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Author Topic: Co-payments ( Just got the bill, what are we gonna do?)  (Read 5790 times)
frankswife
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« on: October 19, 2012, 12:30:27 PM »

 :( I just found out that we are responsible for a $25 payment each and every time Frank dialyzes. I have MVP, and when I asked HR about copayments for dialysis I was told MVP covered it 100%. However, MVP discontinued our particular group plan and the new plan requires the copay. I got a bill today for $300 and it floored me. His Medicare wont kick in til at least January (thats if the social worker sent in the app, she just sooooo busy) and I don't even know if they pick up the copays or not. OMG. I don't know what we're going to do. We simply do not have another $75 a week to spare, with Frank being on short term disabilty and me only working part time so I can take care of him. Advice or ideas, anyone?
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Sydnee
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« Reply #1 on: October 19, 2012, 02:11:55 PM »

Does your state have a renal fund or foundation?
Wyoming has a a program that will cover up to $40,000 of expenses a year.
Talk to your social worker tell him/her what the problem is they may know other things. If they have not filed for medicare and you want the coverage call and do it yourself.
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After a hard fight to not start I started dialysis 9/13
started on PD
hoping for home hemo starting to build a fistula 1/14
cause PKD diagnosed age 14

Wife to Ed (who started dialysis 1/12 and got his kidney 10/13)
Mother to Gehlan 18, Alison 16, Jonathan 12, and Evalynn 7. All still at home.
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jeannea
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« Reply #2 on: October 19, 2012, 02:18:39 PM »

Definitely talk to the social worker. They often have access to funds that will help. Do it sooner than later.
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boswife
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us and fam easter 2013

« Reply #3 on: October 19, 2012, 02:23:29 PM »

When we were at the center, there was a lady that went through some of that copay stuff.  She ad a small battle for a bit, but!!!!!!!!!!  when her medicar kiced in, they retro activated it to cover past as well as all the rest.  We would loose it if that happend to us.  I feel for you but i truly believe that ALL of your treatments and everything dialysis related will be covered.  sending  :pray; 
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im a california wife and cargiver to my hubby
He started dialysis April 09
We thank God for every day we are blessed to have together.
november 2010, patiently (ha!) waiting our turn for NxStage training
January 14,2011 home with NxStage
Ricksters
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« Reply #4 on: October 19, 2012, 03:36:09 PM »

As someone else already said, tell your social worker!  I know the Kidney Foundation has some resources to help...They pay for my Cobra and Medicare as I have no income at the present time until (hopefully( ssd kicks in.

Ricki
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noahvale
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« Reply #5 on: October 19, 2012, 04:23:41 PM »

^
« Last Edit: September 18, 2015, 07:41:18 PM by noahvale » Logged
noahvale
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« Reply #6 on: October 19, 2012, 04:36:15 PM »

*

 
« Last Edit: September 18, 2015, 07:39:25 PM by noahvale » Logged
jbeany
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« Reply #7 on: October 19, 2012, 08:08:59 PM »

Also, as long as you are paying a small amount per month, they shouldn't send to you collections while you are waiting for the help and the full coverage.  I ended up with a $300 bill when I lost regular coverage and had to switch to gap insurance.  I sent out $5 or $10 monthly payments for ages, but at least it didn't ruin my credit rating.
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frankswife
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« Reply #8 on: October 20, 2012, 06:01:48 AM »

Thank you all for the ideas. We really appreciate it. I understand that alot of stuff needs to go through Frank's social worker, but there's something about her that sets my teeth on edge. She has never said or done anything overtly, and I just cant put my finger on it.
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jbeany
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« Reply #9 on: October 20, 2012, 09:25:17 AM »

She has never said or done anything overtly, and I just cant put my finger on it.

An aura of incompetence will do that to most of us!   ;D
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"Asbestos Gelos"  (As-bes-tos yay-lohs) Greek. Literally, "fireproof laughter".  A term used by Homer for invincible laughter in the face of death and mortality.

tiredandthirsty
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« Reply #10 on: October 20, 2012, 09:58:55 AM »

OP, i know exactly how you feel.  I have liver issues along with kidney and i got a $2100 bill just yesterday evening from the liver clinic because for some reason the insurance declined the claim.  i won't know until monday morning what the story is but i am totally stressed out on how i am going to pay for this.  i am already making payments on a separate $1200 at another hospital where they did maintenance work on my fistula.  i am totally lost, frustrated and stressed out. it seems this never ends.  one after another.   

not to hijack your thread, i just wanted to say i am in the same boat as you and i know how you feel.  i am so sorry you are having to go through this and hopefully it will be resolved soon. 

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Bill Peckham
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« Reply #11 on: October 20, 2012, 10:26:48 PM »

Ask the dialysis unit to bill you monthly - so that you have one copay instead of 13.
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http://www.billpeckham.com  "Dialysis from the sharp end of the needle" tracking  industry news and trends - in advocacy, reimbursement, politics and the provision of dialysis
Incenter Hemodialysis: 1990 - 2001
Home Hemodialysis: 2001 - Present
NxStage System One Cycler 2007 - Present
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sullidog
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« Reply #12 on: October 21, 2012, 07:08:39 PM »

Yes talk to your social worker, as far as medicare you don't need the social worker to do this, I did mine on my own, but unfortunetly you will need her for the other suggestions mentioned. I was in the same vote, not to get off topic I hgo a large bill because they denied a vein mapping I had done calling it unnscesary since I had a working access, I gave the bill sto thesocial worker and never got bugged again about it.
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May 13, 2009, went to urgent care with shortness of breath
May 19, 2009, went to doctor for severe nausea
May 20, 2009, admited to hospital for kidney failure
May 20, 2009, started dialysis with a groin cath
May 25, 2009, permacath was placed
august 24, 2009, was suppose to have access placement but instead was admited to hospital for low potassium
august 25, 2009, access placement
January 16, 2010 thrombectomy was done on access
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