Full Version: Medical Coverage Question
Quadriplegic & Paraplegic Spinal Cord Injuries > Disabled Living & Spinal Cord Injuries > Spinal Cord Injury Compensation and Legal Advice
my boyfriend always got medicaid. he just now got social security . it will be 2 years before he gets his insurance card. so for 2 yrs he will not have no insurance. has this happened to anyone else? he has to get caths , he has a pressure sore and gets recurring staph, also bladder infections alot going to have alot of bills in this 2 yr period. does anyone pay for insurance and who is it? no one wants to insure him. this stress is awful . any info i would appreciate thank you
Tawyna,
There may still be coverage for him but it may take some working through the bureaucracy. I remember in rehab the case manager explained to me that when a person goes from SSI to SSDI (I assume you mean SSDI?) they lose their regular Medicaid and Medicare does not start for two years. But there is another provision of Medicaid that may cover the gap. He may have to re-qualify for Medicaid as "medically needy", Temporary Assistance, or some other category.
If he doesn't try to re-qualify, for sure the Medicaid will just stop. He needs to talk to someone at your state's Medicaid office and press them for answers before he gets left with nothing.
Good luck!
There may still be coverage for him but it may take some working through the bureaucracy. I remember in rehab the case manager explained to me that when a person goes from SSI to SSDI (I assume you mean SSDI?) they lose their regular Medicaid and Medicare does not start for two years. But there is another provision of Medicaid that may cover the gap. He may have to re-qualify for Medicaid as "medically needy", Temporary Assistance, or some other category.
If he doesn't try to re-qualify, for sure the Medicaid will just stop. He needs to talk to someone at your state's Medicaid office and press them for answers before he gets left with nothing.
Good luck!
QUOTE (hooplady @ Jul 9 2009, 01:08 PM) 
Tawyna,
There may still be coverage for him but it may take some working through the bureaucracy. I remember in rehab the case manager explained to me that when a person goes from SSI to SSDI (I assume you mean SSDI?) they lose their regular Medicaid and Medicare does not start for two years. But there is another provision of Medicaid that may cover the gap. He may have to re-qualify for Medicaid as "medically needy", Temporary Assistance, or some other category.
If he doesn't try to re-qualify, for sure the Medicaid will just stop. He needs to talk to someone at your state's Medicaid office and press them for answers before he gets left with nothing.
Good luck!
There may still be coverage for him but it may take some working through the bureaucracy. I remember in rehab the case manager explained to me that when a person goes from SSI to SSDI (I assume you mean SSDI?) they lose their regular Medicaid and Medicare does not start for two years. But there is another provision of Medicaid that may cover the gap. He may have to re-qualify for Medicaid as "medically needy", Temporary Assistance, or some other category.
If he doesn't try to re-qualify, for sure the Medicaid will just stop. He needs to talk to someone at your state's Medicaid office and press them for answers before he gets left with nothing.
Good luck!
thanks i will have hum do that
QUOTE (tawyna @ Jul 8 2009, 11:02 PM)
my boyfriend always got medicaid. he just now got social security . it will be 2 years before he gets his insurance card. so for 2 yrs he will not have no insurance. has this happened to anyone else? he has to get caths , he has a pressure sore and gets recurring staph, also bladder infections alot going to have alot of bills in this 2 yr period. does anyone pay for insurance and who is it? no one wants to insure him. this stress is awful . any info i would appreciate thank you
I'm going through the same thing...I've got no insurance right now because the medicaid medically needy program sucks and my medicare won't kick in for another 4 months...they want me to DIE in the mean time, so they won't have to provide any insurance (that's the only reason I can figure that they would deny a paraplegic healthcare) ...anyway, I plan on hanging in there and then when I do get medicare, I'm going to go for every damn thing I can think of, down to a freakin' hang nail, just to get them back!
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