Refused to see me when my insurance changed despite that my new insurance pays them as much as my former insurance. Apparently, they did not know that I am dual eligible and so had two insurances at same time, a rare occurrence for a non-married person/patient. My new insurance was through the same insurance company as my former insurance yet they did not study the details of my new insurance. They may have assumed that I had only one type of coverage. Some appear to know very little of the truth about the poverty safety net and do not understand what it is like being long term poor. They promptly dismissed me when my insurance changed and did not ask me if I wanted to pay them out of pocket for a while and do not offer a sliding scale for fees. My SSDI income is high and my living expenses low. They never bothered to ask if I was interested in paying out of pocket for a while. The system is fragmented. If one is poor, they should hand the poor patient a list of public and private area charities that can help with utility bills, etc. temporary and permanent housing phone numbers, etc. and tell the patient to make calls and/or apply for financial help/free meals/clothes so that patient can afford therapy. They should tell patients that if they have certain mental health diagnosis that they may be eligible for a case worker outside of their practice. Usually, those on disability can get a case worker. I was given a nurse practitioner as a psychiatric med prescriber instead of a specialist M.D.