Detoxification and rehabilitation are the two treatment categories of substance abuse. Detoxification is short term medical treatment to manage withdrawal symptoms and rehabilitation is longer term counseling and classes to help the individual to remain sober. There are five basic questions to ask in determining substance abuse benefits through your health insurance.

-Do I have substance abuse health insurance benefits? Under current law companies providing group health insurance are only required to cover treatment for alcoholism not for drug abuse. However, most large group plans have substance abuse treatment benefits. A basic policy will cover outpatient treatment but will not cover residential rehabilitation care. Some plans offer “riders”, or supplemental options- for an additional premium amount- to augment a basic policy. Check with your health insurance company.

-What is my deductible and has it been met? Most health insurance plans have a yearly deductible that must be met before benefits are paid out. These can range anywhere from $ 100 to $ 5000. Under the new healthcare reform, there can no longer be separate deductibles for substance abuse and medical/surgical services.  Check your plans schedule of benefits to determine the amount of your deductible and contact your insurance company to see how much of your deductible has been met.

-What is the coverage amount per visit? Each health insurance plan will have different coinsurance or co-pay amounts for outpatient rehabilitation. You will either pay coinsurance- usually 80/20 – or you will have a co-pay per visit. Many plans limited the number of outpatient rehab visits to 20 per year but healthcare reform eliminated those benefit limits. The elimination of these benefit limits allows greater access to needed treatment.

-Is approval required from my primary care physician? Many health insurance companies require you to see your primary care physician to get a referral for substance abuse rehab unless it is court ordered. Authorization is usually required before rehab can begin. Many healthcare plans required members to complete a rehab program before payment would be made on the charges. If you did not complete the program then you did not receive the benefits and were personally responsible for the charges. Healthcare reform does not allow this anymore. Charges are paid by the health insurance companies during treatment.

-What is the reimbursement policy for out-of-network providers? A majority of health insurance companies require you to see in-network providers and do not provide any benefits if you go out-of-network. This is the same for any type of medical treatment, as well. Health insurance companies try to keep costs down by having its members utilize their network.

Healthcare reform has changed many aspects of substance abuse rehabilitation by bringing it into the realm of medical care. Insurers who cover substance abuse treatment must do so at the same level of benefit they provide for other medical conditions. This should increase the number of people seeking the help they need.

Yesterday, the Beijing Municipal Health Bureau issued “Interim Measures of Beijing, MD, regular test,” and announced that from July 1 this year to implement. Physician-patient relationship, whether to follow medical ethics, there is no medical malpractice, medical examination will be an important indicator of eligibility.

Practitioners will be subject to re-suspend Education

“Means” clear that professional ethics of doctors and clinics work with professional level performance both, in any one of the three assessment evaluation failed, that is considered practitioners qualified in the assessment, to suspend the practice from 3 to 6 months and receive continuing education.

In accordance with the “Procedures”, medical practitioners on a regular basis every two years for a period of assessment, including the second year for the assessment year. Beijing, Beijing Municipal Health Bureau will set up regular test physician leadership team responsible for the city’s regular assessment practitioners daily supervision and management.

Regularly checking up on doctors, including the assessment of professional ethics, performance evaluation and operational levels. Among them, the physician’s basic professional ethics examination include: practicing physicians to adhere to life-saving, patient-centered, as well as medical ethics, doctor-patient relationship and the status of law practice.

Physician behavior records will be made

“Measures” to implement, the doctor where the medical treatment, prevention, health care organizations have implemented physician behavior recording system. Physician behavior into good behavior records and records with records of misconduct.

Record of good conduct should include physicians in the course of their practice by the award, recognition, and achieved technical achievements, etc.; bad behavior records should include medical and health management for breach of regulations and norms of conventional treatment by administrative penalties, sanctions, and medical incidents, etc. . Physician behavior physician assessment records as one of the bases.

“Approach” provides physicians who fail the assessments in the health administrative departments of institutions designated to receive training and continuing medical education. Suspension of practice after the expiration of assessment by the assessment agency again. On those who pass the examination are allowed to continue practicing, but the physicians in the assessment period may not Appraising and promotion. Examination still fail the test by the health administrative department canceled register, withdraw physicians practicing certificate.

