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| | |-+  Wife's Medicaid Finally approved
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Author Topic: Wife's Medicaid Finally approved  (Read 42 times)
Charlie B53
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« on: February 13, 2020, 03:57:52 PM »


Finally, it was initially denied a year ago for 'too much assets'.  I had to cash out a couple of annuities that we bought when she cashed out of the phone company in '02.  So I've been paying the Nursing Home and the Pharmacy a bit over 5K every month for over a year. That hurt, it's all gone now.

Re-applied in Nov and spent weeks getting letters asking for bank statements that I already gave them, only to be denied, again.  This time their reason was a 'lack of verification'.

I asked for a Hearing/Appeal.  A week later  I got a phone call from the Hearing Examiner,, a Lady, tellilng me that she had been reviewing the case and determined that I HAD supplied everything except a Dec Bank Statement, if I could fax that in she could get this done.  I got it done that day.

Now I'm waiting on a revised approval letter.  Seems someone incorrectly used an annual income in the place of a monthly which really jacked up what my monthly co-pay would be, like over 2K instead of only $200

AND they still need to back-date for Nov, the date of my application.  It will get done, most likely next week.

Been a lot of headache, but it least it's done.
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cassandra
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When all else fails run in circles, shout loudly

« Reply #1 on: February 13, 2020, 09:30:21 PM »

Jeeeez Charlie, it nearly feels perverse to congratulate you for luckily getting an examiner less stupid.
But wishing you and your wife more luck, and strength.


Love, Cas
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I started out with nothing and I still have most of it left

1983 high proteinloss in urine, chemo, stroke,coma, dialysis
1984 double nephrectomy
1985 transplant from dad
1998 lost dads kidney, start PD
2003 peritineum burst, back to hemo
2012 start Nxstage home hemo
       still on waitinglist, still ok I think
cassandra
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When all else fails run in circles, shout loudly

« Reply #2 on: February 13, 2020, 10:06:30 PM »

I donít understand much of USA social care, and probably has nout to do with your situation, but looked interesting enough none the less


  [size=78%]https://homedialysis.org/news-and-research/blog/346-medicare-waivers-the-best-kept-secret-in-dialysis-home-health-care[/size]
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I started out with nothing and I still have most of it left

1983 high proteinloss in urine, chemo, stroke,coma, dialysis
1984 double nephrectomy
1985 transplant from dad
1998 lost dads kidney, start PD
2003 peritineum burst, back to hemo
2012 start Nxstage home hemo
       still on waitinglist, still ok I think
Simon Dog
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« Reply #3 on: February 13, 2020, 11:24:23 PM »

The Medicaid applicant is limited to $2K in assets and the non-institutionalized spouse is limited to $109K, but can continue to live in the home with a Medicaid lien on it (no ability to use that part of the equity if you try to move), and must surrender all but about $70 a month to the nursing home to reduce the amount paid by Medicaid.

Being in a Medicaid nursing home without someone to buy you the little things is like being in prison with no outside money being deposited to your commissary account.
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