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Psych Appointment for my Youngest…

Well believe it or not it actually happened finally, the appointment that is!! 

All in all the doctor was nice, semi thorough so I am hoping things go well.  She is a bit annoying, mainly her voice, but nothing to complain about really!!  Jessi actually talked to her some answered questions once she was comfortable.  She doesn’t like doctors and doesn’t like to talk to people she doesn’t know and really doesn’t want to admit the problems she has so there is always a bit of nudging to get her to speak.. lol :)  Got the refill for her medication and of course it is more costly than with the last insurance it was 90.00 co pay for 90 days worth the pills.  Could be worse.. :) 

I was able to set an appointment for my oldest Samantha and she will go on Monday at 9am.  Not looking forward to the cost on her medication as with the other company it was over 200.00 for 90 day supply, Yikes!  Lets hope it isn’t much more than that.. :)  I still don’t think this place is equipped to really give good psychiatric care but we will do what we can to get what the kids need.  It was interesting as I told her how Jessi has been lately and how up and down she has been and she says ok I will see you back in three months.. I thought Really?! But what can you expect.. NO real attempt to see her a few times to see how she is really doing just refill the meds and send her on her way.  LOL

I must sound hard to please, well I am, where the kids are concerned.  Oh, we are also going to see about signing up for a class that will teach her some coping skills for her anxiety..  She has had some pretty good panic attacks over the last few months so I think that might be helpful.  I have heard they have decent therapy and classes that can help with certain things so we will check it out and see what it is all about.

I am thankful they finally contacted me and we were able to see a doctor and not go through all the red tape of therapy and evaluations etc..  I want the evaluations but would prefer it be by the doctor that will be treating her.  I don’t believe a report in writing is going to tell the doctor much, she needs to evaluate them herself.

Very sorry I didn’t get this done sooner, I spent the day starting to set up a blog at a different place to switch to but there are issues there.  Just so you all know I will be moving the blog as I want more functionality so watch for that to happen.. Coming Soon a new look but same address! 

Mountain Sunset

~Far away in the sunshine are my highest aspirations. I may not reach them, but I can look up and see their beauty, believe in them, and try to follow where they lead.
~Louisa May Alcott~

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A Victory in Finding a New Psychiatrist Through an HMO

I have possible won the struggle with the HMO to get my kids treated by a psychiatrist!? 

Happy Days!!

I am ecstatic!! I just got a call from the HMO (health Insurance) that I was beginning to despise and they set an appointment for one of my girls to see the psychiatrist today!!
If you read my other posts about the new HMO insurance policy you will understand how relieved I am today!!

I will have to update you all this evening when I get home from the appointment… Lets hope it goes well!! :)

So funny but this feels like a Victory for me!! :)  Woo hoo!!!

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Psych Appointment….

I have not posted about my appointments with my doctor before so this is kind of new for me. Just a couple of thoughts I will share today about my appointment with Dr. S.

I dropped the kids off today and ran off to the doctor immediately as my appointments with him are early morning.  Dr. S has two offices one local to me and one a bit far and the one in my area he works in the morning the other in the afternoon.  

It was funny talking to him today because he says how happy he is with how I’m doing and then says you were such a MESS, while shaking his head.  He is actually happy for me and almost giddy. Let me explain something about him… He is a gruff guy, he isn’t personable at all, he keeps his distance and is very business like which some people find odd.  I have always liked him, you can tell he knows what he is doing, and truly even though he is gruff you can see he cares.  Other family members who have met him didn’t take to him the same.  :)  To see Dr. S nearly giddy and giggling about how well I am in comparison to the mess I was 10 yrs ago was a good moment for me.  

This doctor has saved us so much misery I can’t even tell you.  It’s good to see him happy with me. :)  Now, finding out my insurance didn’t pay for June’s and October’s appointment was not fun. Even though I paid the co pays at the time, today I had to shell out $260.00 to get up to date and I could only do that because my tax return is waiting to be deposited on my account and will be in there on Tuesday.  Thank goodness!

It is really hard to believe how miserable I was all that time ago and it is nice to share with Dr. S our accomplishment of straightening me out and helping me be happy!

What a great man to dedicate his life to helping the mentally ill stabilize and do their best! I am Thankful we found him and he can help us the way he has, but I am sad my kids cannot see him any longer.

There is still no resolution to the issues I have with the HMO, they of course have not called me yet and probably won’t. Next week I will be making some calls and laying into someone.  Not looking forward to that… :(  Oh well I must fight for the kids.  :) 

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To find what you seek in the road of life,
the best proverb of all is that which says:
“Leave no stone unturned.”
~Edward Bulwer Lytton

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My Experience with New Health Insurance…

I am not whining tonight just wanted to update you guys, since I posted about having to get a new psychiatrist for my girls with the new  HMO health carrier (Health Management Organization).  There are two doctors to choose from, really 2 for this entire area??  

I was forced to go to a parent orientation at this HMO, it was a complete waste of time. Then I have to go back upstairs to turn in the huge stack of paperwork I had to fill out for each child. There, I am told the kids have to see a therapist first before they will set an appointment with a psychiatrist.  I said, “Oh no that’s not happening. My kids have been in treatment for years and need to see a psychiatrist and I cannot afford to spend money on therapy at this point.”

The nice woman behind the counter says, “Well I don”t make the rules.”  So I explained we really don’t fit into this system of theirs as the kids have been established in care for a long time, one of them over 10 years and they need to be seen by a psychiatrist and medications refilled.  So after some time repeating my self this nice woman said she would talk to the administrator. Walked away within range for me to see her and walks back and says she can put in a note to talk to the chief of pediatrics to see if they can make an exception.  She said they would be calling me in a week or so… I thanked her and walked away shaking my head.  I will not be forced to spend money to see a therapist when that’s not what we need. If its required they better waive the co pay!!  Good luck right… Hehe  Yesterday when I arrived home I called my ex and told him he better be ready to get on the phone with these people, since this was his choice he is going to get me what we need. He is all confused because he never listens to me.

Get this… Today he shows up with a print out of one of the two doctors we have to choose from and tells me this is how it works, you have to go in for an evaluation by a therapist. I said, “I can’t pay for a therapist and a psychiatrist and I need medication refilled.”  He got nasty and said I’m just trying to tell you how it works. I said, “I know how it works but it doesn’t fit our situation.” He argued and I said, “did they call you?”  He said, “NO!!”  That nasty tone was enough for me so I turned to walk away and he yells out, “Do you want to know about the prescriptions or are you just going to be a bitch!  Yep he said it… Needless to say my reaction was not pleasant.. I told him what I thought of him and went into the house.

Does he really think he can come to my house and talk to me like that… I have already discussed this with him and the insurance company yet he is a jerk to me.  He acts like I never spoke to him.  You know why?, because when I call him to discuss stuff he hands the phone off to his wife while im talking  and then when I need a response he takes the phone back… There are always long pauses and his responses are always general and sometimes don’t fit the conversation.  Sorry for this but What a dumb-ass! 

Anyway, I am now mad at him and waiting for the HMO to call me back about getting the kids to the type of doctor they need, and not jump through hoops.

I am not whining honestly this is just part of life but thought Maybe I would update you all about how its going… or not going! :)  I suggest if you have a choice of insurance carriers and you need specialized care of any type, don’t go with a HMO. It might be cheaper but you get what you pay for.  :)

 

One way to get the most out of life is
to look upon it as an adventure. ~William Feather


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