One of my long-time clients informs me that their new insurance does not
cover mental health care except for hospitalizations.  For an extra fee,
they can get mental health care (psychotherapy) covered, but NEVER
TELEHEALTH.

I've asked for the insurance info so I can have my billing people
double-check this.

I've heard of this, but hoped it was still illegal.  Remember that joke
called mental health parody a few years ago?

I asked my billing people about this, and they said its increasingly
more common -- then they threw in that some pharmacies are starting to
not fill prescriptions from telehealth visits.  Walmart is supposedly
one of them.  Really??

--
*Michael Reeder, LCPC
*
*Hygeia Counseling Services : Baltimore / Mt. Washington Village location*

*#psychology #insurance #mentalhealth #psychiatry #covid #socialwork
#healthadvocacy #aca #apa @psychology @socialwork
@psychotherapists @psychiatry #psychotherapy
#covidisnotover #telehealth*

Yup -- it's true. This client has NO mental health coverage. My billing people say this is increasingly common.

In fact -- it gets worse. As my biller says:

"The only information they would provide is that she has no mental health benefits at all and that if she received treatment prior to the effective date of this coverage it would not be covered for 12 months due to being a pre-existing condition."

The plan is US Health Group (A Unitedhealthcare Company) underwritten by Freedom Life Insurance Company of America. They are formerly known as "UMR" and still appear this way in billing systems and their snail mail address.

Apparently a search of Maryland's ACA (Affordable Care Act) Health Connection website for useful insurance coverage prompts a flurry of texts and calls from random health insurance brokers looking to sell desperate people trash plans not on the state exchange. In this case some high speed sales script reading was involved and the client did not fully understand what was being purchased. This is not a stupid client.

There are so many problems here:

1) The original outrage of no mental health coverage.
2) The possibility that NO PRE-EXISTING CONDITION MIGHT BE COVERED. (I have no reason to assume that statement only applies to mental health pre-existing conditions. I don't know.).
3) That client contact data from Maryland Health Connection government website is available to brokers of possibly shady plans.
4) That United Health is actively supporting and has some ownership in a plan that certainly at least smells like a SCAM, although I'm sure it sold as extreme cut-rate no-frills insurance.

This needs to stop.

#psychology #insurance #mentalhealth #psychiatry #covid #socialwork
#healthadvocacy #aca #apa @psychology @socialwork
@psychotherapists @psychiatry #psychotherapy
#covidisnotover #telehealth
@SuprmomcatCathy @Neurogirl1976 @siderea @notes @dramypsyd
#marylandhealthconnection #marylandaca
#uhc #unitedhealthcare #ushealthgroup #UMR #freedomlifeinsurance

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Our state has parity laws, though in practice they are somewhat weak. Maryland doesn't?

@admin @SuprmomcatCathy @Neurogirl1976 @siderea @notes @dramypsyd

Kevin,

I'm not sure what Maryland parity laws are. I'll talk with our state professional organizations.

Since when does United Health care however?

@kjbinstl @SuprmomcatCathy @Neurogirl1976 @siderea @notes @dramypsyd

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