Navigating the world of treatment and insurance can be overwhelming, but Amudim is committed to guiding individuals on the right plan of healing. While we may hit a few roadblocks along the way, we will work with our clients and families to reach the appropriate end goal.
Rachel*, a 16 year-old with a history of depression, suicidal ideation, and poor daily functioning, entered our radar when her father, upon the recommendation of her therapist, reached out to Amudim.
Rachel has struggled for many years. She had difficulty in school and was bullied by her peers. Her parents did the best they could by getting Rachel a tutor and placing her in therapy. Over the years, Rachel saw many therapists with no improvement; she was in pain and engaging in at risk behaviors. She was depressed and no longer attending school. Things were continuing to spiral when we received the call.
Our case manager determined that Rachel would benefit from a residential treatment program for which the family had out of network coverage. We handpicked a program to help Rachel and her family begin the healing process; and she was set to conduct her intake the following day.
But we hit a devastating snag-the claim was denied. The family was heartbroken after hearing that help which had seemed imminent might not be available. Amudim and the treatment program immediately set to work appealing the decision, and we collected the necessary paperwork to begin the uphill battle. Thankfully, we received word minutes before Shabbos that we had won the appeal. Yet there was still a problem. Admission was required within 48 hours of insurance approval and the program does not generally take admissions over the weekend. Our case manager was able to successfully explain the concept of Shabbos and negotiate a Saturday night admission for Rachel.
Baruch Hashem, Rachel is now in treatment and getting the proper help. The family is also in therapy to work on getting through and past this difficult process.
It is not often easy, but Amudim is committed to helping find someone the treatment he/she needs. If you or someone you know is struggling, contact us
*Names and details have been changed for privacy purposes.