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A nurse assessment today

A nurse assessment today

Today my insurance company is sending in a nurse to do a six month review. This review dictates my aids hours and you just never know what is going to happen. I was changed to this plan back in July of 2018 when I became Medicare eligible. They continued with the same level I was currently receiving. My aids hours are actually covered through my secondary plan which is a Medicaid HMO plan. I have never had a problem with…

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Negativity and the ego

Negativity and the ego

I worked really hard to put up my long-term Medicaid page and I promoted it on Facebook. https://multipleexperiences.org/nys-long-term-community-medicaid/I’ve gotten a lot of negativity from people and it got very hard to remember why I did it. I didn’t do this to make a quick buck. When I used to consult for Medicaid, I used to get $200 for the consultation that was before I even touch the application. I set this up for the people that don’t understand Medicaid and…

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My NYS Long-Term Medicaid Page on my blog

My NYS Long-Term Medicaid Page on my blog

Even though I knew it was going to be be my bigger project, I never thought it was going to take as long as it did. I spent hours upon hours getting that bundle of Medicaid together. I had most of the documentation so I thought I would was just going to need a little time putting it all together. Not so much!!! I wanted to make a really good package and I wanted to make a really good list…

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The never ending aggravation of insurance

The never ending aggravation of insurance

I’m gazing out the window, trying to decide what I want to write about, and I’m really looking at just a wall of white. There’s a very thick fog out there. I can’t see the ocean. My dog obviously sees something he keeps barking. I’m not in a happy mood today. I’ve got two things I’m dealing with insurance about, one for me, and one for my daughter and I’m just so fed up with this stuff. I got a…

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Occupational therapy evaluation…OT differs from PT

Occupational therapy evaluation…OT differs from PT

I had an OT evaluation yesterday. 0T stands for occupational therapy. The difference really between physical therapy and occupational therapy is occupational therapy deals with more fine motor skills. Physical therapy deals with more of the physical stuff. I never realized my health care covered 20 days of both therapies. I thought it was 20 days total. So this will be the first time in OT. For 13 years, I worked in a nursing home as a financial billing office…

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Goodbye 2016

Goodbye 2016

Dear Universe, A lot happened in 2016. I became disabled in 2016. I stopped working and started the process of both disability and Medicaid. I obtained a 3rd party trust to shield my income. I cashed in my Ira which wasn’t much but gave me a little something. I was approved for disability, Medicaid, the 3rd party trust, and my long term care policy. I was set up financially basically as I was when I was working. I leased a…

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Medicaid insurance logistical nightmare

Medicaid insurance logistical nightmare

Two weeks ago I called my doctor to request a referral for an orthopedic. For over a month now I’ve been having a problem with my shoulder. It’s a very strange,  I don’t know what I could’ve done to it. It mostly doesn’t hurt during the day unless it’s in a specific position. However every night I go to sleep it throbs and wakes me up because it’s killing me. I can count on my hands how many times I…

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What will happen to health insurance now?

What will happen to health insurance now?

Started physical therapy this week. Last time I did physical therapy for my multiple sclerosis was during my very first attack almost 19 years ago. Why? Insurance co-pays.  I could never afford the co-pay to go to physical therapy twice a week, hell I couldn’t afford the co-pay once a week.  I was working full time and was getting buried by my co-pay medical bills.  I have multiple sclerosis so of course all my doctors are specialists which had the…

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Medicaid meeting time well spent

Medicaid meeting time well spent

Today I’m writing to you live from the Nassau County Medicaid Office. So far my assistant aka my daughter and I have been sitting here an hour and 2 I repeat 2 people were called. I made a fair hearing appointment a few weeks ago when my Managed Medicaid plan denied my therapists’ bills. Well that wasn’t good we called, I looked at my benefits they told me I was good to go and then all the bills were denied….

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NYS Medicaid

NYS Medicaid

This is one topic I really didn’t want to discuss but I know I can’t avoid. First let me explain I’ve handled Medicaid applications for my job for 13+ years before I stopped working.  I know the NYS Medicaid long term care system well. I should back up an explain Medicaid. There are two types of long term Medicaid.  One called chronic care and one called community care.  The chronic care is for someone in a rehab or nursing facility…

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