![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by crushedout on January 31, 2005, at 19:23:25
My T and I are trying to decide what my diagnosis should be to make sure I get insurance coverage. I think I want her to put Major Depression (for other reasons that I don't necessarily want to get into) but she is hesitant. She has no problem doing it if she finds that I fit the criteria (which I think she will), but she says she shies away from that dx. I asked her why but she didn't seem clear.
Are there downsides to this dx? Could it come back to haunt me? Under what scenario? Anyone have any experience with this or thoughts on it?
Thanks.
Posted by Lonely on January 31, 2005, at 20:23:52
In reply to Downsides to a Major Depression diagnosis?, posted by crushedout on January 31, 2005, at 19:23:25
I'd like to hear more about this too as it seems to me, and I've read and been told, that there's a significant overlap between the different diagnoses. There often are no really discrete differences. In a separate post I just asked about my hubby's new diagnosis from Mood Disorder NOS - previously BP2 - and before that Major Depression and before that just Depression. With our insurance, though, we get more visits if it's a serious mental illness - a 200 series. So, for that reason we prefer the more serious diagnosis. For that matter, at least in my hubby's case, I think he needs more care.
> My T and I are trying to decide what my diagnosis should be to make sure I get insurance coverage. I think I want her to put Major Depression (for other reasons that I don't necessarily want to get into) but she is hesitant. She has no problem doing it if she finds that I fit the criteria (which I think she will), but she says she shies away from that dx. I asked her why but she didn't seem clear.
>
> Are there downsides to this dx? Could it come back to haunt me? Under what scenario? Anyone have any experience with this or thoughts on it?
>
> Thanks.
Posted by chaaya on January 31, 2005, at 22:21:03
In reply to Re: Downsides to a Major Depression diagnosis?, posted by Lonely on January 31, 2005, at 20:23:52
I'm Bipolar II and it is unstable. The code that has been used for me is 296.89 'Other Manic-depressive psychosis, mixed type' I have been on disability for a year now which has involved getting approved successfully by metlife. I think that it is more than just the diaganosis code though. In my cases, my pdoc also had to provide the DSM information.
Posted by crushedout on February 1, 2005, at 7:13:14
In reply to Re: Downsides to a Major Depression diagnosis?, posted by chaaya on January 31, 2005, at 22:21:03
Were there any downsides?What do you mean when you say "getting approved successfully by metlife"?
Posted by chaaya on February 1, 2005, at 13:16:12
In reply to Re: Downsides to a Major Depression diagnosis? » chaaya, posted by crushedout on February 1, 2005, at 7:13:14
There has been no downsides for me.
I'm on long term disability and Metlife manages it for my company. Metlife evaluates you to determine if you are really disabled. The only thing they asked me for was input from my pdoc. The diagnosis and the DSM information is about all that he provided. If you are trying to get insurance that covers more than just your mental state, then of course there would be more. My main point here is that besides getting the right diagnosis code, having the right stuff in your DSM is also important. I happen to have the most wonderfull pdoc, everything he submits get apporoved.
I'm now in the process of trying to get social security benefits. This is way different than getting disability from Metlife. Next week I have to go to a therapist that I don't know for a mental exam whatever that is. I'm not sure why they bother, since they reject ever claim and make you appeal.
This is the end of the thread.
Psycho-Babble Psychology | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.