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Main Forums => Living With HIV => Topic started by: Rjane on July 27, 2009, 08:57:06 pm

Title: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Rjane on July 27, 2009, 08:57:06 pm
This was my original question: Their office is closed now and I cant give them a call. I have some pretty big varicose veins that are getting out of hand. I wonder if adap will cover the surgery. The veins are starting to cause me pain.

I just called ADAP and they DO cover the procedure! WHOOO HOOOOO!!!
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Miss Philicia on July 27, 2009, 09:03:52 pm
Even if they did cover surgery, which they do not, why would they cover something that is not HIV related?
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Rjane on July 27, 2009, 09:06:04 pm
Even if they did cover surgery, which they do not, why would they cover something that is not HIV related?

i'll give them a buzz tomorrow morning. Back in 2003 I had a minor surgical outpatient procedure for something unrelated to hiv, and adap covered it. I dont know if the rules have changed since then.
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Miss Philicia on July 27, 2009, 09:09:19 pm
ADAP covered it, or Medicaid?
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Rjane on July 27, 2009, 09:14:31 pm
ADAP covered it, or Medicaid?

i've never had medicaid in my life. I am certain adap covered it. It was the only insurance I had at the time.
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Miss Philicia on July 27, 2009, 09:20:37 pm
ADAP = AIDS Drug Assistance Program

ADAP is part of the Ryan White Care Act.  Thus, if you had something non-"drug" paid it was from Ryan White, not ADAP.

I still highly doubt that Ryan White funds, which are in extremely short supply, are going to be used for varicose veins.
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Rjane on July 27, 2009, 09:23:34 pm
ADAP = AIDS Drug Assistance Program

ADAP is part of the Ryan White Care Act.  Thus, if you had something non-"drug" paid it was from Ryan White, not ADAP.

I still highly doubt that Ryan White funds, which are in extremely short supply, are going to be used for varicose veins.

which is why I have a plan B: jump on my wife's  health plan. If Adap doesnt cover it, I will hop on her plan until Sept when I start my new job in finance. by the way, varicose veins can be very very painful, and I think mine were caused by a car accident I had years ago. I only have two but they have become an issue
Title: Re: Does anyone know if ADAP covers surgery?
Post by: madbrain on July 27, 2009, 09:36:01 pm
which is why I have a plan B: jump on my wife's  health plan. If Adap doesnt cover it, I will hop on her plan until Sept when I start my new job in finance. by the way, varicose veins can be very very painful, and I think mine were caused by a car accident I had years ago. I only have two but they have become an issue

You better hope your wife's health plan doesn't have any pre-existing condition exclusion. If it does, and most plans do, you may have to pay for that insurance coverage for up to 12 months before they will treat your problem.
Title: Madbrain
Post by: Rjane on July 27, 2009, 09:49:03 pm
You better hope your wife's health plan doesn't have any pre-existing condition exclusion. If it does, and most plans do, you may have to pay for that insurance coverage for up to 12 months before they will treat your problem.


the other option is to pay for it out of pocket. Of course I would like Adap or her insurance to pay for it, but if need be, I will pay for it out of pocket. Thankfully, we arent broke. We are moving house, into a bigger house, while its still a buyer's market. I've got more than enough to pay for the procedure but because we are moving to a bigger home I want to cut costs. If I have to pay, I have to pay
Title: Re: Does anyone know if ADAP covers surgery?
Post by: skeebo1969 on July 27, 2009, 11:32:02 pm


  In 2006 I was suffering from severe knee pain.  It was so bad that I went to the ER and the doctors there upon finding out I was HIV positive did nothing but a bunch of std tests and so forth.  They gave me a prescription for some pain med and sent me home.  The knee pain got worse and my ASO/health clinic sent me to have my knee examined by a doctor that specialized in that field.  He found that I had a torn meniscus and gave me some kind of shot.  The X-rays, MRI, and doctor visit and procedures all were covered by ADAP......  mean while I have a $3000 ER debt that told me absolutely nothing other than what I already knew, that I didn't have chlamydia or something else.
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Oceanbeach on July 28, 2009, 01:04:20 am
Two terms of George Bush II has pretty much decimated any and all HIV funding resources such as ADAP, RWCA and most state programs.  President Obama has not yet fixed the problwem areas.  People living with HIV/AIDS are living without needed services because those services are reduced or terminated.  Don't tell the ADAP clerk you are in Finance  ;D  Have the best day
Michael
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Inchlingblue on July 28, 2009, 01:28:09 am
Rjane: As an aside if you don't mind my asking: you get ADAP even though you seem to have some means? The reason I ask is that I am worried if I lose my insurance and job I might not qualify for ADAP because I have  some money put away in savings. I know the eligibility varies by state but I wonder, do they look at one's savings or only earnings?

