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  #26  
Old Sep 19, 2012, 12:19 PM
hamster-bamster hamster-bamster is offline
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For payment plans, a large hospital is more likely to oblige.
Thanks for this!
faerie_moon_x

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  #27  
Old Sep 19, 2012, 12:28 PM
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Praying for you , Dear. Keep us updated.
Thanks for this!
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  #28  
Old Sep 19, 2012, 01:43 PM
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Thanks to everyone. THis just has me triggered and my mind is going 100 miles an hour. I'll figure it out.
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  #29  
Old Sep 20, 2012, 10:01 AM
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how's today going?
  #30  
Old Sep 20, 2012, 10:23 AM
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I feel okay today. I am pretty manic, though.

Maybe not as much as yesterday. But yesterday I was that really super angry / dysphoric type mania. I just wanted to put my fist through the wall. I need to call the hospital today. I left a message with my other surgeon (the one that took out my gallbladder - he is a seperate entity from the murderers.) Anyway, I left a message asking how dangerous it would be to leave this stent in for a while.

This isn't easy for me. A big part of me just wants to say I'll be fine and do nothing. I don't deal with this type of stress too well. But, I know that's wrong. I am also going to look into medicaid again. Last year my middle boy was elegable but we weren't. Maybe now that the baby is born we'll be elegible. Because also yesterday we went for the first time in two years to get my husband's ADD meds because there is now a generic, and it was listed on the formulary as preferred... and guess what! That was a lie. Anthem requires you get brand for our plan. Ha!
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  #31  
Old Sep 20, 2012, 10:41 AM
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the ca anthem is different in many ways it seems. they make me get generic/brand in what seems a random way. so i think it has to do with what it costs them. which add med is he on? or ... supposed to be on! i have only taken adderall, and it's almost always the generic, $10 for a month supply.
  #32  
Old Sep 20, 2012, 12:43 PM
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Originally Posted by BlueInanna View Post
the ca anthem is different in many ways it seems. they make me get generic/brand in what seems a random way. so i think it has to do with what it costs them. which add med is he on? or ... supposed to be on! i have only taken adderall, and it's almost always the generic, $10 for a month supply.
He's on Adderall XR. We got it because we had the money at that moment and he's not been feeling well. Really all over the place and not getting anything done that he wants to do. It was $40... Generic is $15! That's more than double.

The brand of ADderall is like $400 without the insurance, so I would be shocked to learn that generic is more than that...

I looked up medicaid. I make $176 too much. Isn't that awesome? I remember now why we qualified last year for my 6 year old without the baby. My husband was running his "business" but he wasn't making much money at it. I think his biggest payment was $300. I paid like $1700 so we qualified just barely due to deductions. But now I make too much.... arhg!

They need to do that thing that expands coverage or whatever. But I think that's not until 2014.
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  #33  
Old Sep 20, 2012, 01:28 PM
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Originally Posted by dark_heart_x View Post
He's on Adderall XR. We got it because we had the money at that moment and he's not been feeling well. Really all over the place and not getting anything done that he wants to do. It was $40... Generic is $15! That's more than double.

The brand of ADderall is like $400 without the insurance, so I would be shocked to learn that generic is more than that...

I looked up medicaid. I make $176 too much. Isn't that awesome? I remember now why we qualified last year for my 6 year old without the baby. My husband was running his "business" but he wasn't making much money at it. I think his biggest payment was $300. I paid like $1700 so we qualified just barely due to deductions. But now I make too much.... arhg!

They need to do that thing that expands coverage or whatever. But I think that's not until 2014.
would it make any sense to ask work to change your pay rate while you get medicaid worked out? and then pay you back later. I've had employees ask me to reduce their pay, and have done it.
  #34  
Old Sep 20, 2012, 01:30 PM
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i also have reduced my own pay rate, and even had my kids on the free lunch & free bus program last year... applied for the medicaid, but there was a b.s. complication because i live in my mom's house
  #35  
Old Sep 20, 2012, 03:31 PM
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would it make any sense to ask work to change your pay rate while you get medicaid worked out? and then pay you back later. I've had employees ask me to reduce their pay, and have done it.
Ah, this would work except that many high ups in the company dislike me a great deal and are gunning for my job. For example, the HR person informed me (while I was in the hospital,) that I had no FML left because I decided to have a baby and that although getting healthy was important, they had to look at it from a business standpoint. If my illness was going to stretch out much longer, they would be filling my position. And, they have stopped granting me PTO for no apparent reason, although I've been back for two pay periods, and even my boss says I took time without pay not negative pay (they weren't paying me when I wasn't here.)

