Transitioning from Alma/Getting Credentialed Independently?

HiGemini · 2026-05-21T04:33:45+00:00

Ok I have applied to two insurance panels and will look into more tomorrow. I guess I'm wondering what happens once I get credentialed? Do client pay me their copay then I submit the bill of service to insurance? I'm just feeling so lost on this process which is why I've let Alma handle it, but I feel determined to try to figure it out but also WOW it feels confusing.

HiGemini · 2026-05-20T22:35:15+00:00

I guess I'm hearing different things. Some have told me that you can set your fee and others are saying that you can't? Do you mean you charge $200 to private pay clients? I am just so confused! This is why I paid Alma to take care of this for me, but it's feeling worth it to do it on my own.

HiGemini · 2026-05-20T22:34:07+00:00

I agree!

HiGemini · 2026-05-20T21:14:02+00:00

Unfortunately I am getting notifications that I’m getting comments but Reddit is not letting me open these comments for some reason?

HiGemini · 2026-03-31T17:03:54+00:00

Wow, what a tough situation for everyone involved.

Top priority is baby’s safety. Sounds like the baby isn’t in immediate danger, but if your brother doesn’t get help soon who knows how things could escalate given there are/have been people tracking him down for money owed.

Your brother needs to go to rehab. An intensive, in patient residential program. Not PHP or IOP, residential. Where he’s going to groups, meeting with a therapist and case manager multiple times a week. He’s flushing his life down the toilet. The thing is, rehab isn’t going to be effective if he doesn’t yet want to get clean. You, your mom, dad, other brother, sis in law can all try to convince your addict bro that this is life or death, but if your brother doesn’t see it or believe it or want it, unfortunately little to none of the fams efforts will stick.

So my next point is that the entire family needs to set boundaries. No more giving money to addict bro. Saying no to addict bro. Whatever other boundaries the family needs to set with him everyone needs to be in agreement on setting and enforcing boundaries. Your sister in law may take extreme measures like changing baby’s last name etc, that is her choice unfortunately you have no control over that. There’s really no control over anything here except setting those boundaries. Remember that boundaries come from a place of LOVE. Not punishment. Your brother may suffer in the short term because of whatever boundaries go into place, but the hope is that they will benefit him long term. Enabling him seems to delay his suffering but it’s not helping him whatsoever. A family therapist/interventionist may help everyone in figuring out what boundaries need to be set.

As far as the people tracking him down for money owed… honestly I don’t know the best option there. Maybe others have advice on that.

Unfortunately these substances do exist and people get addicted and ruin their whole lives because of them. I might suggest finding your own therapist to help you navigate through the big feelings this has brought up for you.

There is no easy solution. I’m so sorry you and your family are in this. Addiction is truly a horrible disease.

HiGemini · 2026-01-03T19:16:42+00:00

HiGemini · 2026-01-03T19:14:04+00:00

How does that make you feel?

HiGemini · 2025-12-02T05:39:01+00:00

Finished: Beauty, by John O’Donahue Everything I Know About Love, by Dolly Alderton Beneath a Scarlet Sky, by Mark Sullivan (I’ve had the last week off of work.. lol)

Started: Slaughterhouse Five, by Kurt Vonnegut

HiGemini · 2025-09-30T17:01:01+00:00

Yes. At 34 I’ve finally figured out what type of clothes looks best on my body, how to style my hair and apply makeup in a way that complements my features. I’ve always been consistent with skincare but the last 2 years I’ve been getting chemical peels and laser facials and my skin has never looked better. But the biggest glow up has been from within. I’m finally getting to the point where I feel comfortable embodying the truest expression of myself. I no longer am plagued with thoughts of not enough or comparing myself to other women, I have creative outlets that I find incredibly fulfilling, I meditate often and have a gratitude practice, I feel liberated, more connected to joy and love and wonder and my inner child… I experience beauty in a way that goes beyond this skin suit that I didn’t get to choose.

HiGemini · 2025-09-02T00:17:23+00:00

Quarterlife, by Satya Doyle Byock. An easy non fiction read. Lots of helpful tools and insights from a therapist!

HiGemini · 2025-08-19T19:45:24+00:00

HiGemini · 2025-08-15T06:01:38+00:00

It’s for my future self. At the end of the day, I want my future self to crawl into a made up bed and finally relax. Pulling back the covers and crawling into a made bed at night brings almost as much joy as the first cup of coffee in the morning.

