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sympathyofalover1120 karma

Is anyone able to help you write appeal letters to your insurance company? I know it’s a stretch but people with less severe status get denied claims over turned all the time, I think it’s worth a shot if it hasn’t been done yet.

I would also try to have someone write on your behalf to the state healthcare administration. Presuming you’re on Medicaid/Medicare, you can make a complaint about the status of your denied claims and your overall feelings about your insurance coverage. I would also aim for a case manager of some sort from the community resources who can help you advocate. You can usually find places that provide this through your insurance or calling a 2-1-1 type of service (sometimes called a switchboard or resource hotline for your county)

Maybe a social worker from Ohio can chime in? I’m in FL, but here if you have a Mental health diagnosis, you can get a targeted case manager to assist you and advocate for you. I am positive you would have no trouble being diagnosed with a mental health diagnosis, even if it’s just to get your foot in the door for more providers. I also recommend therapy, and I think it could be helpful to have someone else there to talk to about your feelings and thoughts that isn’t a caregiver.

I really hope you’re able to get the care that you need. Some of the doctor’s rationales sounds bonkers to me, and I can’t imagine they are all going to be that way- keep pushing!! I really wish you the best of luck and I’m so sorry this happened to you. For what it’s worth, you seem very resilient to me, despite those times you say you’ve thought about suicide or using heroin. There’s hope in some of your statements, at least that’s the way I’m reading them, and I cannot imagine how difficult it would be to be hopeful enduring all of this suffering. If I’m wrong then I’m sorry, but I want to at least commend you on maintaining hope for your future.

Edit: Thank you so much for the Gold!!

I’d like to add that an attorney is a great idea as well as stated below by another user. Legal Aid or r/legaladvice might be two good places to start!

Edit x2: I am at a loss, thank you for platinum!!!

Edit x3: thank you for the silver!!

sympathyofalover158 karma

Hahaha no worries! Despite the appeals process, I would still get a social worker ASAP, and try to have them advocate for you. The system is rigged, but there are a lot of ways in which the state does not want to be caught providing inadequate care. Even if it goes no where, you’ll at least have a new person on your side and someone who can assist and advocate for you.

From my experience, social workers/targeted case managers can really help build your case up for you and then utilize a lot of resources that most of the general population know nothing about. Maybe they could even advocate for your insurance company to change, and then you can try again... long story short, you just never know until you try right?

Also, I hope this thread controversy with the article shit didn’t bother you too much... looks like everyone is coming back around. :)

sympathyofalover119 karma

Domhnall- now that rom coms are coming back, do you think you would do another? I watch about time whenever I need a pick me up, it's perfection!

sympathyofalover39 karma

I can attest that the deep dives are great and super educational. Dr. Jim knows how to condense knowledge in a way that most clinicians have a hard time accomplishing.

sympathyofalover37 karma

Im so sorry for your loss.