We were sorry to hear the news about Billy Joel and Christine Brinkley’s daughter, Alexa Ray, who apparently attempted suicide. We’re deeply saddened for her and her family and wish them healing and support.
Among other things, this tragic incident once again calls attention to the disparity between the “haves and have-nots” when it comes to getting good mental health treatment. Depression and other psychiatric problems cross all age and economic boundaries. But access to appropriate care does not.
No offense to Alexa, but we bet she won’t have any problem getting the help she needs. It’s not so easy for the rest of us. Especially those on Medicare.
Private health plans are required to demonstrate credible provider networks across all medical specialties. They also have to show they have contracts in place and that appointments are available.
Medicare (original), on the other hand, is not held to similar standards. In addition, docs are leaving Medicare due to low reimbursement. The result? Inadequate networks of providers across specialties and across the country. If Medicare was a private health plan, this situation would be blatantly unacceptable.
If you’re on Medicare and having trouble finding a qualified mental health professional, here are some tips. And, if you’re uncomfortable advocating for yourself, enlist the help of someone you trust.
Explain you’re paying out-of-pocket to a provider who doesn’t take Medicare; ask for a block of sessions at a discounted price.
- Contact Medicare for a list of participating mental health providers. Call 1-800 Medicare. Verify current participation.
- Use these national resources:
National Institute of Mental Health Information Line:
Provides information and literature on mental illness by disorder for professionals and the general public. Call: 1-800-647-2642 - National Mental Health Association:
Provides information on specific disorders, referral directory to mental health providers, national directory of local mental health associations, and a Stigma Watch. Call: 1-800-969-NMHA (800-969-6642) - Share your story. Giving voice to the problem is essential for positive change.