At MOEDA we realize that navigating the insurance process can be both frustrating and time consuming to those seeking eating disorder treatment.
The Missouri Eating Disorders Association (MOEDA) understands that insurance companies continually deny or cut short treatment services. Missouri is the first state to expand insurance coverage for eating disorders. Effective January 2017, Senate Bill 145 explicitly states the types of eating disorder treatments insurance providers must cover. The new law builds on the mental health parity law by expanding the definition of “medically necessary” to include mental health treatment. It will also ensure that weight no longer serves as the sole determinant for whether someone may continue treatment.
To read the Senate Bill 145 Summary click here: http://www.senate.mo.gov/15info/BTS_Web/Bill.aspx?SessionType=R&BillID=134952
To read the entire Senate Bill 145 click here: https://legiscan.com/MO/text/SB145/id/1232353/Missouri-2015-SB145-Enrolled.pdf
To contact the Missouri Department of Insurance click here https://insurance.mo.gov/. The downloadable guides are available to help you and your loved ones.
COBRA Rights Checklist
List of requirements that employers must follow to inform their group health plan beneficiaries (employees, spouses, dependents) of their rights under the Consolidated Omnibus Budget Reconciliation Act (COBRA). (http://www.nationaleatingdisorders.org/sites/default/files/ResourceHandouts/COBRA.pdf)
Sample Letters For Insurance Companies
Sample letters to use for various circumstances. http://www.nationaleatingdisorders.org/sites/default/files/ResourceHandouts/SampleLetters.pdf
How to Manage an Appeals Process
Appeals can take weeks or months to complete, and health professionals and facilities that treat eating disorders advise that it’s very important for the patient’s wellbeing to stay in treatment if at all possible to maintain progress in recovery. Learn more. (http://www.nationaleatingdisorders.org/sites/default/files/ResourceHandouts/AppealsProcess.pdf)
Securing Eating Disorders Treatment
Unfortunately, some patients and families frequently have to fight to get the appropriate and necessary treatment for eating disorders. Here are some arguments to use when trying to secure treatment from an insurance provider or another third party. Learn more. (http://www.nationaleatingdisorders.org/securing-eating-disorders-treatment)