Insurance Assistance

Insurance Assistance with Better – Kelsey

Peter Forster Costs of Treatment, GPS Update Leave a Comment

Better – insurance assistance that works to get you paid what you are owed.  I recently had a phone call with Rachael Norman, Better Founder and CEO, to learn more about how Better might be of service to Gateway patients.  I am thrilled to pass along this resource, which takes the work and time out of getting reimbursed by your …

We Are Not “In Network” Providers

Peter Forster Costs of Treatment, GPS Update

Gateway Psychiatric Services is not an “in network” provider of care. Many of the patients we see get reimbursement for their care here, but this depends on the specific insurance plan and how it handles out-of-network claims. The most generous plans seem to be provided by larger “tech” companies which often have very generous out-of-network coverage. It is important to …

Requesting Out of Network Coverage for Psychiatrist

Peter Forster Costs of Treatment, Policy

EXTENDING MEDICAL BENEFITS TO NON-PREFERRED PROVIDER PHYSICIANS Some of the most heartrending calls that we receive  from potential patients have to do with  people who are unable to find  psychiatrists  who are covered under their insurance plan. One solution may be to request out of network coverage for a psychiatrist. Background There are several problems that make this a common …

Disability

Peter Forster Physical Conditions and Health

Given the severity of mood and anxiety symptoms and some of the people we treat, we often deal with issues related to short-term or long-term work disability. In this post we will talk about common questions that come up when someone is impaired as the result of a psychiatric condition. Functional Assessment It often comes as a surprise to our …

Medicare at GPS – Update 2017

Peter Forster About GPS, Costs of Treatment, GPS Update

This is a third post to update our Medicare status. It is an update of the post from September 2015. Provider Status As a reminder, as of October 2015, Dr. Forster is no longer “opted out” from Medicare. This means that claims for his services for existing Medicare patients have to be adjusted to reflect the Medicare fee schedule. UCSF required that …

Parity Website

Peter Forster Policy

We ran across information about a new website that is drawing attention to the issue of mental health parity and that is dedicated to helping people get the behavioral health treatment they need – Paritytrack.org. The essence of the federal law that requires mental health parity in insurance coverage is not that mental health needs to have a certain level of …

Prior Authorization Form – New Law in California

Peter Forster Costs of Treatment, Policy

Prior authorization forms for medications, and the entire prior authorization process, can be a nightmare. In my experience, with at least one company, the rule seemed to be, if you filled out a form you were told that you needed to call to obtain the OK, and if you called you were told to fill out a form. It was …

Huge Victory on Mental Health Parity in California

Peter Forster Costs of Treatment, Policy

On September 10th the California Supreme Court let stand a California Appeals Court decision that the California mental health parity law requires coverage of treatment that may have no equivalent in other medical specialties. Specifically, the Appeals Court held that Blue Shield of California must cover residential treatment for eating disorders. The Court noted that residential treatment was among the …