Jump to content
RemedySpot.com

:o(

Rate this topic


Guest guest

Recommended Posts

Diane,

With SSI comes Medicaid. Do they accept Medicaid at that hospital? You

know Bri qualified, but we don't get any money. Anyway, I'm over it, but I

learned at that time, we could do the " Beckett " thing. Not get the

money, but get the Medicaid. Because I am on SSDI, he is on Medicaid

anyway--so I felt there wouldn't be an advantage. It's handled a little

differently, but I think it's basically the same. So, that's why I was

asking: wouldn't the Children's Hospital accept Medicaid? I would call his

SSI worker and start pushing. You have some new diagnoses. This time, with

my review, my worked is NICE. Yes, you read right, she's nice. She told me

she is going to push for a review only once every seven years instead of

three to four. And when I get this new diagnosis in writing, she almost

guaranteed me she could do that. It's worth a try, some of them aren't bad.

You could always ask to speak to the supervisor. Sometimes, the squeaky Mom

gets things done. I try nice first, when that doesn't work, I use waaaaay

assertiveness; with a smile of course.

Hang in there--

Sandi

Link to comment
Share on other sites

I am going to call the SSI agency today to notify them of this insurance

problem. We won't get our determination until December. Very

frustrating. I don't know if that would make a difference anyhow, they

don't pay the hospital bills for me. Although he does have his

Children's Special Health Care Services insurance, but I just don't know

if they would pay for the whole cost of treating Kody at the hospital. I

think they would just say that there is other hospitals available for

him (never mind the fact that they stink). Needless to say, I am a bit

depressed today.

Diane, Mom to Kody

Link to comment
Share on other sites

> Diane,

> With SSI comes Medicaid. Do they accept Medicaid at that hospital?

Yes....BUT here you can't get medicaid if you have private insurance

available to you.....always a catch, huh???? And he does get a form of

medicaid, the Children's special health care insurance supplement is

through medicaid. But again, it is based on a primary insurance being

billed first. I think that in this case, since there are alternatives

available (albeit bad alternatives) then the CSHCS insurance will not

okay us to go continue at the hospital. But believe me, I am going to

really try hard!!! My Mom made the smart suggestion that if we do have

to go to this other hospital, to call and have Kody come down and tour

it, meet the nurses, see the rooms etc and ask tons of questions about

their knowledge about PID. Good idea....think I'll do that. Anyone ever

interview a hospital? LOL

Diane, Mom to Kody

Link to comment
Share on other sites

Have you written a letter to the Medical Director of the hospital or the BOD.

If Kody is double covered maybe due to hardship they would be willing to

accept what you have. A hospital must accept your state coverage and not

bill you for anything else . It is against the law to bill you if you are on

medicaid. I know because I have to write off alot of accounts. They have to

make you sign a waiver notifying you that it is not covered at all by medical

coupons and you have to choose to pay for it. Write a letter to challenge

them. Also you may want to check in with the Insurance Commissioners Office

in your state. We have a program in Wa that I do believe is state wide that

is called SHIBA. It stands for Statewide Health Insurance Benefits Advisors.

Our agencey provides staff to work with families who are having difficulties

getting care or things paid for by insurance companies. Just some thoughts.

If you have more questions feel free to contact me offline. BARBIE

Link to comment
Share on other sites

To You, My Sisters

by Maureen K. Higgins - submitted by Tricia Luker

Many of you I have never even met face to face, but I've searched you

out every day. I've looked for you on the Internet, on playgrounds and

in grocery stores.

I've become an expert at identifying you. You are well worn. You are

stronger than you ever wanted to be. Your words ring experience,

experience you culled with your very heart and soul. You are

compassionate beyond the expectations of this world. You are my " sisters. "

Yes, you and I, my friend, are sisters in a sorority. A very elite

sorority. We are special. Just like any other sorority, we were chosen

to be members. Some of us were invited to join immediately, some not for

months or even years. Some of us even tried to refuse membership, but to

no avail.

We were initiated in neurologist's offices and NICU units, in

obstetrician's offices, in emergency rooms, and during ultrasounds. We

were initiated with somber telephone calls, consultations, evaluations,

blood tests, x-rays, MRI films, and heart surgeries.

