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Help me chose a managed care plane for medicaid

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]
posted by kikithekat on Jul 4, 2014 - 11 answers

My 75 year old father will be moving in with us.

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]
posted by Groundhog Week on Apr 18, 2014 - 10 answers

Questionable Counseling Practice?

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]
posted by R2WeTwo on Mar 5, 2014 - 33 answers

Help my sibling and I care for our mother.

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]
posted by anonymous on Jan 25, 2014 - 16 answers

Insurance help with Medicare/SSDI

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]
posted by anonymous on Jan 2, 2014 - 7 answers

Help me help my disorganized family member

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]
posted by latkes on Dec 24, 2013 - 10 answers

Qualifying for Medicare in WA?

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]
posted by anonymous on Dec 11, 2013 - 11 answers

Quick question about Medicare and Medicare Part D

Does my mom have to renew her Medicare and Part D coverage? [more inside]
posted by Thorzdad on Oct 15, 2013 - 3 answers

I want to trust the hospital, but I don't . . .

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]
posted by kbar1 on Oct 8, 2013 - 12 answers

Medicare supplement through Transamerica Insurance?

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?
posted by Lylo on Sep 16, 2013 - 1 answer

Hospice care - Medicare coverage for room and board?

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]
posted by slyboots421 on Aug 16, 2013 - 14 answers

How much does Medicare pay for a room - just the room, overnight?

[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]
posted by cda on May 13, 2013 - 6 answers

The plan is to live for a long time

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]
posted by mutt.cyberspace on Apr 30, 2013 - 6 answers

Replacement Policy Medicare

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]
posted by PHINC on Mar 27, 2013 - 10 answers

Health Insurance for Younger-than-Medicare-Age Spouse?

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.
posted by mmw on Dec 22, 2012 - 11 answers

How many hospitals don't participate?? - Medicare Googling fail

How many American hospitals do not participate in Medicare? [more inside]
posted by treehorn+bunny on Dec 17, 2011 - 4 answers

help me with home health care/senior care

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]
posted by anonymous on Nov 9, 2011 - 10 answers

Medicare with Advantage with Medicaid?

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]
posted by anonymous on Nov 1, 2011 - 1 answer

What counts as income?

YANML, YANMSocialWorker [it takes 5 weeks to get an appointment with her]: Is a housing benefit "income"? [more inside]
posted by anonymous on Jul 21, 2011 - 4 answers

Of Death And Medicare Recovery

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]
posted by oneswellfoop on Jun 3, 2011 - 18 answers

Grandma needs cancer treatment, but has no insurance

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]
posted by caflores22 on Apr 11, 2011 - 6 answers

Help me keep my ride going

Help me to not pluck my eyes out in my effort to find suitable Medigap insurance. [more inside]
posted by angrycat on Oct 12, 2010 - 3 answers

Help me make financial sense of my health care options.

Help me figure out how to deal with next year's health care for me and my family of three. [more inside]
posted by Obscure Reference on Sep 25, 2010 - 5 answers

How can they pay for my treatment without bollixing my SSDI?

How can I accept money from a relative for medical costs without screwing up my SSDI? [more inside]
posted by anonymous on Sep 22, 2010 - 10 answers

Help me find a doctor!

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]
posted by anonymous on Aug 11, 2010 - 5 answers

Can you enroll in Medicare part B only?

Can you enroll in Medicare Part B (medical) only? [more inside]
posted by Danila on Jun 9, 2010 - 8 answers

Help me find a Brooklyn nursing home for my grandfather

Help me find a Brooklyn nursing home for my grandfather. (asking for a friend) [more inside]
posted by desjardins on May 7, 2010 - 4 answers

Need insurance advice for mom with dementia

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]
posted by faunafrailty on Mar 17, 2010 - 2 answers

Medicare, Medicaid, Social Security Financial Projectiosn

Google-fu, Government Style: Where can I get the income statements of the federal government's Medicare, Medicaid, and Social Security programs? [more inside]
posted by nyc_consultant on Feb 4, 2010 - 3 answers

Added a procedure or product to Australia's Medicare?

