The Cellar  

Go Back   The Cellar > Main > Health

Health Keeping your body well enough to support your head

Reply
 
Thread Tools Display Modes
Old 02-20-2012, 01:34 PM   #1
SamIam
Registered User
 
Join Date: Jun 2007
Location: Not here
Posts: 2,655
No more prescription coverage for me!

The government has decided to punish me for daring to go out and making an attempt at employment by working part time for minimum wage at the Bates. I discovered last week that my Medicaid coverage has been dropped since my income is now too "high." Instead, I have been thrown onto some variant of Medicare part B that does not cover the medications I have been taking for two years now and that work very well for me. In fact, without them, I have great difficulty functioning at all, and I doubt that I'd be able to work at even such a simple minded job as the Bates.

What kind of sense does it make to take away the medication(s) that allow a person on SSI/SSDI to go back to work? I'm working and making a little extra money, so let's make sure you don't do THAT anymore. Wouldn't want somebody to attempt to make it off SSDI, now would we?

Of course, I have the option of paying for my meds "out of pocket" at over $500.00/month which is actually more than I earn some months at the Bates, depending on my schedule. WTF?

I can apply for an exemption which they may or may not give to me and/or I can apply to Medicare to cover my medication costs since I need to be on these meds in order to be productive. Maybe I'll get this help or maybe I won't. At any rate, its not going to happen overnight, whatever they decide.

Meanwhile, if I want to continue on these extremely helpful meds, I have to raid my small savings, and there goes my money to move to Durango and hopefully get a better job.

And on top of everything, the job at the Bates is temporary until they hire a new manager, although I had hoped to segue from there to a Durango job before the Bates has a chance to lay me off. So much for that thought.

I could just cry. Even Obama Care would surely be better than THIS.
SamIam is offline   Reply With Quote
Old 02-20-2012, 01:51 PM   #2
limey
Encroaching on your decrees
 
Join Date: Feb 2004
Location: An island within the south-west coast of Scotland
Posts: 6,765
Oh Sam, how dreadful. I wish I could offer you more than my heartfelt sympathy. I hope a stateside Dwellar can be more effective ...
__________________
Living it up on the edge ... of civilisation, within the southwest coast of
limey is offline   Reply With Quote
Old 02-20-2012, 03:51 PM   #3
infinite monkey
Person who doesn't update the user title
 
Join Date: Mar 2011
Posts: 13,002
Sam, I don't even know what to say except that freaking sucks beyond belief.

I've been of the mind, lately, as I watch the whole world stink on ice, to ask that the earth be stopped so I can get off it.

While there are those who skate around the stench with nary a twitch of their nose to tell them that not everyone is charmed (or sold their soul to the debbil...or whatever the EFF it takes to be that person) people out here in the real world are struggling.

I'm pretty done with it all right now. I'm so sickened by what I see around me I can't even stomach a good Santorum joke.

Hang in there, Sam.
infinite monkey is offline   Reply With Quote
Old 02-20-2012, 04:31 PM   #4
classicman
barely disguised asshole, keeper of all that is holy.
 
Join Date: Nov 2007
Posts: 23,400
Call you representatives immediately, start local. Badger the shit out of them.
Send them letters, emails and call daily. Try the local press as well.
Do not go quietly.
__________________
"like strapping a pillow on a bull in a china shop" Bullitt
classicman is offline   Reply With Quote
Old 02-20-2012, 04:38 PM   #5
Spexxvet
Makes some feel uncomfortable
 
Join Date: Dec 2005
Posts: 10,329
If you care for Sam's wellbeing, vote Democratic
__________________
"I'm certainly free, nay compelled, to spread the gospel of Spex. " - xoxoxoBruce
Spexxvet is offline   Reply With Quote
Old 02-20-2012, 04:49 PM   #6
classicman
barely disguised asshole, keeper of all that is holy.
 
Join Date: Nov 2007
Posts: 23,400
Oh boy ... here we go again.
__________________
"like strapping a pillow on a bull in a china shop" Bullitt
classicman is offline   Reply With Quote
Old 02-21-2012, 06:55 PM   #7
pastortoy
---
 
Join Date: Feb 2012
Posts: 38
Seriously sorry to hear this. I am with you that it makes no sense to pull all support in your circumstance. The government doesn't know the word "gradual."
pastortoy is offline   Reply With Quote
Old 02-23-2012, 11:49 AM   #8
Trilby
Slattern of the Swail
 
Join Date: Jul 2004
Posts: 15,654
Sorry doesn't really cover how I feel about the morass that is this situation. I find myself agreeing more and more with infinite.
__________________
In Barrie's play and novel, the roles of fairies are brief: they are allies to the Lost Boys, the source of fairy dust and ...They are portrayed as dangerous, whimsical and extremely clever but quite hedonistic.