120,999 test “rate of 10 seconds to answer”

2 minutes to send a car rates, Alarm out of the bus after 2 minutes into overtime rate of assessment criteria Deng Jun

Municipal Health Bureau announced yesterday, “Prehospital Emergency Management Evaluation standards bodies.” Among them, the emergency call answering rate of 10 seconds, 2 minutes, sent a car rates, Alarm timeout after 2 minutes turnout rate of Deng Jun of the Beijing First Aid System, which is 120,999 common evaluation of the two first-aid center and performance assessment indicators.

Intended to implement the medical reform

Beijing newly released medical reform program explicitly, 120 and 999 will integrate the two coexisting city emergency network, unified emergency site layout, first aid and emergency resource scheduling specifications. Beijing Municipal Health Bureau has decided to carry out pre-hospital emergency services quality assessment evaluation, is to implement the Beijing medical reform program, starting from the integration of standard first aid, providing people with fast, safe, efficient and convenient pre-hospital emergency services.

Assessment includes all first-aid station Beijing Health Bureau of the development of first aid centers (stations) Evaluation criteria, evaluation include the Beijing Emergency Center (120), Beijing Red Cross Emergency Relief Center (999) and all the first aid station. Evaluation criteria include unified planning emergency site, have the site set the standard; rational distribution of emergency network, reducing emergency call response time, meet the call demand; dynamic adjustment of the site layout, improve the first aid network building.

New evaluation indicators include first aid needs satisfaction rate, good rates of first aid items, first aid skills, compliance rate, emergency vehicles, good rates of patient satisfaction telephone visit, reasonable rates and so on.

Question by karen star: How would “reconciliation” work in the current health care debate?
I have read about filibuster, and recall some filibusters from days past, the gang of 14, and so on, but can someone explain this in simple terms for me? (Wiki articles were not particularly helpful, so just a clear explanation will be good.) I’m not looking for partisan bickering, but for simple direct explanation of the process. Thanks, in advance, for civility.

Best answer:

Answer by titou
How about “rehabilitation”? After all, the requisite for any recovery is first admitting that there is a real problem. To hear the politicians and insurance companies, as well as some health-care professionals who know which side their bread is buttered on — you’d think that what is called for in the catastrophic US health-care industry (sic) is just some fine tuning. As someone experienced with the phenomenon, I can tell you it rings like an alcoholic explaining and adjusting his drinking habit. I’ve even heard the claim that “We have the best health care in the world.”!
Right. And my drinking is OK because it’s top shelf.

ENOUGH verbiage and self-promotion in the guise of negotiation. This sophomoric nonsense has led too often to the logical conclusion: “The operation was a success, but the patient died.” No exaggeration: that is exactly what happened to my own mother. Diagnosed with Stage 3 metastatic breast cancer, such was the juggernaut of bureaucratic red-tape and protocol (not to mention physicians and hospitals lining their pockets and covering their own asses) that by the time anyone got around to actually helping her, she was dead.

Know better? Leave your own answer in the comments!

Long term care insurance – Introduction

Under long-term care insurance, many services are covered that may include nursing home care, home health care, assisted living facility, adult day care, hospital care and many more. long term care insurance plays an excellent role in cutting down the costs of medical and nursing expenditures for the people who have long term disabilities. A Long-term care insurance policy provides chronic care to the person suffering from serious illness or disabilities that may leave him unable to take care of himself requiring extended medical, nursing and rehabilitative care. Long-term care insurance provides you with proper care if you have a physical illness or disability, hands-on or stand-by assistance with your normal daily activities, such as eating or getting around. A long-term care insurance policy protects the policyholder from any type of medical emergencies in the future that may leave him incapacitated to perform the daily activities like bathing, dressing, toileting etc.

Is Long-term care insurance necessary?

If you are in poor health and above 65 years of age, then you should purchase long term care insurance policy as there is always inescapable possibility of getting injured and being unable to pay for medical care in the future. It is always advised that you should purchase long-term care insurance policy before your health problems begin to surface. The comparison websites play a vital role in finding the best low-cost long term care insurance so that a customer is able to make an informed decision regarding his suitability of needs. Long-term care insurance can help you avoid having to depend on other family members for your physical and financial well-being. We are your expert guide to help you in comparing the long term care insurance quotes from multiple top insurance companies.

