Aa
OT--vent about medicaid..so angry.
as most of yall know i have issued with a fractured back and now i have a hernia that needs repair but i have no health insurance. i am a member of the maternity care program with medicaid but that means that i can ONLY receive health care related to pregnancy and only for up to 60 days after delivery. so i need to find some sort of health insurance to take care of these issues.. i need surgery for my hernia and i need surgery for my back (since i have been put in a back brace once before and it didn't heal properly and is now fractured again, surgery seems the only option)...
after the discovery of my hernia i placed a call to a medicaid worker to find out if a visit to a surgeon to look at my hernia and surgery to repair it would be covered and you know what she told me? "im almost 99% sure it won't be covered because you would have to prove its pregnancy related and it's almost impossible to prove that."...okay so even though that p i s s e s me off i think i can wrap my head around WHY it's set up like that.
what i cannot wrap my head around is what happened next. i decided to double check the medicaid website and find out if there was any way i could be elligible for full medicaid rather than just the maternity care program for up to 60 days postpartum. so i was looking at the income elligibility requirments and you know what the income requirement is for a family of 3? $164 A MONTH. are you ******* kidding me? i'm sorry to be so angry but what makes our selfish cheap government think that a family of 3 that makes $165 a month can afford health insurance? and what makes them think that a family of 3 that makes even $1000 a month can afford health insurance? i mean are you KIDDING??
grrr. i just could not be angrier right now and i wish i could call those medicaid bastards and tell them what i think of this. unfortunately im powerless. sorry for my language. but seriously?
anyways, here's to hoping my hernia doesn't become strangulated before i can get some sort of health insurance.
after the discovery of my hernia i placed a call to a medicaid worker to find out if a visit to a surgeon to look at my hernia and surgery to repair it would be covered and you know what she told me? "im almost 99% sure it won't be covered because you would have to prove its pregnancy related and it's almost impossible to prove that."...okay so even though that p i s s e s me off i think i can wrap my head around WHY it's set up like that.
what i cannot wrap my head around is what happened next. i decided to double check the medicaid website and find out if there was any way i could be elligible for full medicaid rather than just the maternity care program for up to 60 days postpartum. so i was looking at the income elligibility requirments and you know what the income requirement is for a family of 3? $164 A MONTH. are you ******* kidding me? i'm sorry to be so angry but what makes our selfish cheap government think that a family of 3 that makes $165 a month can afford health insurance? and what makes them think that a family of 3 that makes even $1000 a month can afford health insurance? i mean are you KIDDING??
grrr. i just could not be angrier right now and i wish i could call those medicaid bastards and tell them what i think of this. unfortunately im powerless. sorry for my language. but seriously?
anyways, here's to hoping my hernia doesn't become strangulated before i can get some sort of health insurance.
no we're way over the limit..for a family of 3 here in alabama the income limit is $164 a MONTH..ridiculous.
ahh ok. I understand. You should get looked at by another OB not your current and ask them to establish that it happened during pregnancy. Do you not qualify for state insurance (Medicaid?)
well the problem is im not prego anymore im 6 weeks pp.. and the maternity care program coordinator at my hospital told me that its going to be about impossible to prove that the hernia occured as a result of pregnancy since there is no documentation that i suffered from it during the pregnancy. but thats stupid because i DID suffer from it i had sharp pains at the site of the hernia but i wasn't aware it WAS a hernia obviously because my belly was so big i wouldn't have been able to feel a lump. and i didn't mention the pain because who doesn't have weird pains during pregnancy? i know my doctor though and the pain was minor enough that it would have been brushed off had i mentioned it. i didn't notice it was a hernia until after i delievered my daughter. and since its virtually impossible to prove its related to pregnancy i can't get it covered since i only have maternity coverage.
Out here in Socal we have Medical (medicaid) and I'm on "medi medi" which is medicare and medical but insurance *****.
You need to try it anywayse no matter what that woman said. since you get care after delivery, you need to look into getting some surgery to fix it. during my last pregnancy I delt with severe back pain myself, not sure why but it related to a fall I'd had and nerve damage I had.
I'm really sorry your having to deal w/such pain along with being preggo. Talk to your social worker about your options and keep at it. at some point someone is going to help you.
You need to try it anywayse no matter what that woman said. since you get care after delivery, you need to look into getting some surgery to fix it. during my last pregnancy I delt with severe back pain myself, not sure why but it related to a fall I'd had and nerve damage I had.
I'm really sorry your having to deal w/such pain along with being preggo. Talk to your social worker about your options and keep at it. at some point someone is going to help you.
texas right now has a good economy i think...we are in alabama so its not terrible but i would like to move at some point.. 975 for a one bedroom is insane. at that price we'd never get outta my parents house. were living paycheck to paycheck as well and need to start saving some money so that we don't have to do that anymore.
I am married too. But nj is way too exspensive. We are moving out of here soon, to texas. Rent is way too much, we are in a one bedroom and paying 975 and pay all utilities. Forget about how much a 3 bedroom is. Car insurance is more here too. My children have medicaid and I have it for my pregnancy. But we make too much for foodstamps or wic. We pay our bills and spend money on food, that's it. We live pay check to paycheck which s u c k s . It would be so much easier if we were able to get some types of assistance.
yea we are married and as much as i love and adore him and being married to him it costs more to be married.. i would be able to get full medicaid, wic, etc... if we weren't married. oh well.
omg 4000 is sooo much better because even a family of 5 i think can only make 200 something in alabama.. i can't believe that. i guess we need to move to nj then lol.
I know how you feel, not completely but somewhat. I live in NJ so the eligibility is much higher for medicaid. For a family of 5 I think it was like 4000 something. But for foodstamps my husband and I make too much together by like 300. So we are on that borderline. Idk what I am going to do when I go on maternity leave as I make most of the money. Life can be so difficult.
Hmmm that is hard and i understand what your going through. Are you and your partner married? If not then you can say he does not live with you. Just dont accept any cash aid because if you do they may go after him for child support. Honestly thats what me and my df do because with his income i would loose most if not all of my aid. Now he does not make great money but enough to get us by, but with out the medical and food stamps we would not make it. I know it sounds so unfair but sometimes thats what us citizens have to do to get help from our own country.
ive looked into any welfare options we can get and we're just not elligible for anything :(...we are right in between, we make too much to be elligible (at least in alabama) and too little to cover all the necessary expenses. which is the reason we're still living at my parents house and probably will be for awhile.
wow im sorry you are going through this. Have you gone down to the welfare office to apply for benefits? I am on medi-cal, which is medicaid, here in california and im also a family of 3. I know for me the max monthly income i can make is $1904 to get any aid including medical. I hope everything works out for you.
Have an Answer?
You are reading content posted in the Pregnancy Community
Get information and tips on how to help you choose the right place to deliver your baby.
Get the facts on how twins and multiples are formed and your chance of carrying more than one baby at a time.
Learn about the risks and benefits of circumcision.
What to expect during the first hours after delivery.
Learn about early screening and test options for your pregnancy.
Learn about testing and treatment for GBS bacterium.