Don't mean to hijack the thread....thanks ;)
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Cliff on July 28, 2009, 03:13:00 am
Rjane you have a lot of stuff going on lately.  Are the homemade, unadvised baby-making plans still on?

Anyway, if you have money (i.e., moving to a bigger house) and you have the ability to get on your wife's insurance (not all plans, especially with larger employers have preexisting exclusion clauses) then why are you trying to get Ryan White to cover your non-HIV related surgery? 

You really should be on wife's insurance.  You never know what may happen until you get your finance job.
Title: Re: Does anyone know if ADAP covers surgery?
Post by: Dachshund on July 28, 2009, 05:30:43 am
I'm sorry, but absolutely none of this adds up to me.

If you have insurance through your wife you should have "jumped on it" long ago. Have you been treated by a doctor? Did a doctor recommend surgery? You think they were caused by an accident? You decided to give them a call? They're out of hand? I doubt many insurance plans would cover the removal of varicose veins. They consider it cosmetic or elective surgery. They might spring for some support hose.

That said, how in the world do you even qualify for ADAP? In my state you have to provide proof of income AND that you don't have access to health insurance.

Like I said none of this adds up and it doesn't sound like you're in Denmark.
Title: Cliff
Post by: Rjane on July 28, 2009, 08:40:13 am
Rjane you have a lot of stuff going on lately.  Are the homemade, unadvised baby-making plans still on?

Anyway, if you have money (i.e., moving to a bigger house) and you have the ability to get on your wife's insurance (not all plans, especially with larger employers have preexisting exclusion clauses) then why are you trying to get Ryan White to cover your non-HIV related surgery?  

You really should be on wife's insurance.  You never know what may happen until you get your finance job.

Cliff things are fine. Still working on baby-making and my wife is using PrEP(viread)  this time round. I am NOT trying to get on Ryan White to cover surgery. I simply asked if ADAP covers varicose vein surgery. I was not even aware there existsa Ryan White medical insurance program.
Title: Daschund
Post by: Rjane on July 28, 2009, 08:43:16 am
I'm sorry, but absolutely none of this adds up to me.

If you have insurance through your wife you should have "jumped on it" long ago. Have you been treated by a doctor? Did a doctor recommend surgery? You think they were caused by an accident? You decided to give them a call? They're out of hand? I doubt many insurance plans would cover the removal of varicose veins. They consider it cosmetic or elective surgery. They might spring for some support hose.

That said, how in the world do you even qualify for ADAP? In my state you have to provide proof of income AND that you don't have access to health insurance.

Like I said none of this adds up and it doesn't sound like you're in Denmark.

I didnt jump on my wife's insurance because I only left my job a few months back, and my insurance ended about three weeks ago. Also, there is an enrollment period to "jump on my wife's" insurance. You cant just call up and say "put me on it." The open enrollment is August 7th.

As far as my qualifications for ADAP,  I prefer not to explain how i use their services except to say its intermittent use.
Title: .
Post by: Rjane on July 28, 2009, 08:48:02 am
.
Title: Re: Daschund
Post by: Dachshund on July 28, 2009, 08:53:58 am


As far as my qualifications for ADAP,  I prefer not to explain how i use their services except to say its intermittent use.

That's all I needed to know, and no you can't use ADAP for surgery. Like I said, something ain't adding up. Purchase some over the counter support hose until you figure this out. Good luck and goodbye.
Title: Re: Daschund
Post by: BT65 on July 28, 2009, 09:10:13 am
As far as my qualifications for ADAP,  I prefer not to explain how i use their services except to say its intermittent use.

