20 visits per year!

Posted by: Echo  :  Category: multiplicity, therapy

or Blue Cross Blue Shield and their brand of madness!

I found out today that I can’t have any more therapy sessions until next year. Well, in theory I could but I can’t afford $500 per month for therapy when we’re barely making ends meet as it is.

Why is this the case? Because Blue Cross and Blue Shield of Florida has it said on most of their plans (according to the girl I talked to on the phone) that 20 visits per year is all that should be necessary for someone seeing a therapist. I guess they don’t take anything into account more severe than dealing with a death in the family, or being disgruntled with your job, otherwise you’re just up the creek.

They tell me that I can appeal the two visits I already had over my twenty before my therapists office saw fit to let me know (apparently there was a staff change to blame for this miscommunication) well tell that to my wallet that now owes $250 and only has $16 to last me until next week.

I can’t switch plans. I can have my therapist write to them and explain that because I’m a Multiple I NEED more than one visit per month, just like because I’m allergic I can’t have ambien but need lunesta, however they view the pill situation medically necessary and will make an exception, but the fact that the therapy is helping me to function in normal society and be able to return as a productive member of the workforce in the future is not something they consider valuable or necessary.

I guess I just better cling to the hope that I can actually qualify for disability and then may be able to get the rest of the appointments covered under Medicaid otherwise I’m screwed until January, and after then will only be able to go once per month.

There’s a chance that the office will be able to set up a sliding scale of payments, but other than that I’m out of luck, and even with that I may be down to one visit per month, because we’re pretty broke.

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