My roommate's partner, who is a close friend of mine, has stage III terminal brain cancer. He has been symptom free for almost a year but he has recently been showing signs of the cancer advancing, including seizures. He is terrified of dealing with the system of getting treatment, and has been turned down for disability even though he is unable to work because of the cancer. How can we help? [more inside]
My great aunt is in a nursing home for rehab due to a broken hip. She has dementia and the nursing home says they have to discharge her because she's not making progress. I have no idea what to do next. [more inside]
I am negotiating to buy the former home of a person who has recently gone into assisted living on a permanent basis. The price is set at the tax-assessed value, which apparently is what Medicare requires for such a sale. Is this a hard and fast rule (no use trying to negotiate) or would negotiating a lower price (say, in anticipation of repairs on this old home) be possible?
My father (60 years old) was recently diagnosed with aortic stenosis due to a bicuspid valve. He will meet with a cardiologist to determine whether to get a biological replacement or mechanical - there are pros and cons to both. I have a question about Medicare coverage for the re-operation possiblity that may occur with the biological valve. [more inside]
What can a woman living in a nursing home in the state of New York do with her pension income so that she is not in a constant state of qualifying for financial aid / not qualifying for financial aid? [more inside]
I'm trying to figure out if I'm eligible for food stamps. I live in California. [more inside]
What levels of dental work are covered by Medicare? I need work and am stuck w/ the NYU Dental School. Does anyone have experience w/ an eligible Dentist in NYC?
My mother is moving from NYC, where she's lived for 30 years, to my town in the Boston 'burbs. It's a good location in an over 55 community that will give her independent mobility to Boston via public transit, and she'll see us, and our kidlet, regularly. But what else to do to make a good transition? [more inside]
A beloved relative of mine neglected to sign up for medicare part b during her enrollment window. Before the window reopened for her to register she fell ill and has had two emergency surgeries in the last two weeks. So what now? She otherwise is uninsured, although does have part a. [more inside]
My mother is retired and disabled, on a fixed income. Every single year she hits the coverage gap (the "donut hole") on her medications, usually by September or October. This leads to the last three months of the year being a scramble of asking for free samples of her diabetic medications from her endocrinologist, and scraping to get by. At her last visit, her doctor straight-up offered to write the prescriptions in my name. My insurance would cover it with a simple copay and no coverage gap. Should I do this? [more inside]
Difficulty level within... [more inside]
My mother is turning 65. She has no clue about health insurance. I, after diligent research, have a small clue, but not enough of a clue about practical information like distribution of doctors who take the insurance to help figure things out. Help? Snowflake details and questions inside. (Anon because I'm not going to share my mother's personal information on the Internet!) [more inside]
Full eligibility for social security and Medicare requires a minimum 40 quarters of contributions. How worried should I be that this goalpost might be moved in the next decade or two (i.e. that more than 40 quarters might eventually be required)? I realize these programs are periodically threatened with reform, but is this particular threshold one of the facets challenged by reformers?
If someone is a 65+ recent green card holder with only 3 years work experience in the US and who hasn't lived continuously in the US for 5 years (but has visited every year for several months for a decade), they don't qualify for free or even paid Medicare. What is the best health insurance plan for them if they spend 5-7 months in the US, and the rest in their home country in Asia? Are they best off with an Obamacare plan, or some kind of special immigrant health insurance, or what? Thanks.
I received an acceptance letter for medicaid, and they want me to chose a managed care plan (MCP) in my region. There are 5 choices, how do I know the difference and which one is right for me? Which one is best? [more inside]
What are the logistics of having a parent in so-so to mediocre health move in? He is currently in St. Louis, MO and my wife and I currently live in Johnson City, TN. [more inside]
Three months ago Dear Husband jumped through many hoops to get an appointment with the only counselor in town said to accept Medicare. I'd had a good experience with an excellent counselor in our area and was surprised when this new one made promises he did not keep before and during the appointment, including a promise to get back in touch with either a second appointment time or a referral. He made no contact at all after the appointment until yesterday, three full months later, with a bill he'd already submitted to Medicare for $225.00, which they covered, save $29. Does this sound customary to you? [more inside]
It has recently come to our attention that our mother is hiding—what seem to be very serious—health issues from us. We want to help her, but we're unsure how to proceed. I am seeking advice on two fronts: (1) help us navigate the current healthcare bureaucracy, and (2) help us care for someone who is probably going to try to refuse our help. All of the details inside. [more inside]
When my parent died, they had a pension/insurance policy from their government job which was meant to pay out half to me and half to my grandmother. The problem is I am afraid my grandmother (who is old and sick and getting regular medical treatment) shouldn't accept the payout because she's on Medicare/SSDI and can't have an income. I remember getting a 1099 for my half, so it is definitely considered income. I have no idea what to do or where to go for help about this. I am in New York City, although this concerns the state pension system. [more inside]
I have a close family member who I am somewhat estranged from. But he has some needs that I have the skills to help with, and I want to help. Help me help him. [more inside]
I'm trying to determine if I'm eligible for Medicare in WA state, and can't get into a social services office right now. I've read the website back and front, and still can't quite figure out if I qualify due to my "household" (read: co-parent's) income. [more inside]
Does my mom have to renew her Medicare and Part D coverage? [more inside]
Last week, my 85 year old father suddenly began to experience weakness in his legs and severe pain in his lower back. His PCP couldn't fit him in but recommended the ER if he was in a lot of pain - he was, so Friday afternoon, my brother took him to the ER of the nearest hospital (which looks more like a resort). They wanted to check him out with an MRI, but their machine was not available (could they really only have one?) The hospital "admitted" him - or so we thought . . . [more inside]
I am shopping medigap policies for my husband. We have decided to go with part F and were leaning towards the BCBS plan which most people I know in this area selected. Through the Illinois Bar Association we have been offered a Part F plan that is slightly more expensive than BCBS standard F(but price difference eliminated if you pay in advance or automatically). Only difference seems to be that the IBA (Transamerica) plan is "issue-age" rated, meaning if bought during enrollment period when you turn 65 the rate, although not frozen, can never be increased for reason of your age increasing, which is not guaranteed under BCBS. This sounds like a no -brainier but I have no experience or familiarity with TransAmerica. Are they good to work with? Have they been (and will they continue) offering/writing Medigap policies for a while? Do any of you metafilterites have this policy through IBA or another professional association?