I have to agree with Dachs.  Something's not right.  Here in Indiana, we have people with little to no income waiting for months to get on ADAP, and you use it intermittently?  So, you use it whenever it suits your need?  That seems a little unfair, (and shadey).
Title: Re: Daschund
Post by: Rjane on July 28, 2009, 09:21:43 am
That's all I needed to know, and no you can't use ADAP for surgery. Like I said, something ain't adding up. Purchase some over the counter support hose until you figure this out. Good luck and goodbye.

Daschund, thanks for the mention about the hose. I hear its a useful device, but one I will not need. As far as things "not adding up," its because I havent explained it all. I reveal much, but not all.

Thanks for your help.
Title: BT65
Post by: Rjane on July 28, 2009, 09:22:43 am
I have to agree with Dachs.  Something's not right.  Here in Indiana, we have people with little to no income waiting for months to get on ADAP, and you use it intermittently?  So, you use it whenever it suits your need?  That seems a little unfair, (and shadey).

I can offer no assistance with or insight into the inner-workings of your state's ADAP. Sorry.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Miss Philicia on July 28, 2009, 10:12:27 am
This thread is full of 110% bs.
Title: Miss P
Post by: Rjane on July 28, 2009, 10:20:03 am
This thread is full of 110% bs.

 I just called them and they said they cover the procedure IF its done at a cooperating facility/hospital and if it is an outpatient procedure, which it is, but they dont cover anesthesia.  

I will have to have this done at one of three area hospitals in my area that "cooperate" with ADAP.

I am not looking for an argument, and will not engage in one. Hopefully someone will benefit from the information contained in this thread, specifically that ADAP will cover the cost of solving most issues that affect those who suffer with HIV, varicose veins included
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Denver Toad on July 28, 2009, 10:26:47 am
Sniff sniff..... I smells a troll here. Stinky one at that.

It's shit like this (varicose veins,ADAP miss-usage usage, misuse of assistance) that propagates stereotypes of less fortunate that genuinely require assistance.

Varicose veins are often considered cosmetic in nature and approval for surgery is and extended pre-approval  process. I say BS here.

If you've the wherewithal to purchase a new and larger home, access to your wives insurance, and are attempting to have a child, and are able to work; you shouldn't be tapping ADAP funds for varicose veins. There's good folks out there that need the meds far more then you.  
Title: Denver Toad
Post by: Rjane on July 28, 2009, 10:30:45 am
Sniff sniff..... I smells a troll here. Stinky one at that.

It's shit like this (varicose veins,ADAP miss-usage usage, misuse of assistance) that propagates stereotypes of less fortunate that genuinely require assistance.

Varicose veins are often considered cosmetic in nature and approval for surgery is and extended pre-approval  process. I say BS here.

If you've the wherewithal to purchase a new and larger home, access to your wives insurance, and are attempting to have a child, and are able to work; you shouldn't be tapping ADAP funds for varicose veins. There's good folks out there that need the meds far more then you.  

You can say its BS all you like but if you call ADAP you will find out its true. I have no reason to lie. As far as how I live my life and use ADAP, its really none of your business now is it? As I mentioned my varicose veins are painful. FYI blood pools in the legs of those who have varicose veins and in some, it creates a lot of pressure, leading to pain. Mine would not be a "cosmetic" procedure, and I have stated that.

As far as me being a troll, nothing could be further than the truth. As I mentioned, I am not going to argue with anyone. I have a good life, have made some good friends on here, like Ann, whom I consider a gifted writer, who has helped me out on more than one occasion, Dingowarrior, whose advice on conceiving a child proved invaluable,  and inchlingblue.

I have learned, that if one encounters a situation they consider dubious or one where time will be ill spent, its best to bypass it altogether. The comments about BS and this and that are unnecessary and waste your time more than mine. I am a positive, happy person with a good life, a life still full of wonderful possibilities and love.

thank you
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Dennis on July 28, 2009, 10:31:54 am
If ADAP covers that procedure in your state; go for it! Hell! If my insurance covered a medical procedure I needed or wanted to have done I sure as hell wouldn't turn it down.

I do, however, question what your state's eligibility requirements are for ADAP. This is typcially a program reserved for those in need, and this certainly doesn't sound to be the case with you. I mean, having the cash readily available to pay for it out of pocket, and buying a newer, bigger home doesn't sound like someone who would need to benefit from this program.
Title: Thanks Dennis
Post by: Rjane on July 28, 2009, 10:34:57 am
If ADAP covers that procedure in your state; go for it! Hell! If my insurance covered a medical procedure I needed or wanted to have done I sure as hell wouldn't turn it down.