All of us have one thing in common. One day things were fine. We were

pregnant, or we had just given birth, or we were nursing our newborn, or

we were playing with our toddler. Yes, one minute everything was fine.

Then, whether it happened in an instant, as it often does, or over the

course of a few weeks or months, our entire lives changed. Something

wasn't quite right. Then we found ourselves mothers of children with

special needs.

We are united, we sisters, regardless of the diversity of our children's

special needs. Some of our children undergo chemotherapy. Some need

respirators and ventilators. Some are unable to talk, some are unable to

walk. Some eat through feeding tubes. Some live in a different world. We

do not discriminate against those mothers whose children's needs are not

as " special " as our child's. We have mutual respect and empathy for all

the women who walk in our shoes.

We are knowledgeable. We have educated ourselves with whatever materials

we could find. We know " the " specialists in the field. We know " the "

neurologists, " the " hospitals, " the " wonder drugs, " the " treatments. We

know " the " tests that need to be done, we know " the " degenerative and

progressive diseases and we hold our breath while our children are

tested for them. Without formal education, we could become board

certified in neurology, endocrinology, and pschylogy.

We have taken on our insurance companies and school boards to get what

our children need to survive, and to flourish. We have prevailed upon

the State to include augmentative communication devices in special

education classes and mainstream schools for our children with cerebral

palsy. We have labored to prove to insurance companies the medical

necessity of gait trainers and other adaptive equipment for our children

with spinal cord defects. We have sued municipalities to have our

children properly classified so they could receive education and

evaluation commensurate with their diagnosis. We have learned to deal

with the rest of the world, even if that means walking away from it.

We have tolerated scorn in supermarkets during " tantrums " and gritted

our teeth while discipline was advocated by the person behind us on

line. We have tolerated inane suggestions and home remedies from

well-meaning strangers. We have tolerated mothers of children without

special needs complaining about chicken pox and ear infections. We have

learned that many of our closest friends can't understand what it's like

to be in our sorority, and don't even want to try.

We have our own personal copies of Perl Kingsley's " A Trip To

Holland " and Erma Bombeck's " The Special Mother " . We keep them by our

bedside and read and reread them during our toughest hours. We have

coped with holidays. We have found ways to get our physically

handicapped children to the neighbors' front doors on Halloween, and we

have found ways to help our deaf children form the words, " trick or

treat. " We have accepted that our children with sensory dysfunction will

never wear velvet or lace on Christmas. We have painted a canvas of

lights and a blazing Yule log with our words for our blind children. We

have pureed turkey on Thanksgiving. We have bought white chocolate

bunnies for Easter. And all the while, we have tried to create a festive

atmosphere for the rest of our family. We've gotten up every morning

since our journey began wondering how we'd make it through another day,

and gone to bed every evening not sure how we did it.

We've mourned the fact that we never got to relax and sip red wine in

Italy. We've mourned the fact that our trip to Holland has required much

more baggage than we ever imagined when we first visited the travel

agent. And we've mourned because we left for the airport without most of

the things we needed for the trip.

But we, sisters, we keep the faith always. We never stop believing. Our

love for our special children and our belief in all that they will

achieve in life knows no bounds. We dream of them scoring touchdowns and

extra points and home runs.

We visualize them running sprints and marathons. We dream of them

planting vegetable seeds, riding horses and chopping down trees. We hear

their angelic voices singing Christmas carols. We see their palettes

smeared with watercolors, and their fingers flying over ivory keys in a

concert hall. We are amazed at the grace of their pirouettes. We never,

never stop believing in all they will accomplish as they pass through

this world.

But in the meantime, my sisters, the most important thing we do, is hold

tight to their little hands as together, we special mothers and our

special children, reach for the stars.

Link to comment
Share on other sites

  • 3 years later...
Guest guest

i will be keeping your nephew in my thoughts and be praying for his safe return home evelynangelbear1129@... wrote: My Nephew left for Afghanistan this afternoon... Helen

Brings words and photos together (easily) with PhotoMail - it's free and works with .

