(New York Times) If you have chronic pain, chances are you have discovered that getting the care you need at a price you can afford can be, well, excruciating. These suggestions may help.
A MEDICAL ‘HOME’… It is important to find a primary care provider who will serve as your “medical home” and will work with you to coordinate care. You will avoid duplicative tests and procedures, and you are more likely to find the care you need…
MENTAL HEALTH… People with chronic pain are twice as likely to suffer from depression and anxiety as the general population, but insurance coverage for mental health problems often is inadequate for these patients. Fortunately, the recently passed mental health parity law should help make those services more available…
STRETCHING OUT… Exercise is one of the most effective and most affordable ways to manage chronic pain. Gentle stretching and exercises to increase range of motion and strength training are all helpful. (Get the go-ahead from your doctor before starting, though.)…
INSURANCE APPEALS… If your plan turns down your request for physical or behavioral therapy, or any other treatment, get a copy of the policy and read the fine print, said Jennifer C. Jaff, executive director of Advocacy for Patients With Chronic Illness.
If the policy says therapies are covered only if they are medically necessary, for example, you may be able to challenge the denial in an appeal. Sometimes insurers say they are denying coverage because you have not shown improvement, a standard that someone with chronic pain may find impossible to meet. Appeal those decisions, too. Ms. Jaff’s organization files free insurance appeals for patients.
AFFORDABLE DRUGS… It is important to find a doctor who will work with you to find a drug regimen that manages your pain and who will advocate on your behalf with an insurer. As with any drug, it pays to ask your doctor if an older, generic drug might be a reasonable substitute for a brand-name prescription.
If you do not have insurance or if a drug you need is not on your plan’s list of covered drugs, check out needymeds.org, a clearinghouse for programs that provide free or discounted drugs to people, generally based on income. [Click the title, above, to post a comment.]