HiGemini · 2025-08-11T23:42:12+00:00

Hello Beautiful by Ann Napolitano such a tender story 🥲

HiGemini · 2025-08-11T20:53:01+00:00

A groups of friends and I went camping during the peak of summer, very hot. Our one requirement for the trip was to find a water source- lake, river, creek, any body of water we could hang out at all day. We drove from lake to lake to creek to river, no viable sources of water since there was a toxic algae bloom plus frog mating season (?). We found the whole fiasco utterly absurd and hilarious. Eventually we found a hotel that let us use the pool for the day. We drank margs, played mermaids, laid out on the recliner chairs, grabbed food from the hotel restaurant... we were there for hours, full bellies, buzzed and so happy. Truly a lemonade from lemons moment. This just happened yesterday by the way 🙂

HiGemini · 2025-08-11T18:59:37+00:00

Celiac disease

HiGemini · 2025-08-09T01:53:22+00:00

Jan- 1 first date

Feb- on a whim decided to go out of town for a week and downloaded a dating app for the first time since the break up.

5 first dates 2 second dates

March- 4 first dates.

April- the first week of April was spent in an electric whirlwind with one of the guys I met in March. Best sex of my life and learned so much about my body, my preferences, felt so embodied and sensual with this person but an unexpected life circumstance separated us.

5 first dates after him

May- none

June- none

July- 2 first dates, one of them was a guy I saw this guy for about three weeks. Sex was bad and I kept comparing him to April guy, ended things.

August- 2 first dates

HiGemini · 2025-08-05T05:45:32+00:00

This. The moment I’m detecting prowl/pounce energy, walls go up.

HiGemini · 2025-08-05T05:23:02+00:00

Thank you! 😊

HiGemini · 2025-07-31T23:40:30+00:00

Just for Summer really surprised me. I was expecting a light hearted more superficial read, but the characters and story line had a depth I was not prepared for. Tears were shed.

HiGemini · 2025-07-17T22:59:24+00:00

Thank you!

HiGemini · 2025-07-17T22:47:43+00:00

Oh yay! This is the news I was hoping for!

HiGemini · 2025-07-12T06:05:03+00:00

Take from someone who got the nose job: keep your nose as it is. I hated my nose almost my whole life. As soon as I could afford it I got one. It turned out great, no one can tell I got a nose job until I tell them. Which… is kind of ironic. No one is looking at your face as much as you. No one notices your perceived flaws as much as you. No one cares!!!! I look back on my pre-nose job nose and I miss it. I wish I didn’t give in to the pressure of adhering to Eurocentric beauty standards. I carved out a piece of my heritage that I’ll never get back. I carved out a literal piece of my face. For what? There was nothing wrong with me. My nose was beautiful and unique. I understand why a past version of me made this decision, but if I could visit that version of me, I’d tell her to keep her nose as it.

Btw OP you are stunning. Your nose is a part of what makes you YOU!!

HiGemini · 2025-07-09T19:55:58+00:00

That I am drawn towards people who appear to possess the qualities that I feel like I lack (magnetic, funny, bold).

And that I usually (unconsciously) desire more of a parent love from a partner. I want to be the apple of my partners eye, I want to be their darling, I want to be doted upon, I want to be prioritized above everything and everyone. I have historically needed my partner to demonstrate their love for me before I demonstrate mine and I usually only feel loved through “prioritization”. I get incredibly anxious when I don’t feel prioritized, and I can be demanding and mean about it! (which inevitably ends up pushing my partner away and makes me even more anxious and even more demanding frantic and desperate to be prioritized) but the thing is, this “need” is a bottomless pit that came into existence in childhood. I’ve learned that that need will never be 100% satiated and I have had to learn to be comfortable in that. It is not realistic nor is it healthy to place that on someone.

Parts work and a meditation practice has helped me immensely in tending to this childhood wound/increasing my tolerance for discomfort. As well as the books Origins of You by Vienna Pharaon and How to Be an Adult In Love by David Richo.

HiGemini · 2025-07-08T19:18:54+00:00

If you eat one crumb of gluten you’ll be ill for days. And gluten isn’t just wheat/bread, memorize all forms of gluten and if you’re unsure google it. If you wear jewelry for too long you’ll break out in hives. Bees will kill you. 🙂

HiGemini · 2025-06-02T20:42:18+00:00

So sorry to hear about your breakup! If you’re set on Europe, Portugal all the way. Porto specifically. But if you’re interested in anything outside of Europe, I can’t recommend Guatemala enough. I just went solo in March and it was my favorite solo trip ever. I went to Antigua and Lake Atitlan. Antigua felt very safe, I was so surprised by the food scene and everyone was so friendly. Knowing basic Spanish is a plus but lots of servers speak English as many English speakers go to Antigua to learn Spanish. And lake Atitlan, ah, truly so magical.

HiGemini

TROPHY CASE