Eating Disorders are layered and complex issues that are rarely about food, eating, appearance, or beauty. They are usually related to emotional issues, such as control and low self-esteem, and often exist as part of a “dual” diagnosis of major depression, anxiety, or obsessive-compulsive disorder.
This is important to remember when trying to understand the behavior of an individual suffering from an eating disorder. Family members have many questions about the “why” and the “how” of their loved one’s disorder. The questions are listed below aren’t meant to be a comprehensive list, but a basic overview of some of the questions that you or others may have about eating disorders like anorexia nervosa, bulimia and binge eating.
Frequently Asked Questions About Treatment
How Long Has Shoreline Been Around, and Where Are You Located?
Shoreline has been treating all forms of eating disorders since 1995. We have been awarded a 3-year accreditation by CARF, a non-profit organization that monitors the quality of treatment programs. We are located in Long Beach, California, on the border of Los Angeles and Orange Counties in a beach-side community known as Belmont Shore.
Do You Take My Insurance?
We are in-network with the following managed care organizations: Aetna Behavioral Health, BlueShield, United Healthcare/United Behavioral Health, PacifiCare, Value Options, Cigna Behavioral Health, Anthem BlueCross, Greatwest, Magellan, MHN, Kaiser, Tri-West, and Oscar. We do single case agreements as needed.
Do You Use the 12 Steps?
Although we embrace the 12 steps as an incredibly valuable tool for addiction recovery, we do not utilize the 12 step model in our eating disorder treatment programs. Many clients have co-occurring addictions, which we actively address. In those cases, we very much support the use of AA/NA meetings and sponsors and assist clients to become engaged in those programs as a supplement to their Eating Disorder treatment.
Can I Be a Vegetarian in Your Program?
We will explore the roots of your choice to be a vegetarian as part of your treatment; however, we respect your rights to remain vegetarian if the practice was in place prior to your eating disorder.
How Long Does Treatment Last?
This is a complicated question. The answer depends on a person's progress in treatment. If you are utilizing your insurance, their willingness to authorize treatment is a major factor. We are not a set time-frame program and will advocate for the appropriate level and duration of care that will give you the best chance at sustained recovery.
Is It Normal to Be Terrified?
Yes, this is the nature of the disease. Fear. You don't have to be 100% sure you want recovery when you come to Shoreline. We know you might be afraid and believe it is part of our job to help you reduce those fears and increase your desire to be free of your eating disorder. A large part of the recovery process is working on motivation! We can help.
How Do I Get Started?
The first step is to call us at 562-434-6007, and speak to an intake specialist. We will schedule a full telephone or in-person assessment, verify insurance coverage, discuss admission dates, and respond to all of your questions!
What should I say if I am worried about someone?
Set a time to talk. Set aside a time for a private, respectful meeting with your friend to discuss your concerns openly and honestly in a caring, supportive way. Make sure you will be some place away from distractions.
How will I know what to eat when I am not in the program?
You can expect to meet with the dietitian within 48 hours of your admission. In that session, you will discuss meal and snack ideas, portions, and goals. Any meal plans that are created, are created specifically to your body's needs and preferences and will be updated throughout treatment.
What You Can Do to Help Us Help You Get Your Insurance to Cover Treatment?
1) Request a copy of your insurance policy before going into treatment. Without a copy of your policy, you don’t know what your coverage is. We cannot assist you in determining what your benefits are until we read your policy. You can easily request a copy of your policy from your employer, or directly from your insurance company. They are required by law to give you a complete copy upon your request. (The Nitty Gritty): Remember to ask for a full and complete copy of your policy and do not accept a “summary of benefits.” You should receive a booklet that is 80-100 (or more) pages in length. Also, do not let your insurance company or employer tell you that they cannot give you a copy. You must be furnished a copy upon request. Familiarize yourself with your policy, but also understand that sometimes even our attorneys find policies confusing and complicated. Do not be discouraged if you are unclear about what your benefits are after reading your policy. If you need help determining what coverage you have, we are happy to review your policy without any cost to you. DO NOT underestimate your benefits or let your insurance company tell you over the phone, “You don’t have residential treatment.” Why? Because sometimes, even if it seems like you don’t have coverage, you might have access to benefits because of the Patient Protection and Affordable Care Act, The Paul Wellstone and Pete Domenici Mental Health Equity and Addiction Act, or your state's mental health parity act.
2) STAY IN TREATMENT, EVEN IF INSURANCE DENIES OR TELLS YOU THEY WILL NOT PAY FOR TREATMENT. Not everyone knows or remembers this piece – but it is incredibly important. It is important not only for your health and recovery but also for your chances to challenge an adverse decision or insurance denial. Even after receiving an insurance denial, YOU MUST STAY IN TREATMENT IN ORDER FOR US TO PURSUE LEGAL ACTION. We want you to know that this is not “our rule.” Why do we need you to stay in treatment? Because of ERISA, the Employee Retirement Income Security Act. ERISA governs employer-provided insurance policies. ERISA dictates that we cannot pursue legal action for you, without first being able to prove that you lost benefits because insurance did not pay your benefits or cover treatment. And of course, the only way you will have unpaid benefits is if you stay in treatment… and pay out of pocket. (The Nitty Gritty): Trust us, we know that not everyone can afford to pay out of pocket for treatment. If we could modify ERISA, and make it so that we could help you without asking you to pay for treatment, we would. Remember, even if you can’t afford to pay out of pocket, do not give up! We encourage you to talk with the treatment center and ask them if they will allow you to stay in treatment while we work on your case. Perhaps you can work out a payment plan while you pursue legal action. We always recommend that our clients follow the advice and recommendations of their treatment team, not their insurance company. Do not let the insurance company dictate your recovery! You deserve to have access to the benefits that will help you or your loved one heal and we want to help you. But in order for that to happen, we ask that you help us help you by staying in treatment.
3) Know that an insurance denial is not the final word. An insurance denial can be incredibly frustrating, stressful, and intimidating. The appeal process is complicated, but we can help. After a written denial, contact us for support. Let our expert attorneys work with your insurance company and treatment facility after a denial. You have enough to worry about while you or your loved one is sick and in treatment, so let us work to gain reimbursement of the benefits available under your policy. (The Nitty Gritty): If your insurance denies coverage for treatment, we can only help you recover benefits if you have an insurance denial in writing (and have STAYED in treatment to prove a loss of benefits.) Without a denial, we cannot help you. We need to be able to prove what was denied and when. We hope this information gives a better understanding of how you can help us help you. Please know that we really wish we could help every single person who contacts our office. We firmly believe that everyone deserves access to life-saving treatment. However, sometimes we are not able to assist or sometimes we are simply not the best fit for your legal needs. We never turn away cases because we don’t want to help. If we do not feel we are the best firm to handle your case, we will do our best to refer you to an expert who can assist you. If you have been denied insurance coverage for the treatment of your eating disorder or mental illness, or if you have any questions about how we might be able to help, please contact us for a no-cost consultation. Source: Kantor & Kantor Eating Disorder Legal News
What Programs Do You Offer?
We offer Intensive Outpatient Programs (IOP), Partial Hospitalization Programs (PHP), Residential Treatment (RTC), Individual Outpatient Therapy, and Eating Disorder Support Groups.