day program and the SD and hospital will work out the education cost of the total bill... without any involvement on your part. Rest of it is medical and you'll have to talk to your insur co about it. Virtually every insurance policy is different so no one here would know what yours does or doesn't cover. It's best to call them, get names, dates, times recorded, and put what they said in a confirmation letter to them which you send them certified mail. Then they can deny they approved it later. Never use a school psychologist for an evaluation.. EVER! Never use ANY psychologist for a diagnosis... EVER! ADHD is a neurological issue and bipolar is a psychiatric issue. Get the book The Bipolar Child and read, read, read. Start your son on a mood stabilizer first. Then re-evaluate the possibility ADHD. And don't put him on an AD until he's got the mood stabilizer at therapeutic levels. Most of these medications take time to work, time for the side effects like drowsiness and nausea to subside. You just can't give up on a medication without a decent trial and that could easily be 2 months. Psychotherapy is always a good idea. The therapist can keep track of the moods and notify you and doctor of any serious problems. Your son needs to learn to live with his body, his hormones, etc. And when you're talking about mental illness it's best to have a professional working with him to learn to live with it. In terms of running out of insurance it's a real problem for many people. There's Medicaid if you meet the income and asset limits. You can also get him into Medicaid by getting him onto SSI, again income and asset limits. There's the NJ state program which pays for all of a child's unreimbursed medical bills after you meet the minimum amt they want you to pay out of pocket.. which I believe is 10% of your annual income. Under that program they pay the bills directly, you don't go out of pocket more than the % they specify. There's tax write-offs for medical bills you've paid- both federal and state I believe. Bottom line is that it's really difficult for most people with a major illness in the family. There are no easy answers. In NJ the state will pay for residential care in a treatment center but it can be a tough process.. been there done that unfortunately. [/QUOTE]
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