I am hoping that someone will be able to point me in the direction of any programs that cover room and board in an inpatient hospice care facility in Michigan. The patient is my boyfriend's mother, who has refused chemo and is ready to call hospice to make her remaining time comfortable. She was diagnosed with Stage IV colon cancer in May and has just been given the prognosis of ~3 months. [more inside]
[USA filter] Even with the new disclosures I can't figure out how much Medicare pays for just a hospital or nursing home room - 24 hours. Just the room charge. [more inside]
It is time to sign my dad up for medicare (USA). He is very healthy and we come from long living stock. Which medicare plan is best for this situation? And even with the best plan, what are the pitfalls we need to look out for? [more inside]
I screwed up. I bought a policy through Humana that is evidently a replacement policy for Medicare for my father. I bought it in January of this year from my parent's old insurance guy. Now my dad is in a Veteran's Care Center and needs his Medicare back, they don't want this new supplemental. If I just cancel the Humana policy will his Medicare just pop back into existence? [more inside]
I'm 51, spouse is 58. When he retires at SS age (let's say 68), he will be eligible for Medicare (age 65). I won't. Spouse currently gets good group health insurance, which covers both of us, through his full-time job. I don't work for money and haven't for 20 years. If he retires in 10 yrs, at 68, he will be covered by Medicare (assuming anyone is by then ...). But I will be only 61 then, so I won't be eligible for Medicare for 4 more years. What are my health insurance options? (We live in NH now.) Believe me, thinking about this keeps me up at night.
How many American hospitals do not participate in Medicare? [more inside]
hi friends, please hope me. oh, and this is in illinois, as that may be relavant. my mother has a rare neurological disorder called MSA. it is terminal, and from the looks of things, she is in the end stages. she's in a temporary rehab home after her second near-death hospitalization in the past 4 months. the first one was aspiration (choking), this second one was sepsis arising from an untreated UTI. both very common occurrences with this disease. she is essentially immobile, and cannot exist without assistance. here's the problem(s): since the onset of this disease about 7 years ago, my father has thrown himself at the mercy of all this and has assumed the role of caretaker. [more inside]
Does it make sense to choose a Medicare Advantage program if I have QMB and MA-AD-care through the state as well as straight Medicare and a prescription drug plan? Naturally I'd like some dental and vision coverage, which I understand are limited in Medicare. (Snowflakes below) [more inside]
YANML, YANMSocialWorker [it takes 5 weeks to get an appointment with her]: Is a housing benefit "income"? [more inside]
My father passed away a few weeks ago - I'm the sole heir and designated executor of his will and it has been not too difficult a process even with my depression (partly because he prepared for it very well but also because he had almost nothing to leave me), but I still have worries... [more inside]
MIL has cancer and needs to move from OH to IA. She has no insurance. How do we get her into treatment fast? How do we get her insurance (Medicare/Medicaid)? Details inside. [more inside]
Help me to not pluck my eyes out in my effort to find suitable Medigap insurance. [more inside]
Help me figure out how to deal with next year's health care for me and my family of three. [more inside]
How can I accept money from a relative for medical costs without screwing up my SSDI? [more inside]
I need to see an internist who accepts Medicare in NYC, as soon as possible. But I don't know who to see or even where to start looking. [more inside]
Can you enroll in Medicare Part B (medical) only? [more inside]
Help me find a Brooklyn nursing home for my grandfather. (asking for a friend) [more inside]
Have you ever disenrolled from a HMO (Kaiser) that manages your Medicare to straight Medicare? A lot of people have told me if I do this, it will be easier to find my mom a nursing home. She has dementia/behavior difficulties. Looking for insurance advice specific to California/Medicare/Medi-Cal/dementia nursing homes. [more inside]
Google-fu, Government Style: Where can I get the income statements of the federal government's Medicare, Medicaid, and Social Security programs? [more inside]
Are there any public advocacy groups in Australia to help people with debilitating illnesses get new medical products and procedures added to Medicare?
Can anyone recommend a rheumatologist with awesome diagnostic skills in New York City? [more inside]
My mom is TERRIFIED about the recent Health Care Reform Bill. She is on Medicare and is certain that she will no longer have the access to health coverage that she feels she needs. It sounds like changes to Medicare could have consequences for her... what might those be? [more inside]
Too many time-sucking choices--need to cut to the Medicare chase if anyone knows the drill out there. [more inside]
If I lose medicare, will I qualify for private insurance? [more inside]
Where do I get a list of Medicare payment rates for surgical procedures? [more inside]
Is there a free clinic in Dallas? Or any kind of reduced-payment medical facility, more specifically, for treating injuries vs. illness? [more inside]
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