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Thread Starter
Join Date: Mar 2007
Location: New Jersey
Posts: 10
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hi everyone. I'm new here, i've been reading posts for a while and thought i'd introduce myself.
I'm Monica - i come from a long line of addiction, my mom, step dad, sister and husband.
Right now i'm dealing with the AH.. he was fired from his job in Dec, went on a drinking binge, blacked out and lost a few days.. didn't know at all what happened.
He was in detox/rehab in Feb .. the ins only paid for a week of each. he came home and started outpatient and lasted two weeks before he relapsed.
He is now back in rehab and the ins wants to kick him out tomorrow after only 10 days of rehab.
i'm anxious to have him home again. i am afraid he'll relapse again. I will find out tomorrow if the ins will pay for more days.
anyone had to deal with insurance issues? How can we get them to pay for the help he so desperately needs??
I'm also starting to think my sister is using again as well.
I am looking into going to some alanon meetings but have not gone yet. I know that I need to work on myself too.
I'm looking forward to posting here.
I'm Monica - i come from a long line of addiction, my mom, step dad, sister and husband.
Right now i'm dealing with the AH.. he was fired from his job in Dec, went on a drinking binge, blacked out and lost a few days.. didn't know at all what happened.
He was in detox/rehab in Feb .. the ins only paid for a week of each. he came home and started outpatient and lasted two weeks before he relapsed.
He is now back in rehab and the ins wants to kick him out tomorrow after only 10 days of rehab.
i'm anxious to have him home again. i am afraid he'll relapse again. I will find out tomorrow if the ins will pay for more days.
anyone had to deal with insurance issues? How can we get them to pay for the help he so desperately needs??
I'm also starting to think my sister is using again as well.
I am looking into going to some alanon meetings but have not gone yet. I know that I need to work on myself too.
I'm looking forward to posting here.
Member
Join Date: Feb 2007
Location: Central Coast, CA
Posts: 77
My AH's rehab pushes Sober Living Environments (SLE's) after rehab is over as a transition before returning to completely "normal life" at home. I'm sure there are success and failure stories of both, and I don't think ins. pays for it, but it's probably less costly than relapse, another stay at rehab or continued addiction and loss of job, life, etc.
At this point I am open to him doing that if he thinks he needs it after rehab. I imagine him here now and I just don't see him as equipped for dealing with a bunch of banshee kids, house/yard pressures, work, etc. without falling back into his old non-coping patterns. He may surprise me and be able to do it and work his program 100% (self-discipline has never been his strong suit). However, if he wants to go to an SLE I'd be in support of that extra reinforcement of structure and discipline for a while so he can internalize it for longer.
Just something I heard of - 2 cents worth.
At this point I am open to him doing that if he thinks he needs it after rehab. I imagine him here now and I just don't see him as equipped for dealing with a bunch of banshee kids, house/yard pressures, work, etc. without falling back into his old non-coping patterns. He may surprise me and be able to do it and work his program 100% (self-discipline has never been his strong suit). However, if he wants to go to an SLE I'd be in support of that extra reinforcement of structure and discipline for a while so he can internalize it for longer.
Just something I heard of - 2 cents worth.
Member
Join Date: Apr 2005
Location: Phoenix, AZ
Posts: 3,812
Welcome, It is a pleasure to meet you.
I dont know anything about rehabs/insurance but wanted to welcome you to SR. Check out the stickies at the top ... some good reading there, and Al-anon would really help you out with this.
I look forward to getting to know you, hang in there and remember your not alone in this.
I dont know anything about rehabs/insurance but wanted to welcome you to SR. Check out the stickies at the top ... some good reading there, and Al-anon would really help you out with this.
I look forward to getting to know you, hang in there and remember your not alone in this.
Member
Join Date: Mar 2007
Location: concord, nc
Posts: 304
My AH was suppose to stay in rehab for 28 days but the insurance company would only pay for 21 days. I think the insurance company thought he was "cured." Go figure. He got out on the 23rd of March. Have yet to hear from him. Go figure.
