CSN Login
Members Online: 6

You are here

hate alabama medicaid

druidshadow's picture
druidshadow
Posts: 85
Joined: Feb 2012

when i went from ssi to ssdi, they cancelled my medicaid cause in this state there is only medicaid for prego woman and kids. well i am not a woman nor a kid so i do not matter here in alabama.
john

Brenda Bricco
Posts: 579
Joined: Aug 2011

That is just so wrong... I guess I shouldn't be complaining when they deny expensive prescriptions for my husband. I am so sorry.
Brenda

steved
Posts: 835
Joined: Apr 2004

I am regularly amazed by the perverse aspects of the US health system. No system is perfect but having trained in the public health systemo f New Zealand and now working in the NHS in England I struggle to understand the incredibly complex system of who is entitled to what in the US. And I get the feeling that people on this site are on average more lucky than many who aren't here.

Makes me angry and more of a fan of the social welfare state (though I don't want to trigger a discussion with political undertones so just ignore that last bit)

steve

ketziah35
Posts: 1154
Joined: Jun 2010

It isn't necessarily the whole US. Some states have lower taxes, but limited social services. When I lived in NY I paid more taxes, but healthcare and free services are better and in more supply than GA, where taxes are cheaper.

Lovekitties's picture
Lovekitties
Posts: 3333
Joined: Jan 2010

What was it that caused the change from SSI to SSDI?

From what I can see that may be the issue. SSI folks get Medicaid while SSDI folks qualify for Medicare after 2 years.

Can you contact the state agency governing insurance and/or social services to see if there are other options available to you?

Hope you find a solution.

Marie who loves kitties

Goldie1's picture
Goldie1
Posts: 264
Joined: Sep 2011

thing as Marie. When you get SSDI, you are eligible for Medicare 2 years after date of diagnosis. Call your local SS office.

Take care,

Ellen

Annabelle41415's picture
Annabelle41415
Posts: 6349
Joined: Feb 2009

Thinking that this is only stage 4 because not all cancer patients could get it. Thinking it depends on state and stage.

Kim

Lovekitties's picture
Lovekitties
Posts: 3333
Joined: Jan 2010

While Medicaid eligibility can vary from state to state the rules for Medicare are standard as it is a federal program.

If I recall other posts, those diagnosed Stage 4 can get benifits earlier than the 2 year waiting period.

I suggest a call to Social Security to find out if there is something more that can be done to cover medical costs.

druidshadow's picture
druidshadow
Posts: 85
Joined: Feb 2012

try and i am stage 4 most the give me is 2 years my liver is almost gone from cancer, even my new doc says i have very slim chance at going past that and it was a ss caseworker that told me there was and would be no help from medicaid or medicare till dec 3013. but thanx for hearing b####ch.
john

druidshadow's picture
druidshadow
Posts: 85
Joined: Feb 2012

in this state i have no choice but to pay for it all my self till medicare kicks in in dec 2013 the hospital is trying to find some grants to pay for the chemo but i still have to pay 300 of my 530.30 check i get from the ssdi for the scripts i get a month.
john

tootsie1's picture
tootsie1
Posts: 5056
Joined: Feb 2008

So sorry, John.

*hugs*
Gail

steved
Posts: 835
Joined: Apr 2004

Can I take the opportunity to try and get a basic understanding of the US system asI feel very ignorant. I understand that taxes vary between state so the level of social welfare and free access to health care vary- is that free access what is called medicaire and how does that vary from medicaide?

My other understanding is that people have private insurance of variable levels that is often provided through their employer. I assume then that if you don't work you only have access to medicaire level treatment but if you have insurance you have access to 'more' or 'better' treatment? Is that correct.

How does this translate for for this group of people here with cancer- does it affect what chemo people have access to or other treatments including surgery, cyberknife, RFA etc?

It is very complex for an outsider to understand as generaly in the UK there is one system that all have access to and only a small private healthcare component (though there are moves towards more private providers that worries me).

If anyone has teh time to do a brief description of the system it would really help me,

steve

druidshadow's picture
druidshadow
Posts: 85
Joined: Feb 2012

basically if you are below the poverty level which here in bama is 937$ a month you are basically screwed from help if you are male, and am the type of person i have always put others first so i have had no health care since i was 16. which is y i got so bad to start. i hope this helps
john

relaxoutdoors08
Posts: 520
Joined: May 2011

Everytime I read about those without insurance my heart breaks. Our teacher policy did not cover cancer screenings for women. We paid $680 per month for my husband and me for individual ploicies that were stripped down. The issue in Minnesota was Teacher Policies were based on each school having their own BCBS group policy no matter how small the district. One or two illnesses and the rates went up 10% to 40% each year. The fix was for the legislature to put schools under the State of Minnesota group to reduce cost and have more monies for educating our students. For three times the law passed with both political party support but Gov. Pawlenty vetoed the bill 3 times. So teacher policies continued to rise and coverage was stripped down. The Health Care Reform forced MN BCBS to no longer issue policies without cancer screenings. Saved my life so far....

Prayers,
NB

Lovekitties's picture
Lovekitties
Posts: 3333
Joined: Jan 2010

Receiving financial assistance to cover medical costs in the USA is a complicated mess and non-existant for many.

Employer Insurance - who gets it: If you work your employer may have a contract with a private insurer to provide their employees access to insurance. In some cases the employer will pay the cost to cover the employee only and the employee has to pay if they want to cover their dependents and spouse. There are many plans with varing coverage and many different private insurers. So if you change employer, you will likely change your insurance company as well as the amount of coverage. If you work for a small business or are self-employed you are likely responsible to obtain your own private insurance, which is very costly.

State sponsored coverage (Medicaid) is basically some medical coverage for those at or below the established poverty level. The eligibility requirements and what is covered varies by state.

Federal sponsored coverage (Medicare): When you work you actually pay into the Medicare fund...a tax. Generally Medicare comes into play at age 65. Those younger than 65 with certain disabilities can become eligible before 65. The overage is actually in parts. Part A is basically hospital coverage and is "free". Part B is generally for physician costs and you actually have to pay for it. Part D is for perscriptions and you have to purchase that from a participating carrier. There are other "supplemental" plans which you can purchase to help cover costs not covered by Medicare.

There are loopholes in all of this...for instance...a physican or private hospital does not have to take patients who are covered only by state or federal programs. In other words you can be turned away.

None of the coverages are 100%. Each insurer, whether private or government funded, gets to determine what is a reasonable cost for the service. In most cases the coverage is then only 80% of the reasonable cost and there is usually a deductible involved (a certain annual amount you must pay before coverage begins). With private insurance the patient is responsible for the difference between the actual cost and the reasonable cost. With Medicare the physician/hospital have agreed to accept the reasonable cost.

This is generally a quick picture of coverage in the USA and why so many have no insurance at all and why those that do get varying access to the services they need.

As I said, our medical coverage is a mess no matter how you slice it, and why even those with some coverage face great financial woes.

Marie who loves kitties

steved
Posts: 835
Joined: Apr 2004

Is useful to understand why so many people describe such a variety of issues with it. I would be interested to hear from people as to how this translates on the ground for them receiving cancer care. Really is only for my understanding as interested as a doc that works in a totally different system.

steve

Subscribe to Comments for "hate alabama medicaid"