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Author Topic: I just got my first premium notice from Medicare...  (Read 9333 times)
HouseOfDialysis
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« on: June 08, 2011, 01:12:28 PM »

For 3 months, it's $923.20... WTF?

I just was a awarded a seconded job to pay my kid's $700 a month in ABA bills... I was expecting something like $350 or so from Medicare, not over $900. I don't have time for a third job.
« Last Edit: June 08, 2011, 01:17:36 PM by HouseOfDialysis » Logged

Diagnosed with Alport Syndrome in 2004.
AV fistula surgery June 9th, 2010.
PD Catheter surgery February 7th, 2011.
Began CAPD on February 21st, 2011.
Began CCPD on April 29th, 2011.
On Transplant List since June 2010.
kellyt
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« Reply #1 on: June 08, 2011, 01:37:11 PM »

Post transplant I receive Medicare for 36 months.  I pay $346.20.  I started at around $300, but it's increased every year.  I lose my Medicare the end of Oct.   :'(
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
HouseOfDialysis
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« Reply #2 on: June 08, 2011, 02:00:50 PM »

Every month or every quarter?
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Diagnosed with Alport Syndrome in 2004.
AV fistula surgery June 9th, 2010.
PD Catheter surgery February 7th, 2011.
Began CAPD on February 21st, 2011.
Began CCPD on April 29th, 2011.
On Transplant List since June 2010.
cath-hater
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« Reply #3 on: June 08, 2011, 02:49:02 PM »

That doesn't sound right. I live in Southern California and I have Medicare Part A and B. I pay about $350 every 3 months. Like Kellyt said, I started out at about $300, but has increased little by little every year. Have had Medicare since 2002, so a $50 increase over 9 years isn't so bad.
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Currently on PD using Fresenius.
PD for 9 years.
1 failed transplant in 2010 due to FSGS - donor kidney still inside and still producing urine (weird), but spilling alot of protein.
Off all immunosuppressants.
Currently not active on any list (by choice).
kellyt
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« Reply #4 on: June 08, 2011, 03:10:20 PM »

Yes, I'm sorry, every three months.  :)
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
HouseOfDialysis
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« Reply #5 on: June 08, 2011, 04:10:27 PM »

After alternating three calls to SSA, Medicare, and back to SSA, it's an invoice for eight months, going back to February when I started dialysis. But the invoice clearly says QUARTERLY on it for July, August, September. You can assume I was less than thrilled seeing that. My cost is 115.40 per month. They want half of it by the end of the month. Just damn.
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Diagnosed with Alport Syndrome in 2004.
AV fistula surgery June 9th, 2010.
PD Catheter surgery February 7th, 2011.
Began CAPD on February 21st, 2011.
Began CCPD on April 29th, 2011.
On Transplant List since June 2010.
willowtreewren
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My two beautifull granddaughters

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« Reply #6 on: June 08, 2011, 04:17:53 PM »

I was going to chime in that our first Medicare bill was a whopper because it went back....

I see you got the same whammy. So sorry.

Aleta
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Wife to Carl, who has PKD.
Mother to Meagan, who has PKD.
Partner for NxStage HD August 2008 - February 2011.
Carl transplanted with cadaveric kidney, February 3, 2011. :)
kellyt
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« Reply #7 on: June 08, 2011, 10:33:43 PM »

I can't remember if my first bill was more or not.   I was never on dialysis.  I feel for you and hope you are able to get it paid without any problems.   :cuddle;
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
cath-hater
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« Reply #8 on: June 08, 2011, 11:37:24 PM »

that's right. when i signed up for medicare, they asked me if i wanted to go back. this way, if i had any unpaid bills, medicare would take care of them for me, as long as i pay the premium amounts for those back months. i told them i didn't have any unpaid bills, so going back wasn't gonna do anything for me.

did you have any unpaid bills before signing up with medicare? that would be the only reason why someone would want to pay back months.
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Currently on PD using Fresenius.
PD for 9 years.
1 failed transplant in 2010 due to FSGS - donor kidney still inside and still producing urine (weird), but spilling alot of protein.
Off all immunosuppressants.
Currently not active on any list (by choice).
Chris
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« Reply #9 on: June 08, 2011, 11:49:27 PM »

I guess it was diffeent back in 1999 on how they did things or my situation was different. I only pay $96 a month for A,B, and D that is taken out of my disability check and I never had to pay Medicare money in order to have Medicare with past medical bills.
 
