Medicaid - Culling the Rolls

[Anonymous]

Anonymous wrote:

Anonymous wrote:They cannot kick her off Medicare. Medicare is a completely different program. If this is what you heard someone tell you, there was a miscommunication and you need to ask for the information again.
The good news for you is that your mom is in. Medicaid population that will be least likely to lose coverage during this process. It is good you submitted her paperwork, and she should be fine. Again, the idea that someone has kicked her out of Medicare does not make sense.
Good luck.

OP here. She was kicked off *Medicaid* and Medicare *plan b*. Medicaid was covering the cost of Plan B. The way that Medicaid works for nursing homes is recipients must spend down all assets the government allows them on $60 a month. Now that she has to pay her Plan B coverage (taken directly from her monthly social security check), it complicates her very tight budget and she will run a deficit now. The nursing home has been taking the previous Medicaid amount even though she has been suspended until reassessed.

TL;DR: our healthcare system is a complex nightmare.

Ok, then, what are her financials. It sounds like she has some money for the spend down and you don't want to spend it. There is more to this. You are talking about long term medicaid. Some of us have used the program and are very familiar with it.

[Anonymous]

What is keeping her alive?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:They cannot kick her off Medicare. Medicare is a completely different program. If this is what you heard someone tell you, there was a miscommunication and you need to ask for the information again.
The good news for you is that your mom is in. Medicaid population that will be least likely to lose coverage during this process. It is good you submitted her paperwork, and she should be fine. Again, the idea that someone has kicked her out of Medicare does not make sense.
Good luck.

OP here. She was kicked off *Medicaid* and Medicare *plan b*. Medicaid was covering the cost of Plan B. The way that Medicaid works for nursing homes is recipients must spend down all assets the government allows them on $60 a month. Now that she has to pay her Plan B coverage (taken directly from her monthly social security check), it complicates her very tight budget and she will run a deficit now. The nursing home has been taking the previous Medicaid amount even though she has been suspended until reassessed.

TL;DR: our healthcare system is a complex nightmare.

Ok, then, what are her financials. It sounds like she has some money for the spend down and you don't want to spend it. There is more to this. You are talking about long term medicaid. Some of us have used the program and are very familiar with it.

No she spent down everything. She’s been in this situation since 2011. I understand people know more which is why I’m posting. If a review takes months and money is tightly allocated where do they expect her to come up with the cash to cover her Plan B payments and also her nursing home?

[Anonymous]

Anonymous wrote:What is keeping her alive?

What do you mean?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Lawyer or the Congressman. Contact in the geographic area of the nursing home. Contact them about specific services denied - not about fears.

State Senator or US Senator?

Not pp, but US Senator. Let those GOP folks know the consequences of their actions. And then, vote Dem, get your friends to vote Dem, and organize as many people as you can to vote those right wing GOP members out

Ding ding ding! You don't need to spend public funds to feed other people's children in schools. Likewise you don't need to spend public funds for other people's old parents in nursing homes.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Lawyer or the Congressman. Contact in the geographic area of the nursing home. Contact them about specific services denied - not about fears.

State Senator or US Senator?

Not pp, but US Senator. Let those GOP folks know the consequences of their actions. And then, vote Dem, get your friends to vote Dem, and organize as many people as you can to vote those right wing GOP members out

Ding ding ding! You don't need to spend public funds to feed other people's children in schools. Likewise you don't need to spend public funds for other people's old parents in nursing homes.

???

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Lawyer or the Congressman. Contact in the geographic area of the nursing home. Contact them about specific services denied - not about fears.

State Senator or US Senator?

Not pp, but US Senator. Let those GOP folks know the consequences of their actions. And then, vote Dem, get your friends to vote Dem, and organize as many people as you can to vote those right wing GOP members out

If OP wants action, then a US senator may be a waste of time. Heat will be felt by state officials if members of the legislature start asking questions, hence, state rep and state senator. Also ombuds office.

[Anonymous]

Sorry, OP.

Assuming this is still unresolved, try contacting:

- The State Health Insurance Assistance Program (SHIP) in your state. It's a free service and they help people navigate Medicare -- and Medicare and Medicaid together for people, like your mom, who are dually eligible for both programs.
https://www.shiphelp.org/

-- The Medicare Rights Center, a nonprofit group that "works to ensure access to affordable health care for older adults and people with disabilities through counseling and advocacy, educational programs, and public policy initiatives."

https://www.medicarerights.org/about

Also them: "Since 1989, we’ve been helping people with Medicare understand their rights and benefits, navigate the Medicare system, and secure the quality health care they deserve. We’re the largest and most reliable independent source of Medicare information and assistance in the United States."

Good luck to you.