Some insurance companies have some really shifty policies designed to keep them from having to pay medical bills. I have had doctors do similar things in the past - so that their patients can get the care they need.
My ADHD can be considered pre-existing (from birth) and health insurance wouldn't pay for treatment. Yet, "major depression-recurrent" is not pre-existing. I have both and am treated for both, but the depression diagnosis has a different billing code and is therefore covered. Don't get me started on medication "plans." Health insurance companies creep me out.
Well, I actually understood that this is intended to be a tentative, transitionary type dx.....a ticket to treatment, really. The 'damage,' as I was told, is on the cellular level, therefore not evident in an EEG.
I would love it if my ins. would cover a neuro-pysch, but for the time being we will be treating her based on 'symptoms' rather than an actual dx, or a dx that I agree with or understand. I hope that doesn't sound reckless. I don't really care what they call it, as long as they treat it without harming her.
SE---is this not organic brain syndrome? Is this doctor making up a dx. for insurance? Unless the child is very severe, I would question the dx. Why does it matter what the ins. company thinks? Again, I'd question this big time--probably go to a NeuroPsych. I always thought it meant brain damage and I'm just wondering about the entire dx. Don't feel bad. Ask questions. ADHD and Aspergers are NOT brain damage...they are Neurological disorders, unless I have SE wrong.you can say that again about doctors because I can't understand anything they say I tell them can you explain that in english please..My sorry in class and someone sneezed.... lost consentration.. as I was saying my husband says he doesn't like our ped. doc.omg pj's----that was horrid! doctor's explain things like crap today.... i would go somewhere else...just my opinion...My dd's eval results have come back to her ped. Eval by a Dev. & Beh. Ped. I searched the net and found SE to be present in cerebral palsy and fetal alchohol syndrome! Talked to the ped. to further clarify! It is also a sprectrum disorder, possibly presenting as ADHD and HFA. (Aspergers is the possibility here)
It was explained to me that this was to avoid negative labeling by our ins. co.
I was in tears before I was told. I just felt I should share in case anyone else could tell me anything more or could benefit from knowing what I immmediately did not.
I think I'm understanding him correctly....lol! He also referred to not wanting to 'label' and set her up for discrimination in adulthood. Ex.- If she was misdxed with say ..... epilepsy (off the wall, random example, not a possibility for her) then, as an adult she would have trouble getting a job as.... a firefighter. (Think of the flashing lights, what a nightmare it could be. Ours here flash pretty fast.) Even as a mis-dx, it might prevent her from living her dream. KWIM?
Why don't they teach drs. English in med school?