She made sure that my short-term disabilities papers had it written in large block letters YOUR LAST DAY OF FMLA IS 8/7!

Of course the lady from another department who is well liked and "respected" (not bipolar) has taken off almost a year and five months since she became ill with lieukemia. I agree it is horrible and I am sad that this happened to her, and glad that she is now back one day a week every other week. But the fact that she can take a year and a half with no threat to her job really is noticable. People who don't know about my other drama here have even mentioned that to me.

And, this is sad, but true. Also I'm sorry to say that people at my job allow their personal beliefs on politics get in the way. So, I know all of the payroll people and HR are firm believers that there should be no such thing as medicaid to begin with. So.... haha... isn't that fun?
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  #36  
Old Sep 20, 2012, 03:33 PM
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PS I'm having pain like I did before the hospital. So I reported it to my doctor. I am feeling rather hopeless. My husband said we should apply anyway to medicaid. Maybe once they see my hospital bills it will help.

I also called the hospital that works with people who are poor and without insurance. And guess what? They only offer payment plans to people without insurance. They won't set up a payment plan for a co-pay....
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  #37  
Old Sep 20, 2012, 04:29 PM
hamster-bamster hamster-bamster is offline
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Now that you are having pain, can you go to ER?

I do not think that presenting hospital bills will help qualify for Medicaid. It is a government program, so the rules must be rigid and "by the book". Have you contacted your local catholic charities?
Thanks for this!
treehugger727
  #38  
Old Sep 20, 2012, 05:02 PM
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faerie_moon_x faerie_moon_x is offline
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Originally Posted by hamster-bamster View Post
Now that you are having pain, can you go to ER?

I do not think that presenting hospital bills will help qualify for Medicaid. It is a government program, so the rules must be rigid and "by the book". Have you contacted your local catholic charities?
If it gets bad I will go. But, previously, when I went before I went by ambulance they sent me home to follow up with a surgeon. I was back two hours later because it was too late for that by then.

As for medicaid, they will pay back medical bills up to three months prior to the start of your coverage. Also they deduct income if you already have medical insurance premiums if, for example, you have one person on insurance and the others are not. But the people on medicaid can only have medicaid. There is also a type of catastrophic medicaid for peole who are not eligable, but I think that also requires that they have no insurance at all. I studied all of this in school, but it's confusing, too.

When I was uninsured my middle son cut his finger and we had to go in for stitches. I paid $100 because they insisted it was my co-pay (the lady kept waving an insurance card in my face, and I kept saying it wasn't mine.) Anyway, we got him onto medicaid and it paid the ER bills, even though it had already happened 6 months later I got a check in the mail with my $100.
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  #39  
Old Sep 20, 2012, 07:02 PM
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ughh thinkin bout you dear... got to be an answer...
  #40  
Old Sep 24, 2012, 09:43 AM
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faerie_moon_x faerie_moon_x is offline
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Well, friday I was extremely ill. I thought "oh great, this is it..." haha, good old drama. It was just the flu. So, I still have my problem. But the GI surgery place called me and asked "why on earth did you cancel your appointment? And why don't you want to have that stent removed." Because the surgeon was concerned that I had not rescheduled.

I told the woman it was because I don't have the money for the up-front co-pay and that I would surely love to have it out but thanks to their policy I can't. She wasn't concerned. Then I told her to tell the surgeon I was very sick with fever and vomiting. She said, "Well why should I tell her you just need to go to the ER." That was it. Hung up again. I swear they hire the most careless staff over there.

My extremely good surgeon (the gallbladder one who is a general surgeon,) his nurse went through all my symptoms and said it is probably the flu and not to go to the ER unless I couldn't keep anything down. Well, I could at last and just rested and now I'm fine. But, I feel like this is the shadow over me. From now on whenever I'm sick I"m going to freak out....
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