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» LymeNet Flash » Questions and Discussion » General Support » I wonder what medicaid will pay for??

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Author Topic: I wonder what medicaid will pay for??
MADDOG
Frequent Contributor (1K+ posts)
Member # 18

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After I get medicaid I need.

1.Eye exam and glasses.

2,Hearing test and a hearing aid.

3. Left hip replaced.

4.Left foot tendon repair.

5.Back surgery ,herniated disk,and cauda acina syndrome fixed.

6. Central port and IV ABX.

7. Left hand carpel tunnel tendon repair.

8.left and right shoulder Ac joint surgery with left shoulder glenoid tendon repair.

9.Bladder distention to check for bladder cancer.

10.Neural testing for severe touretts- seisures,with brain MRI.

11. Blood test for my gout,low natural killer cell count,and manganeese poisoning.

And my teeth fixed!!!

MADDOG

Posts: 3997 | From Ohio | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
Member # 12673

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-
Medicaid coverage varies in each individual state.

In my state, medicaid offers:

no eye care at all (unless an injury to the eye and then it's "medical" not "vision" coverage),

no dental

no hearing tests and no hearing aids (Medicare also offers no help with hearing aids).

all the other things would be determined on each incident, the strength of the referral and the way the wind blows on any particular day.

It also depends upon finding doctors who accept medicaid. Very few will do so anymore in my state.

But, there are still some very kind and understanding doctors who will accept medicaid patients but they usually loose money and so that is why it's a challenge to find them.

But, in some states, some doctors and hospitals will treat you with the respect and offer the care you deserve and need.

With many of the repairs, you may do fine obtaining services.

There should be a number to an advocate for each state's medicaid so you can actually talk to someone. Be sure to be lying down while you wait as the wait can be long but it's worth it to talk to someone.

Never assume, though, that what you will be told on the phone is the truth. But you can ask how you can get that in writing - a guarantee, of sorts.

You might be able to go on line and find your state's medicare guidelines. Most states post something.

Apart from the differences state to state, there are also different levels of medicaid in each state, different tiers. Much depends upon which tier you land in as to what your coverage will be.

Contact your Rotary club as they often help with hearing aids and glasses.

Good luck.

-

Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
map1131
Frequent Contributor (5K+ posts)
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Wow, now I know where the saying "old dog" comes from. Sounds like you a complete overhaul. Maybe you should just be put down? lol

Vision can fall under medical, if you have medical condition that causes eye problems. They won't pay for glasses.

Many things on your list I would chalk up to years of lyme & company and your toxic job. After medicare/medicaid gets okayed, you could focus more on treatment that hopefully improve many areas.

The cancer/kidney issue would be my #1. Again hopefully your kidneys are just sick/toxic.

I really doubt the IV abx theory helping. But that just my opinion and observation from years reading and experience myself.

What I found when I was approved for SS, a relief that now I can focus on doing medically what I need to do for improvement.

maddog, have you done any heavy duty detoxing stuff since you left that job?

I know you're really not an old dog. After all we are around the same age.

Pam

--------------------
"Never, never, never, never, never give up" Winston Churchill

Posts: 6478 | From Louisville, Ky | Registered: Jan 2002  |  IP: Logged | Report this post to a Moderator
Tickscorn
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Glad to hear someone was able to get help from Social Security. I suffer from Lyme, RMSF, Typhus, and that's just what's been diagnosed, so far-My child and I have been homeless for over a year and a half due to the cruelty in this agency. And Medically Needy Share of Cost (Florida-Pinellas County) makes sure that I am unable to receive my IV antibiotics. It's been two months, this time. Corruption much? I'm really at my wits end with this crap from these people. Not "entitled" to live, I guess.
Posts: 1 | From St. Petersburg, Florida | Registered: Jan 2008  |  IP: Logged | Report this post to a Moderator
MADDOG
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Hi Pam
No i havent done any real detoxing stuf,I have been thinking about it.I am getting up there a little age wise,but I still think I should be able to do what I did when I was 25.

Tickscorn,There needs to be some serious changes made in the social security disability determination system.

MADDOG

Posts: 3997 | From Ohio | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
Keebler
Honored Contributor (25K+ posts)
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Tickscorn,

Medicaid has nothing to do with social security (or with any SS Disability benefits). SS is a federal program. Medicare is federal health coverage (to a degree) with that.

Medicaid is run by each state. They may get some federal money, but each state runs it as a state agency.

It has to do solely with your level of income, regardless of job or disability. Each state has different rules for eligibility and what is covered.

Have you applied for that in your state? The Medically Needy Share of Cost may not be the same thing - you would contact your adult and family services and ask specifically about medicAID. In some states, it has it's own program name, but it would still be the medicaid program.

Good luck.
-

Posts: 48021 | From Tree House | Registered: Jul 2007  |  IP: Logged | Report this post to a Moderator
map1131
Frequent Contributor (5K+ posts)
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Maddog, just one detox program at a time. Do not try to dump 50 yrs worth of toxic build-up in your body. Disaster waiting to happen.

