Yay.....maybe.....

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Aussieangel
Veteran Member


Date Joined Sep 2006
Total Posts : 510
   Posted 1/14/2007 3:19 PM (GMT -7)   
I just spoke to my private health fund and they said I'm covered to go privately to a really good private psych hospital.

I'm just waiting to hear from the hospital to confirm it and that they have beds, so wish me luck.

I took my last effexor yesterday and now have a 3 day break before my new psych doctor is starting me on Prozac for the depression. He's happy for me to stay on the clonazapam as it works well for my anxiety, we've just got to get onto this depression I've developed thanks to all the muck around I've been through in the last 10 months.

Anyway guys if you don't see me on, I've gotten into the hospital I wanted and I'll speak to you all soon.

Take care AA.

lisag
Regular Member


Date Joined Nov 2006
Total Posts : 54
   Posted 1/14/2007 3:27 PM (GMT -7)   
I wish you all the luck...and wish you the best...HUGS
Live Well
 
Laugh Often
 
Love Much
 
 


Aussieangel
Veteran Member


Date Joined Sep 2006
Total Posts : 510
   Posted 1/14/2007 3:32 PM (GMT -7)   
Thanks lisa.

normalsnofun
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Date Joined Oct 2005
Total Posts : 2500
   Posted 1/14/2007 5:46 PM (GMT -7)   
good luck hope u get the help u need.
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Aussieangel
Veteran Member


Date Joined Sep 2006
Total Posts : 510
   Posted 1/15/2007 4:29 AM (GMT -7)   
Well it seems the health fund can do what they like. I've just spent hours being seen by another pdoc who says deep depression (she wanted to schedule me as she was so worried, but I wouldn't let her, it was at one of the worse public psych hospitals).

The health fund will not believe the doc or the pdocs report that my depression is new, they're using some law they have (that they don't disclose it in the brochure when you sign up) and have suddenly decided that my anxiety from months ago and this new deep clinical depression are one and the same.

No it's not a doctor or even a nurse that made the decision just someone they have that reads their manual and has decided that there's only one mental health problem, not seperate ones.

So it's not Yay.... they've refused to pay my hospital stay as they believe I've had this deep depression for over 6 months mad instead it's back to trying not to lose it or fall into a deeper pit. I thought I'd finally got help, legally I should have help but these big companies are a law upon themselves.

I'm screaming at everyone, including the kids, I can't sleep or eat and I feel worse every minute, but at least the anxiety has gone, not that the health fund believes it.

I really don't know how I'm going to cope.... my mother is no support nor are the inlaws and hubby doesn't think it's a big deal. Thinking I was going to this good hospital is the only thing that has held me together over the last 3 days.

GFK
Regular Member


Date Joined Jun 2006
Total Posts : 275
   Posted 1/15/2007 5:39 AM (GMT -7)   
Can you file an appeal to their decision?? Over here, Health Ins companies often need to be faught with in order to get what benefits you are entitled to.

Good Luck,
Karen

MsKittie
Veteran Member


Date Joined Jul 2006
Total Posts : 789
   Posted 1/15/2007 5:47 AM (GMT -7)   
Hi Aussieangel
 
Honey I'm so sorry you are having to go thru this with little or no support from your family. Please keep fighting this insurance company and remember there not doctors. You may try getting your dr to write them a letter it may help also. Big hugs to you hun. Your in my thoughts and prayers.
(((HUGS)))
   MsKittie
 
~*~*~*~*~*~*~*~*~*~*~*~*~*~*  
I have an illness, My illness don't have me.
~*~*~*~*~*~*~*~*~*~*~*~*~*~*                                      
 
Being happy doesnt mean everything's perfect.It means you've decided to see beyound the imperfrctions!God didn't promise days without pain, laughter without sorrow, sun without rain, but HE did promise strength for the day, comfort for the tears & light for the way                                        

 

 


Aussieangel
Veteran Member


Date Joined Sep 2006
Total Posts : 510
   Posted 1/15/2007 2:44 PM (GMT -7)   
They've got 2 letters from my GP and my pdoc.

I've already contacted our insurance ombudsman who is in charge of them and will contact them today to let them know about the pdoc last night.

I think I'm just going to head across to the local hospital again and ask to be a voluntary admission. It's just you don't then get a say in where they send you, but I'm that desperate.

nervymeg
Veteran Member


Date Joined Jul 2006
Total Posts : 2721
   Posted 1/15/2007 8:40 PM (GMT -7)   
Aussie, how awful....I really hope the Ombusdman can help you out.  You pay the big insurance, you should get the good hospital. Not fair. It sounds like you are doing pretty bad, maybe a few days in a public hospital might be the best so you can get some help without having to stress over kids and hubby.  My thoughts and prayers are with you today.  And my fingers and toes are all crossed.  Best of luck sweetie.

Dance like no-one's watching,
 
Love Thy Neighbour, just don't get caught!
 
NervyMeg

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