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TicTakPoe
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Member Since: Mar 2020
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3 yr Member
Default Mar 04, 2020 at 01:38 AM
  #1
Has anyone had success or been turned down from this buy their insurance? I'm in the US.

I only recently came across this while looking for a therapist, they happened to be out of network. Though I can pay for out of network, and have a relatively low deductible but still bring it up in discussion. However he pointed out that, since I reached out to him for a specific treatment, I should check with therapists in-network first, and If there isn't many that have offer the same treatment and are accepting patients or even can't accommodate my schedule as easily I should look into getting a single case agreement.
There was less information than I expected.
But basically came to understand that it allows you to choose a therapist if they have a speciality or offer treatment in something that you can't find with therapist within your network and that it a treatment that you'd benefit largely from. So you approach you insurance saying why you'd benefit from this out of network therapist. And if you've already been through the most common ones like CBT then it helps your case a little more.

So I think that's the gist of it, but please tell me if I'm misinterpreting things. SO, anyone have experience?
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SlumberKitty
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Default Mar 04, 2020 at 06:31 PM
  #2
I've not had that exact thing, but I have been allowed to continue with a doctor who was already successfully treating me. But I think that was called continuity of care or something. It was when my insurance changed. I'd say try and approach your insurance company. You never know. You might get a yes. Can't hurt to ask. Does your insurance have a patient advocate or a care coordinator or something like that? Call the number on the back of your insurance card and ask. They can sometimes help you access benefits you didn't know you had. It might be helpful if they were on your side. Best of luck! Kit

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