It's a step by step. I'm not sure where you should start? But I believe there are many things that can help your body start to dump (no pun intended) toxins through your major organs.

Skin being the largest body organ.

Take care, Pam

--------------------
"Never, never, never, never, never give up" Winston Churchill

Posts: 6478 | From Louisville, Ky | Registered: Jan 2002  |  IP: Logged | Report this post to a Moderator
kam
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MD.....i have been trying to solve the eye glass problem since coming down sick and teeth.

I can't recall the organization in town but they do help with getting glasses.

The problem is that the frames keep breaking...

So, I took a pair of my old ray bans in and asked them to put the lens I needed in them.

That didn't work out either. Now, the lens fall out of the frames.

I had those frames for years without any trouble and regret handing them over to them.

So, trying to decide what to do. Considering going to the other eye place in town and asking if I can put a little away each month so I can get a good pair of glasses eventually.

So, far, I am pretty much going without glasses with the exception of some sun glasses I purchased that are not prescription to replace my Ray Bans.

And I am trying to figure out which reading glasses to pick up at Walgreens or some other place.

I know there is a chart there to help you, but it is not helping me....or I need to wait until that part of the brain is clear enough to help.

I have tried just putting on different ones and they make me dizzy.

Life was so much more do able when working but we do what we can with what we have when the health goes south.

I also have not been to a dentist since coming down sick in 2001.

I had dental insurance but they did not want to check my teeth until they knew what was wrong with me.

I was told at one time that medicaid will not cover teeth unless it is an emergency.

I do not think any of the insurance programs I have had in the past covered glasses even when I was working.

I paid out of pocket when I was working....or perhaps they covered the eye exam and a lesser expensive frame for me and I up graded.

As far as treatment for lyme disease.....that is a tricky one...I know of a LLMD that takes medicaid but hestitate on moving there as not sure if I will get the help needed through insurance.

Office visit may be paid for which would be a big plus but I am thinking I would still need to come up with the funds to get meds out of pocket and testing ...which is not do able.

So kind of stuck with moving forward right now as too many obstacles to overcome with moving and too scared to move....loosing my sense of adventure with this.

As far as hearing test and hearing aid....I did have coverage for that when I first came down sick and still had my insurance from work.

I found my hearing kept changing....the doctor asked if I had looked into lyme disease as he had seen this symptom with patients who had lyme before.

My hearing continues to change...I don't know if getting tested will help you...there wasn't really anything that could be done.

I wonder about hearing aids myself at times but know it would be an out of pocket expense too so put the closed caption on my TV

I found that it is sometimes a combo of the primary doc and the insurance that makes a difference.

I have a primary doc that has prescribed biaxin (generic) for me the past year.

When it comes to prescribing amoxy with the intent of paying out of pocket he will not do it unless I go to Mexico to get the meds.

Because it will still show up on his record.

But, he is the first primary doc I have found that will prescribe long term abx so far...I have gone in twice and he has refused to do testing for thyroid or prescribe abx then changed his mind next time on the abx.

Don't see him much as it is mostly a negative visit.

Hopefully, you will find one that is willing to do the work needed. AT least you know what you need.

Mostly you learn patients. And do what you can when you can with what you have and just keep plodding along.

My health is low enough that I am just trying to get through the day...if I was functioning higher...it would really cause a lot of stress and frustration.

I am thankful for the meds that have been provided and the doctors' who helped provide those along the way.

I got into a deeper lala land without the abx.

Just take it a step at a time. Remember stress makes this worse.

Posts: 15927 | From Became too sick to work or do household chores in 2001. | Registered: Dec 2002  |  IP: Logged | Report this post to a Moderator
Ann-OH
Frequent Contributor (5K+ posts)
Member # 2020

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Hi you dog you.
Here is where you can find some answers:
http://jfs.ohio.gov/OHP/consumers/benefits.stm

They provide these services which are discussed if you scroll down the page. Looks like you should be able to have a lot cared for.

By federal law, Ohio Medicaid must provide the following services to consumers:
Ambulatory Surgery Centers
Certified family nurse practitioner services
Certified pediatric nurse practitioner services
Family planning services & supplies
Healthchek (EPSDT) program services (screening & treatment services to children 21 and younger)
Home health services
Inpatient hospital
Lab & X-ray
Medical & surgical dental services
Medical & surgical vision services
Medicare Premium Assistance
Non-Emergency Transportation (NET) to Medicaid services
Nursing facility care
Outpatient services, including those provided by Rural Health Clinics & Federally Qualified Health Centers
Physician services

Good luck!
Ann

--------------------
www.ldbullseye.com

Posts: 5705 | From Ohio | Registered: Jan 2002  |  IP: Logged | Report this post to a Moderator
   

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