Evening_Attention_45
Evening_Attention_45 OP t1_jacuvt6 wrote
Reply to comment by SwifferSeal in No Mental Health Coverage with Marketplace by Evening_Attention_45
Horizon BCBS is actually considered OMNIA via marketplace. I started looking on Psychology Today and many therapists say they don't accept OMNIA.
Are people using marketplace insurance plans not served by therapists?
Evening_Attention_45 OP t1_jacnxh2 wrote
Reply to comment by electric_kite in No Mental Health Coverage with Marketplace by Evening_Attention_45
Okay hopefully that is the case with me. I’m 43 so maybe that’s why. Idk
Evening_Attention_45 OP t1_jabbg7v wrote
Reply to comment by Babhadfad12 in No Mental Health Coverage with Marketplace by Evening_Attention_45
Evening_Attention_45 OP t1_jab9a00 wrote
Reply to comment by Dizzy_Cookie_8650 in No Mental Health Coverage with Marketplace by Evening_Attention_45
That's the one I'm looking at. Omnia silver is a $30 copay AFTER the deductible is met. That means I need to pay the $2,000 deductible before I get to pay $30 for each visit.
Evening_Attention_45 OP t1_jab8uj1 wrote
Reply to comment by Babhadfad12 in No Mental Health Coverage with Marketplace by Evening_Attention_45
The link you posted literally states exactly what I'm saying.
This is taken directly from the link:
Deductible
"The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself."
I would need to pay $2,000 out of pocket before any of the insurance plan pays.
Evening_Attention_45 OP t1_jab8j9y wrote
Reply to comment by Babhadfad12 in No Mental Health Coverage with Marketplace by Evening_Attention_45
Literally every insurance plan on Marketplace has a deductible. Most insurances have a deductible. I'm not sure how you haven't experienced this or at the very least know that a deductible is extremely common.
Most of the plans available via Marketplace for NJ you have to pay 100% out of pocket until you meet the $2,000 deductible. Even for basic blood work.
Laboratory Outpatient and Professional Services $100 Copay after deductible.
Evening_Attention_45 OP t1_jaas7vn wrote
Reply to comment by Dizzy_Cookie_8650 in No Mental Health Coverage with Marketplace by Evening_Attention_45
So this is even for in network providers. Even if it’s an in network therapist, you have to pay the full deductible before insurance will pay for any therapy sessions. There is a $50 copay for a specialist but mental health is not covered. It’s no wonder there’s a mental health crisis with insurance not covering therapy.
Evening_Attention_45 OP t1_jaarval wrote
Reply to comment by Babhadfad12 in No Mental Health Coverage with Marketplace by Evening_Attention_45
Hi, yes. Just wondering how that relates to what I’m saying? I don’t think someone should have to pay their entire deductible before a therapy session is covered.
Evening_Attention_45 OP t1_jaag6xa wrote
Reply to comment by albaspotting in No Mental Health Coverage with Marketplace by Evening_Attention_45
I figured therapy would just be a copay and that you wouldn't need to pay the entire deductible before insurance kicking in.
Evening_Attention_45 OP t1_jaag1iq wrote
Reply to comment by SwifferSeal in No Mental Health Coverage with Marketplace by Evening_Attention_45
Thanks! I'm been in Pittsburgh for years and have only had to pay $10 for each therapy session and I had good insurance through marketplace paying about $330 per month.
Evening_Attention_45 t1_jaa1vat wrote
Reply to Places to rent in Central Jersey by Simple_Dinoye
I just finished this. It was a very depressing experience. I was disgusted by all the new fancy places that charge $50 per pet per month plus a $400 non refundable pet fee. Plus another $450 for amenities you may not even use and you can't opt out. And they were like $700 square feet. And they make you pay a sewer fee.
Evening_Attention_45 t1_j9674x2 wrote
Reply to comment by stoygeist in Ahh yes…the old melting through a wall improvisation. by No_One_9062
They destroyed whose ability to do melding?
Evening_Attention_45 t1_j74vzy6 wrote
So no one knows why they closed? What about the one in Shadyside? Wasn’t it kind of the same situation with steel cactus just closing out of nowhere?
Evening_Attention_45 t1_j6lbp9s wrote
Reply to comment by JAK3CAL in Do you wear sunscreen every day in Pittsburgh? by toolatetobeoriginal
Are you younger? I didn’t until I got into my late 30s.
Evening_Attention_45 t1_j6lbg7q wrote
Reply to comment by toolatetobeoriginal in Do you wear sunscreen every day in Pittsburgh? by toolatetobeoriginal
I like this product.
It’s a tinted moisturizer with spf 47.
Evening_Attention_45 t1_j6lb8tj wrote
Yes, even though I don’t go outside every day. I use a tinted moisturizer that has SPF 47 in it. It’s essentially what I use in lieu of foundation.
Evening_Attention_45 t1_j2aydwq wrote
Reply to Local Restaurant Steak by RevBT
That doesn’t look good
Evening_Attention_45 t1_j1xswjm wrote
We’ve had 1 sunny day in the last 2 weeks. That does not go well with depression and lack of motivation!
Evening_Attention_45 t1_j1von61 wrote
Cappy’s
Evening_Attention_45 t1_j0s8vt1 wrote
Reply to comment by [deleted] in Why is it so hard to find a therapist who actually helps treat depression? by [deleted]
Dude, why would you suggest that to someone looking for help with their depression!?
Evening_Attention_45 t1_j0rj9z8 wrote
Reply to comment by Amrun90 in Why is it so hard to find a therapist who actually helps treat depression? by [deleted]
It was frustrating that the first instinct someone had was to say you’re beyond what a therapist can help with. Depression is like the #1 thing people go to therapy for. I was expecting to get recommendations for good therapists, not that I needed to go to some special place. It seems like there must be people in Pittsburgh with depression who have a therapist who has helped them with their depression.
Evening_Attention_45 t1_j0rgp68 wrote
Reply to comment by infiniteatbest in Why is it so hard to find a therapist who actually helps treat depression? by [deleted]
Do they have openings? I tried CBT with my previous therapist but it wasn’t structured enough. I imagine at CBI the main focus is CBT?
Evening_Attention_45 t1_j0remvz wrote
Reply to comment by RBTfarmer in Why is it so hard to find a therapist who actually helps treat depression? by [deleted]
Yeah I’m doing ketamine now. It’s low dose, at home oral treatment. I probably need a higher dose. Don’t think I can do infusions though since I have a phobia of IVs. Haven’t looked into psilocybin yet.
Evening_Attention_45 t1_j0r9vnk wrote
Reply to comment by RBTfarmer in Why is it so hard to find a therapist who actually helps treat depression? by [deleted]
TMS scared me. There was a documentary on PBS about a guy who had brain damage from it and it freaked me out. I decided to go the Ketamine route but I'm on a low dose so I'm looking at other ketamine options.
Evening_Attention_45 OP t1_jadom1d wrote
Reply to comment by SwifferSeal in No Mental Health Coverage with Marketplace by Evening_Attention_45
This particular therapist specifically called out We do not take Omnia.