Tag Archives: mental health

Use it or Lose it, your best self as you age.

Getting older sometimes sneaks up on you and suddenly there you are and in part one needs to be very thankful for making it  as  far as you are in your journey in life, but some how doing what we used to do gets that much harder for some over fifty.

Some things one can do to enhance your bet self both mentally and physically is to keep your energy flowing and moving.  Keeping moving in one way or another can reduce the process of what we know or call  “aging” in both body and mind.

Increasing your movement increases your stamina and confidence in your ability to take care of yourself thus increasing your freedom.  Improving your balance through repetitive motions that many sport, dance, or yoga offer helps with right left /brain hemisphere balancing to reduce stress and it will also help you be more flexible as well as keeping your metabolism active.

The idea is movement helps keep your body’s internal functioning moving better and keeps your mind and memory sharper.  Movement can help prevent falls, accidents, improve digestion, improve sleep, it reduces the chance of cancer and high blood pressure and may prevent stiffness and many aches and pains that seem to sneak up on us.  Over all the idea of keeping your body in the movement to  feel better is not new,  nor is it  ever too late to start moving.  .

A good reminder to motivate your self can be to remember one of Newton’s law of physics,….

“A  body in motion stays in motion.”

Insurance, Couples Counseling & the Affordable Care Act

Insurance, Couples Counseling & the Affordable Care Act

There was a time where insurance companies and your employer knew a lot less about what you did in your health provider’s office.  Now with the Affordance Care Act more and more people will get insurance and more mental health services are being covered.  Sometimes couples counseling is covered as such, sometimes one of the people in the couples session must be the “identified patient” for insurance billing purposes. Many clients do not know this.  If you use your insurance to covers your mental health services one of you probably will get a diagnostic code in order for you or the mental health care provider to be able to get reimbursement from the insurance company. No diagnosis code, no reimbursement. You may or may not be told or know what your diagnosis that you are being billed for.

Depending on the diagnostic code that might determine how many sessions you will be allowed, sometimes it can vary depending on your needs. Often time’s insurance company or employer will need an update as to your progress on your diagnosis, in order to determine if more sessions will be given.  All this information about you and your diagnosis is given to the insurance company and sometimes as to your employer.

In the past health care information would be kept for five or seven years.  In the paper days, this information would be kept by your health care provider, perhaps shared if referrals were made and then later destroyed. These days it is being most likely stored in the cloud for ever. This information will follow you along with the rest of your medical records, probably for life.  This should  clearly be explained to you.

This is one reason why many people still prefer to keep their mental health care outside of the insurance providers reach.  Having to meet insurance deductibles, having a high co pay and needing an “identified patient” for diagnosis makes using insurance less than appealing for some people.

A more attractive alternative model for many is to have an affordable, non diagnosis model as far as their mental health care. Many people thus prefer to keep their mental health information out of their employers or insurance company’s hands by not using their health insurance.

Remember that if you do use your insurance, be sure to inquire about the following contract details to make a better informed decision as a consumer as to which choice is best for you:

  • Is outpatient mental health covered? Is Couple’s counseling specifically covered? Or only individual?
  • Any preauthorization requirements before you begin?
  • What is your co-pay?
  • Is there a deductible that must be met yearly, before benefits will begin? What is it?
  • What credentials are required of the therapist? There are many types of mental health credentials; will my particular therapists be covered?
  • Will it be in either in network or out of network?
  • How many visits will be given per year?

Ask your therapists to explain your diagnostic code that they are using for insurance billing purposes, it could be one or several codes.  If you have any questions or need clarification ask.  It is important to be fully informed and protect your confidentiality. You have a right to know and make an informed decision.