Link to comment
Share on other sites

Guest guest

My thoughts and prayers are with you and

your nephew. I know how having a loved one off on deployment can be.. My husband was in Iraq in march

of 2003.

stephanie

From: [mailto: ] On Behalf Of evelyn

Sent: Saturday, March 11, 2006

7:05 PM

Subject: Re: :o(

i will be keeping your nephew in my thoughts and be praying for his

safe return home

evelyn

angelbear1129@...

wrote:

My Nephew

left for Afghanistan

this afternoon...

Helen

Brings words and photos together (easily) with

PhotoMail

- it's free and works with .

Link to comment
Share on other sites

Guest guest

Thank-You...

His name is ...

i will be keeping your nephew in my thoughts and be praying for his safe return home

evelyn

(V) (V) (V) (V) (V)\|/ \|/ \|/ \|/ \|/^^^^^^^^^^^^^^^^^^^ THINK SPRING !!!:o)

Link to comment
Share on other sites

Guest guest

Thank-You

My thoughts and prayers are with you and your nephew. I know how having a loved one off on deployment can be.. My husband was in Iraq in march of 2003.

stephanie

(V) (V) (V) (V) (V)\|/ \|/ \|/ \|/ \|/^^^^^^^^^^^^^^^^^^^ THINK SPRING !!!:o)

Link to comment
Share on other sites

  • 8 months later...

Sorry to hear about your Grandpa Helen. My thoughts and prayers are with you.

Best to you and your family in this trying time.

HopeDegenerative Disease Informationhttp://www.2betrhealth.com epilepsyhealth@...

Saskatchewan, Canada1 306 648-2642 (CST)

:o(

Grapa's gone... He passed away tonight...

Helen

"When life's problems seem overwhelming, look around and see what other people are coping with. You may consider yourself fortunate."

Link to comment
Share on other sites

I will be thinking and praying for you and your family.

G

Grapa's gone... He passed away tonight...

Helen

"When life's problems seem overwhelming, look around and see what other people are coping with. You may consider yourself fortunate."

..

Link to comment
Share on other sites

  • 1 month later...

Dear Helen,

I know this is very late, but you have my condolences

on the passing of Grapa's. You've had a rough couple

of months (at least) and you've been in my prayers. It

must be a relief to know that he is not suffering

anymore. It is hard to let go of the ones we love. You

will stay in my prayers.

Love ; )

Willow

--- angelbear1129@... wrote:

> Grapa's gone... He passed away tonight...

> Helen

>

>

> " When life's problems seem overwhelming,

> look around and see what other people are coping

> with.

> You may consider yourself fortunate. "

>

>

>

Link to comment
Share on other sites

Dear Helen,

I know this is very late, but you have my condolences

on the passing of Grapa's. You've had a rough couple

of months (at least) and you've been in my prayers. It

must be a relief to know that he is not suffering

anymore. It is hard to let go of the ones we love. You

will stay in my prayers.

Love ; )

Willow

--- angelbear1129@... wrote:

> Grapa's gone... He passed away tonight...

> Helen

>

>

> " When life's problems seem overwhelming,

> look around and see what other people are coping

> with.

> You may consider yourself fortunate. "

>

>

>

Link to comment
Share on other sites

Thanks Willow

Dear Helen,I know this is very late, but you have my condolenceson the passing of Grapa's. You've had a rough coupleof months (at least) and you've been in my prayers. Itmust be a relief to know that he is not sufferinganymore. It is hard to let go of the ones we love. Youwill stay in my prayers.Love ; )Willow

"When life's problems seem overwhelming, look around and see what other people are coping with. You may consider yourself fortunate."

Link to comment
Share on other sites

Thanks Willow

Dear Helen,I know this is very late, but you have my condolenceson the passing of Grapa's. You've had a rough coupleof months (at least) and you've been in my prayers. Itmust be a relief to know that he is not sufferinganymore. It is hard to let go of the ones we love. Youwill stay in my prayers.Love ; )Willow

"When life's problems seem overwhelming, look around and see what other people are coping with. You may consider yourself fortunate."

Link to comment
Share on other sites

Join the conversation

You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×
×
  • Create New...