"Shall I give you a kiss?" Peter asked and, jerking an acorn button off his coat, solemnly presented it to her.
óJames Barrie


Wimminfolk they be tricksy. - ZenGum
Trilby is offline   Reply With Quote
Old 02-23-2012, 12:40 PM   #9
Sundae
polaroid of perfection
 
Join Date: Sep 2005
Location: West Yorkshire
Posts: 24,185
Until I was offered 5 extra hours a week this year, I was worse off in work than I would have been out of work. I now bring in as much as I did on benefits, but again I am down on the extras.

I wasn't living the hi-life regarding what I received financially, but I did not have to pay prescription charges or dental fees. There were a number of other savings I was eligible for that ceased when I started work.

I understand, of course I do. A line has to be drawn somewhere and it will hit those closest to it the hardest. I think what bugged me personally was the fact that in my case, my medication helped me back into work.

So although our situations are not identicial, they have very definite parallels.

One of the many reasons I wanted to be back in paid work was that if it was only part-time, I could legally pick up extra work. I've done that all my life. Of course it's turned out that I have only managed one extra job on a short term contract. Sigh. Still looking.
Sundae is offline   Reply With Quote
Old 02-23-2012, 08:37 PM   #10
SamIam
Registered User
 
Join Date: Jun 2007
Location: Not here
Posts: 2,655
Quote:
Originally Posted by Sundae View Post
I understand, of course I do. A line has to be drawn somewhere and it will hit those closest to it the hardest. I think what bugged me personally was the fact that in my case, my medication helped me back into work.
Exactly! In my case my prescription insurance actually covers a fairly wide range of meds. What it does not cover now are the expensive meds which allow me be functional enough to hold down a job. Without the income from a job, I am thrown back on Medicaid as well as a number of gov't assistance programs because my Social Security payment is so low. The Government will actually spend more on me and other Americans like me by refusing me coverage. The Feds will end up paying the $500 after all plus about $650 in other assistance because my income is so low.

Social Security allows me to earn $1,000/month without it effecting my disability benefit - or my Social Security old age benefit when I reach 65. I wouldn't qualify for the other assistance programs though. Still, even with paying the extra $650 plus a Medicare part D premium, I'd be ahead of the game. And I would be far less dependent on the Government - something that would make me very, very happy. I'd rather earn as much of my own way as possible. That's a value my parents instilled in me, and it hasn't changed.

So, if Medicare covered my prescription, the Feds would still be $650 ahead of the game, because I could move to Durango, land a job that paid more, etc. But common sense doesn't seem to be part of the equation here.
SamIam is offline   Reply With Quote
Old 02-23-2012, 10:04 PM   #11
skysidhe
~~Life is either a daring adventure or nothing.~~
 
Join Date: Apr 2006
Posts: 6,828
I am not sure if this will help but I did a little Internet search.
http://www.rxassist.org/

I was remembering, when I was unemployed I found a low income clinic that had their own prescription plan. It was antibiotics which were cheap, so I don't know how other med are covered. Maybe there are low income clinics there with the same?

I'm sorry sam
skysidhe is offline   Reply With Quote
Old 02-26-2012, 07:24 PM   #12
SamIam
Registered User
 
Join Date: Jun 2007
Location: Not here
Posts: 2,655
Good News!

My doctor wrote a letter to the insurance company informing them that I need my meds if I even just want to get through the day. She told them that she had not put me on my current meds for some frivolous reason, but because she and other clinicians had tried all sorts of alternative meds on me and that I just didn't respond to them.

So, Humana reluctantly restored my prescription coverage. Yay!

Way to go, Doc! Thank you so much for going above and beyond!
SamIam is offline   Reply With Quote
Old 02-26-2012, 07:28 PM   #13
infinite monkey
Person who doesn't update the user title
 
Join Date: Mar 2011
Posts: 13,002
:applause:

That's great news, Sam.
infinite monkey is offline   Reply With Quote
Old 02-26-2012, 07:54 PM   #14
classicman
barely disguised asshole, keeper of all that is holy.
 
Join Date: Nov 2007
Posts: 23,400
Excellent. Glad that this worked out for you.
__________________
"like strapping a pillow on a bull in a china shop" Bullitt
classicman is offline   Reply With Quote
Old 02-27-2012, 03:30 AM   #15
Big Sarge
Werepandas - lurking in your shadows
 
Join Date: Jun 2008
Location: In the Deep South
Posts: 3,400
sam this is great news!!! i'm so proud you are back on your meds. i feel your pain in dealing with the system.
__________________
Give a man a match, & he'll be warm for 20 seconds. But toss that man a white phosphorus grenade and he'll be warm for the rest of his life.
Big Sarge is offline   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

All times are GMT -5. The time now is 01:22 PM.


Powered by: vBulletin Version 3.8.1
Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.