Posts Tagged - ‘mental health’

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Employers Limit Mental Health Insurance Coverage

Monday, May 17th, 2010

Image: Beautiful Insanity Photography under CC 3.0

Despite new federal regulations meant to prevent it, an increasing number of employers are limiting their mental health benefits in order to save money on their group health insurance. Mental health coverage has seen its costs increase by over 20% from last year.

How do they get away with this? Insurers are accused of forcing therapists to undergo long, detailed interrogations about their patients, to determine if they need further treatment. Therapists believe that the procedure is an unfair burden on them, and that doctors aren’t held to the same standards.

The dangers of this practice are several: it costs therapists in time and money, which is then passed onto their patients and their health insurance companies through higher co-payments. It often results in patients cutting their treatment short, which may result in them needing more extensive treatment or hospitalization in the future.

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Will Health Insurance Reform Increase Your Mental Health Coverage?

Thursday, April 22nd, 2010

Image: James Nash (aka Cirrus) under CC 3.0

The recently passed healthcare reform law requires every new health insurance plan–beginning in 2014–to offer “essential health benefits”, which includes equity in mental health coverage.

However, this provision doesn’t apply to existing plans. Those can continue to cap the number of visits to a psychiatrist or money spent on in-patient or outpatient treatment.

Also, “essential” mental health benefits are legally defined as what the average employer-based plan offers, which means they will most likely still be allowed to limit the number of visits to a mental health specialist. Unfortunately, most affordable health insurance options find it more cost-effective to pay for a monthly prescription of anti-depressants than weekly therapist visits, even if the latter would be more effective.

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Eating Disorder Patients Struggle For Health Insurance Coverage

Tuesday, April 13th, 2010

Image: flc214 under CC 3.0

Although they certainly have an impact on a person’s physical health, eating disorders–including anorexia and bulimia–are generally classified as mental health illnesses. While new legislation addresses the inequality of coverage for physical and mental health treatment, the average health insurance plan continues to give short shrift to in-patient treatment.

The formal diagnostic definitions hurt reimbursement as well. Many health insurers consider a person who is under 75% of normal weight to require in-patient care. Sometimes, they will stop covering in-patient rehabilitation once a patient reaches that point, even if medical professionals consider it too early to discharge him or her.

In addition, the criteria also hurts those with eating disorders not otherwise specified (EDNOS), who may have serious problems and be binging and/or purging, but left untreated because they are at normal body weight or even overweight. Anorexic women may also be denied treatment if they continue to menstruate. In those cases, affordable health insurance may not help if it does not cover eating disorder rehabilitation.

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Group Health Insurance Equality In Mental Health Coverage

Monday, March 8th, 2010

(Image: Rep. Keith Ellison under CC 3.0)

With a standard health insurance plan, many people have noticed a disparity between physical health coverage and mental health coverage. Co-payments for visiting therapists or psychiatrists tend to be higher than those for other specialists, while anti-depressants and other medications can be more expensive than other prescription drugs.

A new federal law effective July 1st has changed all that. The legislation requires that the majority of group health insurance plans that cover mental health have parity in coverage–which means that health insurance companies cannot charge higher deductibles, co-pays, or co-insurance percentages for mental health treatments than they do for other health care.

The downside is that the new guidelines only apply to employer-sponsored health plans from companies with over 50 employees. They also do not encourage employers that don’t already offer mental health coverage to do so.

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