How Treatment Providers Can Undermine Access to Care for Binge Eating Disorder

Over the last several years, laws in the United States have expanded insurance coverage and made treatment more accessible to individuals with binge eating disorder. While true parity and access to care for marginalized populations remains unrealized, we have seen strides in our country. Providers have in many cases been vocal advocates and helped to push important legislation and change forward. Unfortunately, however, there are still many ways in which providers may inadvertently be working against the process. If you are invested in being one of these individuals, follow our how-to guide below.

  1. Failing to recognize how being underinsured may impact your patients.

While the Affordable Care Act has increased access to health insurance in the United States, over 31 million insured Americans continued to face underinsurance through 2014 (Commonwealth Fund, 2015). Even those with plans through their employer are increasingly likely to be underinsured. Being underinsured means that, despite having health insurance, an individual cannot adequately afford the deductibles or other out of pocket costs associated with the plan. The result of this is that even those with health insurance are not accessing care when they need it. We know that patients with binge eating disorder face a myriad of barriers to accessing care, such as lack of early identification and social stigma, and underinsurance is a very real and prevalent barrier as well. For those patients who do start treatment, recognize that underinsurance may play a role in early termination of care or refusal to seek higher levels of care even when needed. Perhaps most frustratingly, dropping out of treatment due to resource constraints like underinsurance further undermines patients’ confidence that treatment could eventually be feasible or effective.

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Written by: Cyndi Eddington, Ashley Solomon, Psy.D., and Angela Woods

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