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Paul W. Anderson, Ph.D.
 
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INSURANCE REIMBURSEMENT
and
CONFIDENTIALITY

ATTENTION!
This is not to alarm you, but to make sure you are fully informed in the event you choose to use your insurance. In the past few years, there has been an escalation in requests for "treatment plans" by many insurance companies which they use to determine "medical necessity" for treatment or counseling. If medical necessity is not determined, reimbursement may be denied. The intent is cost containment by the insurers. Quality and attention to personal needs may get overlooked in the interest of saving costs.

A crucial aspect of psychotherapy, however, is the absolute assurance of full and guaranteed confidentiality.

"Treatment plans", as required by insurance and managed care companies, are detailed documents regarding your clinical history and that of your family. These specifics always include symptoms, diagnoses and the content of your counseling sessions. Once a treatment plan is mailed or faxed, it can become part of a paper trail on you and your family that is totally beyond the control of you or your counselor. This is clearly an intrusion into the confidential nature of psychotherapy. Furthermore, this information can be stored in data banks accessible to other insurers such as life and disability insurance companies (visit www.mib.com to learn more about one of these depositories of medical information).

Not all insurers require treatment plans and will reimburse you on the basis of the information I regularly provide on your receipts. Of course, these receipts do show a diagnosis and the fact that you have been in therapy. In the event your insurer also wants a treatment plan, I will show you what I have written before it is sent to them.

No information about you will be revealed to anyone
unless you give me written permission to release that information!



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