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alcohol anxiety insurance mental health mental illness schizoaffective schizophrenia shame sleep apnea sobriety Therapy

Insurance Woes

Image: Skeleton with phone, on hold

My health insurance changed at the beginning of this year. I have been dealing with the insurance company. Monday it was impossible to get through. Tuesday I was able to chat and call and get most questions answered, I thought. My primary care physician is the same and she can refer me to any specialists. I see an endocrinologist, a sleep disorder pulmonologist, and a specialist dentist who monitors an oral appliance I wear for sleep apnea. But, I need a new psychiatrist and therapist.

I filled out a form for continuation of care with my current psychiatrist hoping I could at least get my meds refilled before I switch. Up until Monday, I thought he was covered, but he isn’t in my IPA, whatever that is, I thought it was a beer. I found a psychologist and had an appointment on Wednesday. He suggested calling my insurance to ask about a psychiatrist and to double check, he, the psychologist, is covered.

The problem is, this insurance covers medical and behavioral health, but they are different departments and don’t seem to communicate. The first person I called said anyone I see has to be in the medical group, which limits me to 4 psychiatrists to choose from and does not include the psychologist. Then, I contacted behavioral health who said the psychologist is covered, it says in network. I was getting conflicting info so I texted and it took all day but I got confirmation that behavioral health is not required to be in the medical group and does not need referrals but medical care does. I screen shot the text in case there are problems.

So, I looked at the list of psychiatrists and called one who seems to have a lot of experience. I found out she is the medical director and I will be treated by a psychiatric nurse practitioner. I am a little uneasy since I have a complex disorder ( schizoaffective disorder). I am stable now and just need medication management. I made an appointment but checked out some of the other psychiatrists. I found another that sounds good that I will call Monday. I am not sure if it will be the same.

Also, I have been taking a medication called modafinil for excessive daytime sleepiness due to sleep apnea even with the appliance. The insurance rejected the order. my dr is trying to get it for me. I am completely out and so so sleepy.

The therapy appointment went well. I told him I feel shame about past mistakes and have trouble forgiving myself. He asked if I would forgive someone else and I said yes. Why the different standard? I first said “I don’t know “ which I learned he does not accept as an answer, so I reflected on it and decided I should be able to forgive myself, but I still don’t know how. Baby steps?

Then I told him I get uneasy sometimes at work when there is a lot of noise and commotion even though I am not directly effected. Or if my husband raises his voice at home. He told me to journal when I feel uneasy. I have not had to deal with loud noises lately, but dealing with all of this insurance stuff gets me worked up. I want to drink to calm down, but I also want to stay sober. So far, sobriety is winning. I have a blood test in February and I am hoping for good results. We agreed to monthly appointments since I am stable.

Did I mention I got my hearing aids.? They work well. A little bit of trouble getting tangled in my mask. They have blue tooth capability and I have them connected to my phone. I am slowly learning how to disconnect if I want to use my phone or I hear nothing. And, I get notifications through the hearing aids. I go back to the audiologist for follow up soon. Sometimes it seems like only one is working and I don’t know if I am doing something.

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TikTok @Schizoaffectivedogmom

I made my first TikTok video https://vm.tiktok.com/ZM8DvPD97/ my username is @schizoaffectivedogmom I wrote a blog post early on about coping skills called Coping with Schizoaffective Disorder https://lorib434.wordpress.com/2017/03/20/coping-with-schizoaffective-disorder/ so I am starting with a series on coping skills. The first one is my dog because he is the best. He is cute and funny and likes walks and being pet.

Image: dog on bed

I will keep blogging. The reason I was drawn to TikTok is that I went to an online NAMI CA conference and someone recommended a few users on TikTok. I liked what I saw and would like to add to that. I am older and not very technologically adept so we shall see how long I last. I did make some periscope videos when those were a thing, but few people came.

I am doing well. I just took my dog, Raider, to a Halloween event at a pet store. They had treats for dogs and people, lots of dogs dressed up, raffles, an artist, a dog rescue with the cutest puppies. Raider gets nervous but he seemed to have a good time meeting the other dogs. I just put a bandana on him. I entered the raffles. One prize is a portrait of your dog which would be awesome. We have one that my niece made that I love.

My health insurance, including behavioral health, changes Jan 1. My psychiatrist takes the new insurance. My therapist doesn’t but can apply for continuation of care and if it is approved the new insurance will cover her. Otherwise, I found someone highly recommended who takes the new insurance but retires in 2023. I was really anxious at first but now I am calm since it should work out.

ETA: hey I won the pet portrait from I’llShoot Your Pets (gotta love the name). So excited! and a Target gift card.