Guest guest Posted February 4, 2007 Report Share Posted February 4, 2007 This may have been discussed before. I have had arthritis all my life. I have 3 types and of course the worst is PA. Several years ago I fell on my employer's parking lot, black ice, and fractured my sacrum. I never was the same again. I was denied my enbrel by my employer. (They insisted I get that injection by a DR but we know that isn't the way it is done. I worked for a health agency no less!!! I fought this denial of drug but to no avail. I started falling as my right leg would just leave me and I'd end up on my knees. That was until the beginning of April 05 when I fell flat on my face while getting ready for work. I was in so much pain. After a few days of bedrest I had an MRI and learned that I had some discs that were collapsed and also lots of stenosis. Lots of tests and then surgery to fuse part of my lumbar and remove stenosis. My rheumy worked hard for me to learn why I couldn't have the enbrel. I finally learned that I could have this drug. No, it was not on my approved list from the Rx insurance so therefore it is covered by my major medical portion of my health insurance. I was so angry that an employer can be so hard and miserable with no care or concern of anothers health or pain issues. It is a fight to get my health insurance to pay the bills and I have a fight about every month. I applied for Social Security Disability in May of 06 and within two months, August I received a letter of approval!!! WOW I was delighted. I am 59 years old. Some say the fact that my sursgeon and Rheumy gave good medical history (I've been with rheumy since 84) that this helped and I had worked for plenty of " quarters " for payroll purposes. Then I knew that health insurance would be an issued. Thanks to AARP, I learned that there were some cases of getting your COBRA extended. I did lots of research and talked to many people. I contacted my employer and they just didn't respond. So I went back to them and stated my case. 1. I am on SSDI 2. I am eligible for extension of COBRA 3. I need to know the rates and which health insurance carrier they would be using. That did it! I no longer asked them anything. I stated my case and they did what the law states that they must do. What do you need to do to get this extended? If you are approved for SSDI within 63 DAYS of the date you start paying COBRA you can get up to an eleven month extension of COBRA. You will pay dearly for this coverage!!! I am now paying $800 a month but it covers me until my medicare starts on Oct 1, 07. Don't be afraid to ask questions? Keep at it! Youi've got to do the work cause NO ONE wants to tell you what you are elligible for. It isn't nice but unfortunately that is the way it is. Keep trying to get the benefits that you need! ________________________________________________________________________________\ ____ Sucker-punch spam with award-winning protection. Try the free Beta. http://advision.webevents./mailbeta/features_spam.html Quote Link to comment Share on other sites More sharing options...
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