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GPee

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  1. Issues encountered with claim for psychiatric help Where do I start? I suffered a bout of depression, and went to see my GP. If you are in such a state, you are not in the best frame of mind to deal with the stonewalling and kafkaesque practices of PruHealth. You are quite likely to think "Is it worth the hassle", despite the fact that you are paying for a service and have a legitimate need of the resource. What I did not realise is that you have to do research on practitioners, to confirm that they are on the PruHealth list. (Practitioners so mention on their websites if they deal with Pru, or other healthcare insurers.) Otherwise, they refuse to pay. Their stonewall answer is that the practitioner should be registered with the GMC, which is like asking a fishmonger to confirm that he is a CORGI registered gas fitter before you are prepared to buy any fish from him. (In my opinion, any practitioner with a relevant accreditation (i.e. UKCP, BCP) should be deemed acceptable). Having followed their kafkaesque process, and having had an initial consultation with a specialist, PruHealth pared back the amount of sessions to 33% of the amount recommended by the practitioner! At the time, I was given a load of flannel that "one of our representatives will contact you". Not only do they neglect to contact you, this forestalling means you have nothing in writing with regard to the status of what should be an open-and-shut authorisation. It was several weeks after having seen the specialist that I was advised on the phone that the funded treatment was considerably lower than that recommended. The most efficient thing they have done has been to send a "how to complain to the Ombudsman" document, which I interpreted as "Go &&&& yourself, we don't care, and what can you do?" I gather that a number of my colleagues have experienced considerable issues with PruHealth. I see that one reviewer has made the wry observation that 'These fools are the Ryanair of the Health Insurance world!' Not even British Gas could out-do PruHealth in terms of poor quality service. I would steer clear of this cowboy organisation.
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