RE: [TMIC]
MY HUSBAND AND I HAVE A MEDICARE ADVANTAGE PLAN THROUGH BLUE CROSS. IT WORKS THE SAME AS MEDICARE. YOUR MEDICARE PART A IS STILL DEDUCTED FROM YOUR S.S. CHECK BUT IT GOES TO BLUE CROSS EACH MONTH. WE PAY NO MONTHLY PREMIUM JUST A CO-PAY OF $20.00 WHEN YOU SEE YOUR DOC AND $25.00 CO-PAY WHEN YOU SEE A SPECIALIST. WHEN I CAME DOWN WITH TM LAST YEAR AND SPENT 6 WEEKS IN THE HOSPITAL, ALL I PAID WAS $200.00 PLUS $50.00 FOR THE AMBULANCE WHEN I FIRST GOT SICK. I ALSO HAVE PRESCRIPTION INSURANCE AND FORTUNATELY MY MED BILLS ARE NOT TOO BAD AND I HAVE NEVER REACHED THE DONUT HOLE. ALSO, I WAS ABLE TO DECIDE WHAT TYPE OF TREATMENT I WOULD RECEIVE NOT THE INSURANCE COMPANY OR THE GOVERNMENT. I REALIZE THOSE WHO ARE TOO YOUNG FOR MEDICARE HAVE A HARDER TIME. THE COST OF GOVERNMENT HEALTHCARE HAS TO BE PAID BY SOMEONE WHICH MEANS HIGHER TAXES. WITH THE STIMULOUS AND SO MANY PEOPLE OUT OF WORK, WHERE IS THE MONEY GOING TO COME FROM TO PAY FOR THIS PROGRAM? THIS COUNTRY IS GOING TO GO BANKRUPT IF THEY CONTINUE DOWN THIS PATH. I REALIZE CHANGE IS NEEDED BUT WHY NOT TAKE THE TIME TO MAKE SURE WE DO THE RIGHT THING FOR US ALL. PATTI -Original Message- From: Akua [mailto:a...@artfarm.com] Sent: Monday, August 03, 2009 4:34 PM To: tmic-list@eskimo.com Subject: Re: [TMIC] but ALL insurance companies - they will take your money but if they have to pay out it is a battle royale and then they drop you whether they pay or not just for filing a claim! While in rehab for TM the pipes burst in my home. Insurance fought me-- saying I was non resident. Fortunately the outrageous heating bill proved that the house was maintained. Anyway, the insurer dropped me though it was my first and only claim in 14 years! So I agree. Akua --
[TMIC] healthcare
Hi, I have been on social security disability since 1996,5 months after getting tm.I was 49 (now I'm 63).I have a medicare hmo health plan.I have had this since cobra ran out.I pay $173 a month.My dr visits are $10,a specialist $20.I have a deductable of $100 per day if hospitalized (for the 1st 8 days).It also includes the part d to help pay for meds,but I get many of my meds at walmart for $10 for a 90 day supply.The others I get for 90 days through express scripts.I'm sure that on Jan 1st the cost will go up and the benefits will change. I pay out of pocket over $4000 a year for insurance and meds.Thank God I had long term disability insurance when tm hit me.I get a total of 60% of what I was earning in 1995. I live in Mass.,where you must have some type of medical insurance,or you pay a penalty when you file taxes.My ex husband paid $600 this year for not having health insurance last year. I finally got him to get medicare when he turned 65 in March.Now if I could convince him to insure his house! Well,I don't post often,but I'm sure wordy when I do! My best wishes to everyone, Cheryl in HOT Easthampton,MA.
Fwd: [TMIC] healthcare
see below -Original Message- From: Laurie Zissimos lziss...@aol.com To: rn11...@yahoo.com Sent: Tue, Aug 4, 2009 6:31 pm Subject: Re: [TMIC] healthcare Maybe you can help me.? I was diagnosed with TM in Dec 2005 and went on SSDI? a year and a half later.? This September I have to enroll in Medicare and I don't know whether or not to get Part B/D at this time.? I am on my husband's COBRA until January unless I file for an extension which I may do since I have that option being disabled.? It's pretty expensive, but Its Blue Cross and they have covered almost all of my medical exp since the diagnosis.? Our Blue Cross plan is a PPO so we don't need precerts/pre auths.? It makes it much easier seeing specialists.? He also has another plan through a part time employer but I don't think the benies are that great.? My first question is whether or not I should sign up for Part B, Part B Advantaged, or Part B and D.? I am trying not to lose the BlueCross, but I also don't know which of the new health coverages would be primary, secondary or other.? Is Medicare always considered primary or is it secondary??? Laurie -Original Message- From: rn11...@yahoo.com rn11...@yahoo.com To: tmic-list@eskimo.com Sent: Tue, Aug 4, 2009 6:14 pm Subject: [TMIC] healthcare Hi, ?? I have been on social security disability since 1996,5 months after getting tm.I was 49 (now I'm 63).I have a medicare hmo health plan.I have had this since cobra ran out.I pay $173 a month.My dr visits are $10,a specialist $20.I have a deductable of $100 per day if hospitalized (for the 1st 8 days).It also?includes the part d to help pay for meds,but I get many of my meds at walmart for $10 for a 90 day supply.The others I get for 90 days through express scripts.I'm sure that on Jan 1st the cost will go up and the benefits will change. ?? I pay out of pocket over $4000 a year for insurance and meds.Thank God I had long term disability insurance when tm hit me.I get a total of 60% of?what I was earning in 1995. ? I live in Mass.,where you must have some type of medical insurance,or you pay a penalty when you file taxes.My ex husband paid $600 this year for not having health insurance last year. I finally got him to get medicare when he turned 65 in March.Now if I could convince him to insure his house! ?? Well,I don't post often,but I'm sure wordy when I do! ?? My best wishes to everyone, Cheryl in HOT Easthampton,MA. ?? ??
Re: [TMIC] SSDI Backlog
In the article I posted below it explains what the problems affecting SSDI are and that they are expected to get worse. That's why I would apply ASAP to get in the queue. Kevin heyjude48...@aol.com wrote: *Why is that? Have I missed something?* In a message dated 8/3/2009 4:39:23 P.M. Eastern Daylight Time, wolft...@optonline.net writes: http://news.yahoo.com/s/ap/20090731/ap_on_go_ot/us_disability_backlog_4 If you plan to apply for SSDI, probably should do so ASAP.
