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ksmith

Do they truly care?

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So it started by getting a letter from the  Marketplace Healthcare.gov stating that I have to contact my local Social Security office to either get Medicare Part B or I may have to repay all the subsidies I've received of the past three years. I had to get a letter from my local Social Security office stating I didn't want part B , which I did and stamped by the officer in 2011 and mailed in to the Marketplace , which I did and that was to continue getting the subsidy to use to purchase private insurance to cover my premium for that made it possible to see my specialist. So Long story short, we walk in( my father and I ) and get my number and wait to be called.

 

 Hazzah... we're finally called

 

 and go to the window only to be told that there's nothing they can do there. We are told I have to call the Marketplace.

So back to my parents house and call the Marketplace. We proceed to be passed to about 4 supervisors only to be told that I was going against the law by using the money the state was giving me to use for my health insurance , which I gave the a letter and they approved me, so I may have to repay them. Good thing I kept the letter and the approval letter they gave me huh. 

 

So long story short.... I still fall beneath the poverty level and may be able to get my coverage for free.. BUT.. I have to go back to the Social Security Office... and still more hoops.. The worse thing about Medicare is it doesn't cover vision.. I can't afford the private insurance on my own. So I have until 9/30/17 and the pen enrollment for Medicare is 1/1/18 but I may be able to get a special enrollment. 

 

(Mind you today was just one day. I've been trying since June)

 

So that was my day..... Just had to vent. 

 

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So sorry you had to be exposed to this kind of bureacratic mess.  It is hard enough to have a condition but to deal with these companies that are so large they cannot organize sufficiently to get what is necessary accomplished.  

On a positive note, I work with the military oftentimes and lately, after 20 plus years of inefficiency, they got two clients pushed through the system affectively with extensive assistance.   It gave me hope that maybe these systems are finally scared enough to get thier act together.  Went so smoothly.   I worked because at the onset I answered the phone and dealt one to one with the referral source and united as a human to human instead of a gatekeeper who knows not how to get a task done easily and works with the rules instead of not reading between the lines of all that is written so no one can understand it easligy.

 

Hope it gets you exactly what you are in need of.  You deserve  it.

                                                              

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Kelli, it's clear why you needed to vent.  Having to deal with that would drive me 'round the bend!  All my hopes that you get this sorted out quickly.  

 

When I encounter a complex problem with something, I go to the P.E.I. Council of Persons With Disabilities, and they'll advocate for me because of my cognitive deficits.  Do you have any agency that can help you out??  Hope So!

 

...................................

 

Going to input an article that was in today's CBC Health: Second Opinion newsletter.  Not certain at all if it would be considered political, so move it, delete it, whatever should be done, if necessary.   I'll understand.

 

 
martin-danielle-health-card__1_.JPG
You Tube
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Danielle Martin goes to Washington, again

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The first time Dr. Danielle Martin went to Washington she became an internet sensation.

Close to 28 million people have watched her blistering response to a U.S. senator who criticized the Canadian health-care system during a U.S. senate subcommittee hearing in 2014. 

This week the Toronto family doctor was back in Washington, flashing her health card during a news conference as she described her experience having a baby in Canada without ever seeing a medical bill.

“There are certain things we take for granted, like that it doesn’t cost anything to have a baby, that are actually unimaginable to Americans.”

Martin was invited by U.S. Senator Bernie Sanders to attend the launch of his “Medicare for All”  bill aimed at creating a single-payer health care system in the U.S.

“It felt like a historic moment,” Martin said. While she was there she did a series of media interviews and recorded videos which Sanders and his team will be posting to answer basic questions about how the single-payer system actually works in Canada.

“There are lies that get propagated about Canadian health-care in the American public discourse,” Martin said, including myths about government interference in personal health choices. And there’s the recurring question about wait times.

“To hear it characterized in the U.S. you would think Canadians are lined up down the street dying like flies. It’s absurd.”

“I’m not going to say we don’t have a problem with wait times in Canada,” she said. “Although people are waiting too long for all kinds of things at the same time we have very good outcomes from the care we get.”

Martin says it’s a human rights issue when 28 million Americans have no health insurance at all. She called on Canadians to take to social media to tell their U.S. neighbours about the benefits of our single-payer system and to debunk the myths.

“I think if Canadians believe healthcare is a right and if we are outraged that 28 million neighbours of ours have no health insurance at all then we can actually help in this debate if we want to.”

Danielle Martin is a regular commentator on CBC News."
 