Tips in choosing the right Long-term care insurance

Your long-term care insurance policy must cover for Alzheimer’s disease and must have at least one year of home health care, or nursing home care coverage. The best way that a customer can avail the free long term care insurance quotes by comparing about 3-4 insurance carriers and then selecting the best provider. The customer must compare several long-term care insurance quotes, compare their costs and then make a final decision regarding purchase. You can get various benefits with long term care insurance plans by easily comparing the various insurance quotes from the several insurance companies.

Dual diagnosis rehab centers treat psychiatric illnesses, accompanied by substance abuse issues. Treatment at dual diagnosis rehab centers should address the mental health disorders along with the substance abuse issues like alcoholism and/or drug addiction. The centers that treat dual diagnosis conditions understand that both illnesses have deleterious effects on the psychological, spiritual, social, and physical well-being.

Diagnosing two illnesses

A person diagnosed with dual disorders is affected by two or more conditions that are different but interrelated. Treatment at dual diagnosis rehab centers addresses the symptoms of illnesses identified by the treatment providers in order to devise a unique treatment program that addresses those conditions. As multiple illnesses are present, the symptoms may and commonly do overlap contributing to the complexity of treatment.

The goal of dual diagnosis rehab centers is overcome the substance abuse issues and properly manage, and ideally overcome, the mental health issues. Treatment requires time and significant commitment on the part of the patient and the treatment provider at dual diagnosis rehab centers. If all conditions are not discovered and address, relapse is very likely.

Finding the right dual diagnosis rehab centers

Dual diagnosis is a complex illness that requires proper care and attention from appropriately trained and experienced health care professionals. Families and patients, themselves, are advised to carefully select only dual diagnosis rehab centers that provide all of the necessary treatment services required to achieve symptomatic relief and management of the conditions. A comfortable, safe, and conducive environment is a significant aid in promoting wellness and healing.

Dual diagnosis Miramar Recovery Substance Abuse and Dual Diagnosis Treatment Center is located at Laguna Beach. It is a facility that provides rehabilitation programs for clients suffering from drug abuse and alcoholism. We are fully licensed by the Department of Alcohol and Drug Programs of the State of California to provide chemical dependency rehabilitation and detoxification for our patients. To ensure that our clients are getting the best quality of treatment from medical professionals, our staff members are all certified, licensed, and accredited. Our medical expertise allows us to treat co-occurring issues that have been caused by drug or alcohol addiction.

More Dual Diagnosis Treatment Centers Articles

Question by Sean S: How Can a Woman with a Low Income Get Mental Health Care??
My wife suffers from life-long clinical depression. She was sexually abused as a child, then paraded around in Miss Teen USA pageants against her will. She has had teachers, parents and even a mental health counselor come on to her. She needs professional help to get over the depression and low self-esteem.

Is there somewhere she can go for a few weeks for an intensive sort of “rehab” as she calls it for depression for women? She wants a place that is safe from guys coming on to her. She just can’t take that again while she is trying to get better.

We are currently in NJ and we are residents of NH. I hate to admit it but we are poor. I was recently laid off and she has part time work. I am not back to work yet. We have no savings and no health insurance. I don’t know where to turn, but I need to help my wife. She is the most AMAZING person, and I’d do anything for her. I need to help her find a way to get help with this. Can anyone suggest anything? Thank you!
Wife does not drink, take drugs, etc… she is highly intelligent as was using the word “rehab” as an analogy to illustrate the type of facility. Sorry for any confusion with that terminology.

Also, write to Oprah?? Maybe I should just become a major league baseball player later this afternoon as well. Just about as good of a shot. Please… I need intelligent responses. We have suffered a financial setback at the worst time possible, but we’re not morons. Come on.

Best answer:

Answer by Joseph C
Send her to this site: http://www.fhu.com

It will help her more than the mental health people (some of whom are mentally ill themselves) and there’s a lot of low cost material available and some for free.

Give your answer to this question below!