We have all had issues with insurance companies covering health care. Many, if not most DBT providers don’t contract with insurance companies because they won’t cover the necessary elements of care such as 2-hour groups, phone coaching, and of course, consultation team. DBT Programs will provide what are called “Superbills” but often insurance companies deny for a variety of reasons. I attended a webinar, “Cover My Mental Health: Overcoming Insurance Obstacles” that was hosted by NEABPD (the National Educational Alliance for BPD) featuring Joe Feldman. Joe got educated in this topic when his teen needed residential level of care and the insurance company denied as soon as they got there. He ended up filing a lawsuit and won it and through the process decided to continue to get education and build a website dedicated to helping clients and families and providers increase the chances of getting your care covered. There are templates of medical necessity letters, and other tools and processes that can help you or your provider. If you want help in navigating and fighting for coverage, listen to his talk which will be posted on NEABPD in the next few days. Also, go to https://covermymentalhealth.org/. Good luck fighting the good fight! And use your skills in the process and let us know how it goes.
Navigating Insurance Obstacles in Mental Health Care