Member
Join Date: Feb 2006
Location: FL
Posts: 14,246
Monica,
I'm just posting here to say "hello" and how glad I am you decided to reach out and share your story with us. I strongly recommend Alanon meetings and hope you will continue to come here and post as much as you need to.
I'm sorry for what has brought you here and as you can tell from the replies you have received already- there are lots of us here who care and understand.
I'm just posting here to say "hello" and how glad I am you decided to reach out and share your story with us. I strongly recommend Alanon meetings and hope you will continue to come here and post as much as you need to.
I'm sorry for what has brought you here and as you can tell from the replies you have received already- there are lots of us here who care and understand.
Member
Join Date: Jan 2006
Posts: 1,358
Welcome to SR! I love when people have been reading here for awhile, and then decide to join in! We're glad to have you here with us.
I too don't have any experience to share with insurance companies, but I'm sure that others that do will come along shortly.
Alanon has been very helpful to many. I'm glad to see that you are looking into it.
I don't know if you've found the stickies at the top of the forum yet or not, but if you haven't, I highly recommend reading through them. Great info and insights!
Again, welcome to SR!
I too don't have any experience to share with insurance companies, but I'm sure that others that do will come along shortly.
Alanon has been very helpful to many. I'm glad to see that you are looking into it.
I don't know if you've found the stickies at the top of the forum yet or not, but if you haven't, I highly recommend reading through them. Great info and insights!
Again, welcome to SR!
Member
Join Date: Sep 2005
Location: midwest
Posts: 231
I really don't know if I have any advice but I wanted to say welcome! I need to go to alanon too but we dont have one in our town.
When my husband was in rehab we had two insurance companies, so we were kind of blessed that way.
I was thinking maybe your family doctor could help out somehow, if you call him and tell him? I think if it is what the dr says is necessary and the substance abuse counselors maybe that will help get him more days inpatient ? Is your insurance through your employer? Maybe you have an EAP you could call to help?
Sorry, I dont know if that is advice or help at all but I am racking my brains
When my husband was in rehab we had two insurance companies, so we were kind of blessed that way.
I was thinking maybe your family doctor could help out somehow, if you call him and tell him? I think if it is what the dr says is necessary and the substance abuse counselors maybe that will help get him more days inpatient ? Is your insurance through your employer? Maybe you have an EAP you could call to help?
Sorry, I dont know if that is advice or help at all but I am racking my brains
Member
Join Date: Jan 2007
Location: Pasadena,Ca
Posts: 147
About 15 years ago when I was in rehab the insurance tried to do the same thing to me. My doctors and therapists became my advocates and basically fought for my treatment. They dealt with the insurance company and got them to approve more time, treatment, etc. I remember having to do this many times, having to justify that I was worth their time and money. It's infuriating, but that is how the system works. Maybe your doctor or the doctors and therapists at the facility can help you in this.
Good luck.
-K
Good luck.
-K
Member
Thread Starter
Join Date: Mar 2007
Location: New Jersey
Posts: 10
thanks everyone for such a warm welcome!
Well, the ins gave him until Saturday now and according to his counselor thats probably it for the inpatient. They will let him to about 2 months of 3x a week for outpatient.
the ins is through my employer and i work for them so they treat their employees no better than any one else who has to deal with ins issues!
Well, the ins gave him until Saturday now and according to his counselor thats probably it for the inpatient. They will let him to about 2 months of 3x a week for outpatient.
the ins is through my employer and i work for them so they treat their employees no better than any one else who has to deal with ins issues!
Member
Join Date: Dec 2005
Location: Anchorage, AK
Posts: 221
Welcome to SR, Monica! Most good treatment programs have payment plans, so if insurance is not willing to pay for longer stay, he may be able to work out some sort of an arrangement, where he covers a small portion of the bill each month. Check into that.
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