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Kelli, You may already know this, but from what I've heard/read, the plan is to do away with Obamacare. Since Marketplace was set up to handle all of the expected calls that Obamacare would generate, and help people enroll in ins plans, it may be done away with too. You may  want to hold off paying anyone  anything until you absolutely have to. I'm making this suggestion because whenever a new program is introduced, there is a lot of confusion. Just a thought.   Becky

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On ‎9‎/‎16‎/‎2017 at 6:02 AM, newlease said:

So sorry you had to be exposed to this kind of bureacratic mess.  It is hard enough to have a condition but to deal with these companies that are so large they cannot organize sufficiently to get what is necessary accomplished.  

                                                              

Amen sister

 

21 hours ago, becky1 said:

Kelli, You may already know this, but from what I've heard/read, the plan is to do away with Obamacare. Since Marketplace was set up to handle all of the expected calls that Obamacare would generate, and help people enroll in ins plans, it may be done away with too. You may  want to hold off paying anyone  anything until you absolutely have to. I'm making this suggestion because whenever a new program is introduced, there is a lot of confusion. Just a thought.   Becky

Is that the subsidies? I loved AmeriHealth... poooooooo Oh well it is what it is 

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From what I understand, yes, the subsidies came from OBAMACARE. But, someone please correct me if I'm wrong.   Becky

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well it is what it is.. I will just have to put things on hold and hope for Universal Healthcare :)  You all taught me things I didn't know.. thank you 

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Kelli, your photo is too cute!!!!!  Starting to think about Hallowe'en??   Laughing So Hard Smiley Face, Emoticon Absolutely love it!!  You just made my day, sis.

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Lin not political at all just the truth.....I have the same card......same great health care and got to keep my farm and my cottage because i did not go broke with bills .....just team work....we live in a great country

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Hi Phil, it's great to hear from you!  Happy Emoticon

 

 

Yes, definitely we are very lucky with the health system in Canada.  I really hope our neighbors in the U.S. also get the same universal health care regardless of income!  Having to pay to see a specialist when it is so necessary is totally unfair!

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Agreed,  I had to pay $1500 out of my pocket for stem cell replacement and my own doctors whould have been on board in the process.  Now I am trying to ge another procedure in hopes I can walk semi normally again, but she brought up I could do the stem cell route again as it might not be FDA approved in this country.

 

I feel everyone here knows I saw my doc today as I had four messages from stroke forum today when I returned home. So timely, but makes me so mouthy, or should I say fingering.

 

Sorry I did not respond as I had not been notified that this site had more messages or I would have responded more to the healthcare controversy.  It is good to discuss it as it impacts all of us no matter what country.

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Another article mentioned in today's CBC Health: Second Opinion newsletter that may interest U.S. residents with regards to universal health care can be found at http://www.chicagotribune.com/news/opinion/commentary/ct-perspec-health-0924-story.html   It's a commentary on "Five lessons from Canada on single-payer health care".   

My fingers crossed for you!  Have A Nice Day Smiley Face, Emoticon   

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I'm definitely concerned about what's in store for the future regarding my health insurance. I'm just past the 1 year mark post stroke and collecting SSDI. I still have straight Medicaid for insurance, so I'm in good shape for now. I know that next year I'll be put on Medicare which I know nothing about yet. I do know I need 1, possibly 2 shoulder replacements which I am seriously thinking of getting done while still on Medicaid. Besides that, all I know is I will hopefully be learning a lot about Medicare in the next year

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5 hours ago, MikeLaMarr said:

I'm definitely concerned about what's in store for the future regarding my health insurance. I'm just past the 1 year mark post stroke and collecting SSDI. I still have straight Medicaid for insurance, so I'm in good shape for now. I know that next year I'll be put on Medicare which I know nothing about yet. I do know I need 1, possibly 2 shoulder replacements which I am seriously thinking of getting done while still on Medicaid. Besides that, all I know is I will hopefully be learning a lot about Medicare in the next year

from what I know about it, they are ,for the most part, excepted everywhere however they only cover 80/20 so you have to get a supplement insurance to help cover what they

don't. The amount for the Medicare insurance is automatically ducted from your check.https://www.medicare.gov/  check with your state for in NJ since I make under a certain amount I may not have to pay for the plan. Also don't forget about open enrollment 

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yeah, i've been told the way it is in MI right now, I'll still qualify for Medicaid once I get Medicare because of my income level. In a couple years though, who knows if that will be the same

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Mike, I am in the same problem.. I make to much and all I get it SSDI.. crazy..  Not for nothing but now my heart aches for seniors that have to work :(

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