SwifferSeal

SwifferSeal t1_jacv72j wrote

That’s very strange to me, when I joined BCBS I wasn’t even given the option to not accept omnia, and most therapists I know who take BCBS accept omnia plans as well. I have several clients with marketplace plans.

Edit to add: omnia is a type of plan through horizon BCBS, and it’s also not exclusive to the markets place. Lots of employers offer omnia plans in nj.

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SwifferSeal t1_jaabszu wrote

Hey, so I'm a therapist that accepts Horizon BCBS. Unfortunately, that IS considered mental health coverage. Once you've met the deductible, plans have varying levels of coverage and varying co-pays that you will owe per appointment, and therapists usually fall under the "specialist" rate for co-pay

It does suck that mental health visits are subject to deductibles. The best advice I can give is to look for a plan that's deductible isn't too, too high, and maybe start with therapy every other week until it's paid to space out the financial burden. I would strongly advise sticking with BCBS as your marketplace plan though and avoid Amerihealth, very few therapists in the state accept it.

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SwifferSeal t1_ja9o32r wrote

Based on what you're describing with scams, I would outreach Adult Protective Services. (609-747-7745). He's being subject to a form of elder abuse with these scammers. They can also point you in the direction of how to get him evaluated to determine his competency to make legal, financial, and medical decisions for himself. This will likely also involve in elder law attorney and possibly a case manager.

As for placement for him, there are some options for placements if he does not require the level of care a nursing home would provide (disability housing, independent living, PACE programs can help with living arrangements). APS and the office on aging are definitely good resources to start with that can help you there as well.

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