Hiya,
1
July: So now I have Medicare and SDI or is is SSDI? I received Medi-cal and SSI in April. My check didn't reflect the change yet...
2
I received a letter from my PCP Doctor's office that I am to read sign and send back
and it says that Medicare can restrict how often I see a Doctor and also they may not cover NEW disease testing or labs?!
other than mammograms.
IF it isn't related to the current disease?! I was hoping for testing for my painful neuropathies in my feet and now in my hands...
and have been really thinking of IVIG and other treatments... Can I see a specialist at Mayo or Johns Hopkins - out of state?
3
And then there is a donut hole in prescriptions....
Can ya help a gal out here in the USA? Donut holes and I need a supplemental insurance right?
How do I choose a donut hole filler insurance plan?4
I'm broke after 3 years of waiting to get medicare...
will doctors even see me with my credit so scarred from medical bills?
5
Advocacy groups (some) do not consider me one of them...
anyone get assistance from an advocacy group?
To help with Medical, prescriptions, legal, and credit? If I could manage I would still have a job! I've called at least 6 and they refer me to another or back to the SocSec or gov.
Cheers,
P
See if there is a senior services non-profit in your area. They can probably help you de-code this info. Also, by talking to the drs office will also help you understand what they mean. But, I'd look for senior service agency to help out Usually they can help at littlee or no charge. Lucy
My hubby and I both have great supplementl coverage through Blue Shield's Medigap Blue. It doesn't help with the "donut hole" but I'm sure if you want to pay a little more, you can get prescription coverage. Talk to them, it can't hurt.
Good luck,
Pooh
paperdoll, Like Lucy said,you need to go to someplace that can explain this to you. Try the social security office also. It depends on what is being covered now by these plans.
I have BCBS MedicareBlueRx and I like it. All the plans are pretty much the same. They all seem to have the 3 choices for medication coverage plus there is a formulary that lists the meds that are covered by the plan. Not all meds are covered and the docs do their best to order meds that are generic and covered. As far as I can tell all plans have the donut hole and it is something that we have to live with. You choose one of the insurance plans ---the cheapest is about 30$ month and the highest is 94$ a month. It really is a crapshoot to know which plan to take.My hubby has the cheapest and I have the highest priced and I reached my donut hole in October last year. The reason I take the higher priced one is because with my low t-cells I could end up on some really high priced drugs. Like I said, it is a crap shoot.
Also, I don't know what they mean by paying for "new" health issues. You should get the books from medicare that will explain some of it. Also, hubby and I have supplemental BCBS that pays whatever medicare doesn't cover. It is spendy, but I can't afford to be without it as my IVIG is 6000$ a month. Just stay calm and do your googling and find supplemental insurance that will help you out that is not as spendy. Medicare is not paying as much as it used to but it is still worth the money it costs. Good luck. Irish ;D