Are there any public advocacy groups in Australia to help people with debilitating illnesses get new medical products and procedures added to Medicare?
posted by krisjohn on Dec 4, 2009 - 1 answer

Rheumatologist with awesome diagnostic skills in New York City?

Can anyone recommend a rheumatologist with awesome diagnostic skills in New York City? [more inside]
posted by ljshapiro on Dec 2, 2009 - 1 answer

Is Medicare going to hurt my Mom?

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]
posted by amanda on Nov 8, 2009 - 38 answers

Best Medicare Choice?

Too many time-sucking choices--need to cut to the Medicare chase if anyone knows the drill out there. [more inside]
posted by Elsie on Mar 5, 2009 - 5 answers

Will I be able to go from medicare to private insurance?

If I lose medicare, will I qualify for private insurance? [more inside]
posted by TigerCrane on Feb 26, 2009 - 4 answers

List of Medicare rates?

Where do I get a list of Medicare payment rates for surgical procedures? [more inside]
posted by twiggy32 on Dec 14, 2008 - 4 answers

In the name of Michael Moore: No free clinics in Dallas?

Is there a free clinic in Dallas? Or any kind of reduced-payment medical facility, more specifically, for treating injuries vs. illness? [more inside]
posted by Unicorn on the cob on Dec 18, 2007 - 7 answers

Difference between rural and urban Medicare reimbursement

What is the difference between urban and rural Medicare physician reimbursements? [more inside]
posted by ikkyu2 on Jun 4, 2007 - 9 answers

I have $50K from insurance proceeds but I'm on SSI/Medicaid, what should I do??

What can I do to continue recieivng SSI and Medicaid benefits if I received a lump sum insurance proceeds? [more inside]
posted by pikaboy202 on Mar 6, 2007 - 11 answers

Help me learn more about osteoarthritis, its treatment and its associated costs.

My fiancée has just been told by her chiropractor that she has osteoarthritis. I have questions about the condition and, more specifically, how we can mimimise the cost of treating it under Australian Medicare. [more inside]
posted by Effigy2000 on Feb 5, 2007 - 28 answers

CFS and Disability: To Do or Not To Do

A few years back I was diagnosed with Chronic Fatigue Syndrome. For a while I was fairly dubious of this diagnosis but now that it has been confirmed as a genetic disorder I feel maybe I should get over my pride and start treating this like the life-affecting problem it is. [more inside]
posted by anonymous on Oct 28, 2006 - 9 answers

My doctor’s office is becoming a medial boutique!

Our doctor is dropping all insurance and Medicare participation but isn’t telling his patients until they show up at his office, or if they just happen to read his web site. Should we do anything about it? [more inside]
posted by Robert Angelo on Sep 16, 2006 - 16 answers

What level of medical insurance should I get?

MEDICAL INSURANCE: I'm getting some for the first time in 8 years. Clearly I should have at least catastrophic, but help me decide whether having more is worth the cost. Also: any opinions about HealthyNY insurance? [more inside]
posted by lorimer on Sep 15, 2006 - 9 answers

Is a Radiologist Required Under Medicaid?

Is a radiologist required to be in the office during an MRI, according to Medicaid regulations? [more inside]
posted by whitebird on Aug 2, 2006 - 5 answers

Medicare-Part D

MedicarePart-D:North Carolina Plans--any suggestions? [more inside]
posted by sandra194 on Mar 25, 2006 - 2 answers

Medicare drug plans

I need to pick a Medicare drug plan for Mom. Is there a resource that explains the plans in relatively easy to understand language?
posted by sandra194 on Feb 16, 2006 - 5 answers

Two questions about American culture: Pledge of Allegiance and Medicare

Explaining American culture to the world:

a) Is the pledge of allegiance a compulsory thing each schoolday?

b) If funding for medicare is pro-social security, why did a Republican president push for it so hard?

Genuine enquiry: please no flames, just the facts, ma'am, just the facts. [more inside]
posted by dash_slot- on Mar 27, 2004 - 27 answers

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