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Veteran Member
Member Since Sep 2011
Location: home
Posts: 595
13 1,836 hugs
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#1
The affordable care act, what it is and what it is does not cover.
First know and keep record of information that applies to you and your needs. There are Gold plans/Silver plans /Platinum plans. Medicare and medicaid are changing and what is covered is also changing. I am 100% totally disabled, reached maximum medical improvement, and care is now palliative by workers comp judge. 10 years later my body is wasting and I have no health insurance. I have been denied coverage by medicaid even though I do qualify. See the thing is, I DON'T OWN MY MEDICAL RECORDS ! So I am unable to prove my disability status, I was told by local and state levels that GOD could come down and tell them, it would not make a difference. But I am persevering, I found a bylaw that if I cannot get my medical records, they are supposed to send you for an independent evaluation, not reject you at the door. I copied this paper and showed them the highlighted policy and the worker got me to a supervisor. Also there are many waivers available on the website for people that need costly medical care. A waiver is an agreement between medicaid/medicare/ssdi and the federal government to offset your medical cost. There are plenty of people here on pc who qualify for platinum services. Please don't become overwhelmed and don't believe what a person tells you over the phone. Find fact sheets and policy. They look like 1901 B ect. the b explain the terms of medical care to qualified applicants. Happiedasiy http://www.state.nj.us/humanservices...me/waiver.html IF you live in another state just interchange my state for yours! __________________ Happiedasiy, Selfworth growing in my garden |
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Wandering soul
Member Since Apr 2010
Location: Off yonder
Posts: 6,019
14 |
#2
You have the right to your health care records, get them if you need them to prove your disability....
"Under HIPAA (Health Insurance Portability and Accountability Act), the Privacy Rule, gives you, with few exceptions (such as if we are deemed a threat to others), the right to inspect, review, and receive a copy of your medical records and billing records that are held by health plans and health care providers. A provider cannot deny you a copy of your records because you have not paid for the services you have received. Also, providers are not required to keep your records forever, and you must get copies in a timely manner to ensure you can maintain them." "If you request an electronic copy of protected health information, a covered entity is required to provide you with such electronic copy to the extent it is readily producible. Covered entities are permitted to charge reasonable, cost-based fees that cover the cost of copying (including supplies and labor) to provide you with a copy of your protected health information. They cannot, however, charge you a fee for searching for or retrieving your records. They can charge you a fee to obtain them but you have the rights to them." Many times it is a matter of completing and signing a form at the office, and paying a fee if required, to get a hold of them. I wish you well in obtaining your records and hope all goes well to get the support you need. Exerpts taken from www.HHS.GOV __________________ I can be changed by what happens to me. But I refuse to be reduced by it. -M.Angelou Life shrinks or expands in proportion to one's courage. -Anaïs Nin. It is very rare or almost impossible that an event can be negative from all points of view. -Dalai Lama XIV |
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happiedasiy
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