This just seems odd how things are done.
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Diabetes -  age 7

Neuropathy in legs age 10

Eye impairments and blindness in one eye began in 95, major one during visit to the Indy 500 race of that year
   -glaucoma and surgery for that
     -cataract surgery twice on same eye (2000 - 2002). another one growing in good eye
     - vitrectomy in good eye post tx November 2003, totally blind for 4 months due to complications with meds and infection

Diagnosed with ESRD June 29, 1999
1st Dialysis - July 4, 1999
Last Dialysis - December 2, 2000

Kidney and Pancreas Transplant - December 3, 2000

Cataract Surgery on good eye - June 24, 2009
Knee Surgery 2010
2011/2012 in process of getting a guide dog
Guide Dog Training begins July 2, 2012 in NY
Guide Dog by end of July 2012
Next eye surgery late 2012 or 2013 if I feel like it
Home with Guide dog - July 27, 2012
Knee Surgery #2 - Oct 15, 2012
Eye Surgery - Nov 2012
Lifes Adventures -  Priceless

No two day's are the same, are they?
Marina
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God Bless my donor family!! :)

« Reply #10 on: June 09, 2011, 01:03:44 AM »

http://www.medicare.gov/MedicareEligibility/Home.asp?dest=NAV|Home|GeneralEnrollment#TabTop
Quote
If you didn’t sign up for Medicare Part B when you first became eligible, you may be able to sign up during the General Enrollment Period. This period runs from January 1 through March 31 of each year. During this time, you can sign up for Medicare Part B at your local Social Security office. If you get benefits from the Railroad Retirement Board (RRB), call your local RRB office or 1-877-772-5772. Your Medicare Part B coverage will start on July 1 of the year you sign up.

--->>> Important: The cost of Medicare Part B will go up 10% for each full 12-month period that you could have had Medicare Part B but didn’t take it, except in special cases. You will have to pay this penalty as long as you have Medicare Part B.

 
     
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"Anything is possible, if  you  BELIEVE....."  ~~~Joel  Osteen

"Yesterday is history, Tomorrow is a mystery, Today is a gift..... That is why it is called the present"

*************************************************
 Nov 1979 ~ Diabetes 
Apr. 2004- Nov 2010 ~ CAPD
Nov 9, 2010 ~  Received the  THE  GIFT OF LIFE at 
California Pacific  Medical  center  (CPMC)  in San  Francisco,  CA
rsudock
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will of the healthy makes up the fate of the sick.

« Reply #11 on: June 09, 2011, 06:53:28 AM »

Being sick isn't cheap apparently...good grief! I hope you find a way to keep coverage!

xo,
R
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Born with autosomal recessive polycystic kidney disease
1995 - AV Fistula placed
Dec 7, 1999 cadaver transplant saved me from childhood dialysis!
10 transplant years = spleenectomy, gall bladder removed, liver biopsy, bone marrow aspiration.
July 27, 2010 Started dialysis for the first time ever.
June 21, 2011 2nd kidney nonrelated living donor
September 2013 Liver Cancer tumor.
October 2013 Ablation of liver tumor.
Now scans every 3 months to watch for new tumors.
Now Status 7 on the wait list for a liver.
How about another decade of solid health?
WishIKnew
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Alports, dialysis '07-'12,cancer'11,transplant '12

« Reply #12 on: June 09, 2011, 07:19:23 AM »

damn, just damn...  my most recient Medicare bill is $545.00.  Like someone said, being sick is expensive!
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Annig83
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« Reply #13 on: July 24, 2011, 08:17:04 PM »

I know Medicare offers assistance programs for those who are below certain incomes.  I have been unemployed since May of 2010 due to my kidney failure, although I have both Medicaid and Medicare.  My Medicaid pays my Medicare premiums, and I only pay 1-3 dollars for my meds. 
 Maybe if you call and tell them your situation and what is going on they will be able to help out?
If you are already working two jobs to meet your bills you may qualify for assistance?
http://www.medicare.gov/navigation/medicare-basics/medical-and-drug-costs.aspx

Good luck!
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*~Annie~*
Any change, even a change for the better, is always accompanied by drawbacks and discomforts.
Arnold Bennett
Even though I have gone through so much with ESRD, my son is my inspiration to keep going.  He was delievered at 28 weeks weighing 1 lb 12 oz and today he is a fun-loving 1 year old, whom I love with all my heart!

Diagnosed with Nephrotic Syndrome Age 13- 1996 Unknown Cause. 35% functioning of both kidneys.
Stable until Age 27; complications with pregnancy, loss of 25% function. (Current functioning is between 5-7%).
December 3, 2010- PD Catheter Placed on Left Side
March 2011- PD Catheter Removal (Due to malfunction)
April 2011- PD Catheter Placement on Right Side
April 2011- Surgery to adjust Catheter and "tacking of fatty tissue"
May 2011- CCPD Started
October 2012- Infection of PD catheter.  PD Cath. removal surgery. Perma-Cath. Placed for Hemodialysis.
Hemodialysis started October 12, 2012.
January 16 2013- First Fistula
On Transplant List in Indiana, awaiting 1st Transplant at IU Health in Indianapolis.
jazzin11
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Keep on going...It can't get any worse, can it?

