PMCS (Preferred Medical Claims Solutions) Rehab and Eating Disorder Coverage

By Admin User, January 20, 2016.

PMCS (Preferred Medical Claims Solutions) Rehab and Eating Disorder Coverage

Millions of people in the U.S. suffer from eating disorders. They can be potentially deadly. But, with proper treatment, recovery is possible.

Getting Treatment for Eating Disorders

There are a number of different types of treatment settings for eating disorders. The right one for you or your loved ones will depend on your personal needs and preferences. The individual seeking treatment will go through a process akin to detox during which she or he will begin learn healthier habits and change her relationship with food and body image.

Someone who is psychiatrically or medically unstable will need to start on an inpatient basis at a hospital until they are stable enough to continue treatment. Once they are out of acute danger, they can move on to an inpatient rehab facility or an intensive outpatient treatment center.

The intensity and duration of the patient's care depends on a number of factors:

  • the severity and the duration of the condition.
  • his or her mental health status.
  • any coexisting medical or psychiatric conditions.
  • the insurance limits or the ability to pay out of pocket.

Preferred Medical Claim Solutions (PMCS) offers coverage for eating disorder treatment. Mental health coverage is required by all insurance companies under federal law. Your personal coverage will depend on the specific policy you have. Some will cover specific treatments or work only with specific facilities.

In some cases, you may be able to get a portion of your medical bills covered if you want to go to a facility that is not in your insurance's network. Often, a percentage of costs will be covered. For instance, you may get 50% of the cost covered and leaving you responsible for the other half of the cost.

Look at your policy to find out what centers are covered for treatment and what level of care you can afford with your current policy. This can help you narrow down the options available and help you find the right place for you or your loved one to get care and return to health.