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I've recently been denied coverage for my stay at a local intensive outpatient program. My issue is this: That I've suspected, but now confirmed, that it was my attending physician at the program that is actually the problem, and not the insurance company. In fact, I've confirmed that the insurance company is still open to hear anything my attending physician has to say to authorize more days in the program. He just refuses to do so and to discuss with me the details of his conversations with the insurance company.
Long story short--my physician has never been honest and candid with me about what he thinks about the issue of continued stay in the program. I have repeadedly asked him to just be honest and straightforward with me. His responses have always been vague, never direct. I have gone to the program's ombudsman and a staff member within the program that I trust to complain about this.
My problem is this--I've noticed that some of the staff and fellow patients are reacting to my complaints as just me not wanting leave the womb. The insecure side of me agrees with them. But the adult side of me knows I'm doing the right thing. I am pursuing this matter quite vigorously, on the sides of both the program and the insurance company. I am doubting myself as to whether or not I'm being reasonable in my pursuit; but, on the other hand, and w/o going into the details of it, I know deep down inside of me that I'm doing the right thing. That is, I'm advocating for myself and my doctor has in fact breached his duty of honesty and openness.
I need support with this, I'm tormented, please help by giving me your honest opinion.
Thank you in advance.
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