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» LymeNet Flash » Questions and Discussion » General Support » Need Advice Re: Insurance Woes

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Author Topic: Need Advice Re: Insurance Woes
BorreliaBrain
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While we are on this topic...

Can someone give me any ideas on what to do about my insurance situation now?

My COBRA coverage runs out in DECEMBER!

I'm in the middle of IV treatments.

I can't work, and haven't worked in two years.

My initial disability claim was denied, of course, and the appeal isn't until March.

Sooo.. I'm going to be out of coverage in December.

I don't think I qualify for Medicare b/c I have some money sitting in my account from the sale of my apartment (which $$ I'm now living on...), although - I'm not sure if sale of primary domicile counts as 'income'?

What do I do? Apply for individual coverage w/HMO? They tend to deny pre-existing conditions though...

Just go uncovered and pay for everything myself? (I'll be broke soon if I do that...).

Any ideas anyone? I'm not real savvy about this stuff, never had to worry about it before.

Any advice appreciated.


THANKS

Posts: 194 | Registered: Jul 2005  |  IP: Logged | Report this post to a Moderator
lymednva
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Did you apply for SSDI or SSI? Medicare comes with SSDI and there's no income limit on whether or not you qualify.

SSI gets you Medicaid, but I don't think you would qualify for that if you had too much money sitting around.

Good luck!

--------------------
Lymednva

Posts: 2407 | From over the river and through the woods | Registered: Apr 2006  |  IP: Logged | Report this post to a Moderator
Geneal
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There may be a 30-90 period where pre-exists cannot be treated.

However, if you have had no lapse in coverage, I don't think they can deny you treatment for Lyme.

I hope I am not wrong here. They can however, really jack up your insurance prices. [Eek!]

May want to call around and check with some private insurers, get a copy of their pre-exist

Conditions that they may or may not cover.

Hugs,

Geneal

Posts: 6250 | From Louisiana | Registered: Oct 2006  |  IP: Logged | Report this post to a Moderator
Michelle M
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BB,

Short-term insurance won't help since they exclude all pre-existing stuff.

I guarantee you from personal experience: don't waste time trying to buy a policy. It will not happen. End of that story.

Here is something to look into. Might cost you an arm or a leg, but it's about the best thing we've got going right now.

California High Risk Pool

Hugs,

Michelle

Posts: 3193 | From Northern California | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
Aniek
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Individual insurance can deny whatever the heck they want. And, honestly, it's very unlikely you would be offered a policy if you are currently sick.

I would call your state or county health and human services department and see if there is guaranteed issue insurance in the state.

--------------------
"When there is pain, there are no words." - Toni Morrison

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kam
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on www.lymeblog.com there is a section called asked the insurance guy.

hope he can help you.

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
BorreliaBrain
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Wow. Thanks everyone. It does look grim for me re getting insurance coverage of this thing.

I applied for SSDI, because I had a good job before getting sick. But, if it comes through at all, it won't be at least until March. My doc estimates my IV meds will cost around $3000 / month. Ouch.

I will pay for it though, cuz right now it's working sooo well.

Michelle, you are awesome. And yes, I am still feeling quite a bit better. Yay!! But I don't live in California, I live in NY... so...

Hi Kam, I will go to ask the insurance guy now and see what happens. Thanks for the tips everyone.

Can one buy IV meds overseas in Canada? Anybody?

BB

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Michelle M
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BB; go to that site I posted anyway, and type in your state; it will take you to your state's high-risk pool, I think....!

[group hug]

Michelle

Posts: 3193 | From Northern California | Registered: Apr 2005  |  IP: Logged | Report this post to a Moderator
Aniek
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Unfortunately, NY does not appear to have a high risk pool. But do you qualify for this program?

http://www.ins.state.ny.us/website2/hny/english/hnyeci.htm

Even if you don't, call them and see if they can point you in a direction to get insurance. It's also helpful to call your county because there might be something local resources.

--------------------
"When there is pain, there are no words." - Toni Morrison

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lymednva
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Some drug companies have programs for people with low income to get meds at a discount. There's info in the Newbie Links.

Not sure if you'd qualify, but you should at least check it out.

--------------------
Lymednva

Posts: 2407 | From over the river and through the woods | Registered: Apr 2006  |  IP: Logged | Report this post to a Moderator
   

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