Santa, Bring Me Fair Health Insurance This Year: A psychologist view from inside the system

Santa, Bring Me Fair Health Insurance This Year: A psychologist view from inside the system

If adults wrote letters to Santa, mine this year would be very simple.

 

Please bring me fair, honest health insurance.

 

Every December I sit with two sets of worries. One is about my clients and the people on my waitlist who are trying to figure out how to use their benefits for therapy or psychological evaluation. The other is about my own family’s coverage, the renewal notices, and the increasing cost of staying insured.

 

I hold both roles at once. I am a licensed psychologist who provides therapy and comprehensive evaluations. I am also a person on the marketplace trying to keep up with rising premiums, deductibles, audits, and rules that seem to change every year.

 

On the surface this looks like a problem of billing codes and policy language. Underneath it is about something more fundamental. Who gets to decide what careful psychological work is worth. Who defines what is medically necessary. And why the organizations that are supposed to advocate for our profession so often adjust to insurance company rules instead of challenging them when those rules conflict with clinical standards and basic fairness.

 

To read more click here:

https://substack.com/home/post/p-180324813

 

ABOUT THE AUTHOR
Dr. Niki Serravalle headshot
Dr. Niki Serravalle

Dr. Niki Serravalle's career began 23 years ago at Sheppard Pratt, where she was introduced to Dialectical Behavior Therapy (DBT) and trauma. From there, she continued her training as a Drug and Alcohol Counselor for Mountain Manner in Maryland. After graduating with her Master's degree in Mental Health Counseling, she began working with children and adolescents for Laurel Life in their IOP program. This is when she gained certification for Functional Behavioral Analysis (FBA).

Dr. Niki Serravalle's career began 23 years ago at Sheppard Pratt, where she was introduced to Dialectical Behavior Therapy (DBT) and trauma. From there, she continued her training as a Drug and Alcohol Counselor for Mountain Manner in Maryland. After graduating with her Master's degree in Mental Health Counseling, she began working with children and adolescents for Laurel Life in their IOP program. This is when she gained certification for Functional Behavioral Analysis (FBA).


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