1. Home
  2. Health
  3. Eating Disorders
photo of Matthew Tiemeyer
Eating Disorders Blog

By Matthew Tiemeyer, About.com Guide to Eating Disorders

Getting Insurance Payments for Eating Disorder Treatment

Saturday August 23, 2008

Working in the mental health field, I hear stories about what it's like to try to get payment from an insurance company that seems to be well within your policy. Here's my composite "conversation" between claimant and insurance company, carried out over several months:

Claimant: Here's my claim.
Insurance company (after two weeks): You forgot to fill out this part.
Claimant: Okay, here's a fixed copy.
Ins. Co. (after two weeks): We don't cover that.
Claimant: My policy says right here that you do.
Ins. Co. (after two weeks): Oh, you're right. But you don't have the right information in your claim paperwork for that problem.
Claimant: Fine. Here's the updated form. I also have another set of expenses for reimbursement. Does my policy cover this treatment?
Ins. Co. (after two weeks): We can't tell you until you submit a claim. Oh, and by the way, we can't find any revised claim from you for the previous issue. Are you sure you sent it in?
Claimant: You work for Evil, don't you?
Ins. Co. (immediately): Only on weekends. I'm busy working for Chaos during the week.

And if you somehow manage to get payment, it turns out to be a piddling reimbursement. It's no wonder that many people don't bother with insurance, and more importantly, don't bother with pursuing treatment. For eating disorders, it's worse, because insurance companies just aren't sure yet that long-term care is any more helpful than short-term.

Ridiculous, I say. And pursuing insurance payments doesn't have to be a dead-end process. Others have gone before you, and it pays to learn from their wisdom.

Comments

No comments yet. Leave a Comment

Leave a Comment

Line and paragraph breaks are automatic. Some HTML allowed: <a href="" title="">, <b>, <i>, <strike>

Explore Eating Disorders
About.com Special Features

Learn how you can reduce your your numbers with these nutrition and exercise tips. More >

Keep yourself, and your family, happy and healthy this fall with these tips. More >

  1. Home
  2. Health
  3. Eating Disorders

©2009 About.com, a part of The New York Times Company.

All rights reserved.