« Reply #14 on: July 25, 2011, 02:02:09 AM »

Yeah, my first Medicare statement was for around $1500...they explained that it was retroactive back around 15 months.  My own deductibles from private insurance during that time were over $20,000, so, naturally I paid the bill.  The $18,000 refund was more than welcome!!  Once you are caught up, the premiums are reasonable.  Let's hope the politicos in Washington DC don't take it away from us like they seem wont to do. :twocents;
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Lost the left kidney to a large kidney stone 1995
Cardiac Catheterization 12/11/2007 The contrast dye took out the right kidney!
Cardiac Quadruple Bypass 12/14/2007
AV Fistula done 4/2008
Diagnosed ESRD 9/11/2008 Started in center Hemo the same day.
Buttonhole access not without problems!
Living Donor transplant at UWMC Seattle June 29, 2011
The Noob
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« Reply #15 on: July 25, 2011, 03:59:00 AM »

hubbys first medicare premium we got was for 3 months, it was over $660.00. the social worker got it paid by NKF i think. the private insurance we had at the time had a $6000.00 deductible before they paid anything, except for inpatient.
we thought about aarp or even medicaid at one point, but the insurance specialist said not to. said it would complicate things, and medicaid could and would cut him off at any time for any reason and the "spend down" could be as much as $1000.00 a month. what we would have to pay first. holy cow what a racket.
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HouseOfDialysis
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« Reply #16 on: August 27, 2011, 10:30:45 AM »

I'm almost up to date with the original Medicare premium. Now, it's almost time to pay for October-December... HA!

Though, I am proud that I have raised $1000 out of nowhere in three months! Sure, I work 7 days a week and I'm a bit snappish, but bills are getting paid.... Right?

thpppppppppt
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Diagnosed with Alport Syndrome in 2004.
AV fistula surgery June 9th, 2010.
PD Catheter surgery February 7th, 2011.
Began CAPD on February 21st, 2011.
Began CCPD on April 29th, 2011.
On Transplant List since June 2010.
tbarrett2533
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Me licking my kidneys from my birthday kidney cake

« Reply #17 on: September 14, 2011, 06:34:00 AM »

Ron,

there are programs to help people, you just have to look into them
my local DHHS pays my medicare payment and also my private Ins payment

Please look into the program:
the medicaid buy in program for the working disabled (do a google search)

(this is the program that I am in that pays for all of my health ins)
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CKD since: 1981
9.22.10: Catheter surgery
9.23.10: Started in center Hemo
10.06.10: Fistula surgery
12.02.10: Started using right upper arm Fistula (15 gauge)
12.30.10: Catheter Removed
07.01.11: Laparoscopic CAPD Catheter insertion
07.29.11: Started CAPD, 2000ml, 4 exchanges (Baxter)
08.15.11: Started filling with 1500ml (instead of 2000ml), 4 exchanges
08.21.11: Back to 2000ml fills, 4 exchanges (3-2.5% & 1-1.5%)
10.12.11: 2000ml fills, 4 exchanges (3 1.5% & 1-2.5% overnight)
11.08.11: Transplant list

Dialysis works for me, I don't work for dialysis!
It's my body, my health!!
KarenInWA
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« Reply #18 on: November 08, 2011, 07:25:44 PM »

Okay, I just got my first medicare premium, for $892.20.  Thing is, I haven't needed it!  i signed up for it because of my transplant, but I honestly don't need that much of it for the previous months.  What do I do???

I'm trying to not spend too much so I have money to pay my bills while I'm out from work.  I will be getting STD, but still!  It's 100% for the first month only, after that, it is 50%.

KarenInWA

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1996 - Diagnosed with Proteinuria
2000 - Started seeing nephrologist on regular basis
Mar 2010 - Started Aranesp shots - well into CKD4
Dec 1, 2010 - Transplant Eval Appt - Listed on Feb 10, 2012
Apr 18, 2011 - Had fistula placed at GFR 8
April 20, 2011 - Had chest cath placed, GFR 6
April 22, 2011 - Started in-center HD. Continued to work FT and still went out and did things: live theater, concerts, spend time with friends, dine out, etc
May 2011 - My Wonderful Donor offered to get tested!
Oct 2011  - My Wonderful Donor was approved for surgery!
November 23, 2011 - Live-Donor Transplant (Lynette the Kidney gets a new home!)
April 3, 2012 - Routine Post-Tx Biopsy (creatinine went up just a little, from 1.4 to 1.7)
April 7, 2012 - ER admit to hospital, emergency surgery to remove large hematoma caused by biopsy
April 8, 2012 - In hospital dialysis with 2 units of blood
Now: On the mend, getting better! New Goal: No more in-patient hospital stays! More travel and life adventures!
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