I do, however, question what your state's eligibility requirements are for ADAP. This is typcially a program reserved for those in need, and this certainly doesn't sound to be the case with you. I mean, having the cash readily available to pay for it out of pocket, and buying a newer, bigger home doesn't sound like someone who would need to benefit from this program.

I cant comment on the specfics of my relationship to ADAP though.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Miss Philicia on July 28, 2009, 10:40:45 am
Right, because it's so easy to identify someone with a screen name on an internet forum called "Rjane"...
Title: Re: Thanks Dennis
Post by: Dennis on July 28, 2009, 10:41:19 am
I hadn't asked for specifics  about your're relationship with ADAP. I merely enquired about the eligibility requirements for your state.


I cant comment on the specfics of my relationship to ADAP though.
Title: Dennis
Post by: Rjane on July 28, 2009, 10:42:21 am
I hadn't asked for specifics  about your're relationship with ADAP. I merely enquired about the eligibility requirements for your state.



I was being sarcastic. Youre a friendly guy and I appreciate that; I meant no harm. :-)
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Joe K on July 28, 2009, 11:13:43 am
No way that any ADAP program in America will cover ANYTHING with the exception of HIV and HIV-related medications.  They do not pay for anything other than DRUGS.  Any procedures or surgeries would be paid either through Medicaid or Ryan White.  I am also dumbfounded at your audacity, to post this crock on an AIDS website, because anyone who would try and game the ADAP program, while pozzies are literally dying, waiting for drugs through the program, is beyond despicable.

If you wonder why we have a health care problem in America, you need to look no farther than a mirror.  Americans are dying due to inadequate programs and care and even though you can easily afford your own surgery, you want someone else to pay, even when you don't qualify.  Based on your financial situation,  that you have described, you would not qualify for either ADAP or Medicaid, no matter what state you live in.

Now begone... before someone drops a house on you.
Title: Killi
Post by: Rjane on July 28, 2009, 11:21:17 am
No way that any ADAP program in America will cover ANYTHING with the exception of HIV and HIV-related medications.  They do not pay for anything other than DRUGS.  Any procedures or surgeries would be paid either through Medicaid or Ryan White.  I am also dumbfounded at your audacity, to post this crock on an AIDS website, because anyone who would try and game the ADAP program, while pozzies are literally dying, waiting for drugs through the program, is beyond despicable.

If you wonder why we have a health care problem in America, you need to look no farther than a mirror.  Americans are dying due to inadequate programs and care and even though you can easily afford your own surgery, you want someone else to pay, even when you don't qualify.  Based on your financial situation,  that you have described, you would not qualify for either ADAP or Medicaid, no matter what state you live in.

Now begone... before someone drops a house on you.

Call ADAP and ask. people like you keep saying "no way" when the facts are the facts. this is quickly becoming like the Obama Birth Certificate issue. lol

ADAP IN MY STATE SAID THEY WILL COVER THE PROCEDURE! PERIOD END OF STORY.

I'd suggest you take your own advice and "begone."


Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Joe K on July 28, 2009, 11:26:43 am
Really?  That's a miracle!... or whatever.  However, being a man of my word, if you will tell me which state covers such procedures, I will be happy to call them and then post their response here.  If I am wrong, I want to know, because it could help so many pozzies and I have no problem admitting when I am wrong.

When I am wrong.
Title: Killi
Post by: Rjane on July 28, 2009, 11:28:57 am
Really?  That's a miracle!... or whatever.  However, being a man of my word, if you will tell me which state covers such procedures, I will be happy to call them and then post their response here.  If I am wrong, I want to know, because it could help so many pozzies and I have no problem admitting when I am wrong.

When I am wrong.

I have nothing to prove to you, and if you called my state you could easily say "so and so called to ask about this and blah blah blah"

I am not a child and I dont play child's games. I am getting the procedure done, ADAP is paying for it and I will pay for all other associated costs.

One of the mightiest things we can do in life is mind our own business. I suggest you sate your thirst for knowledge some other way. I will indulge this no further and will not respond to you.

cheers


Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Ann on July 28, 2009, 11:37:22 am
OK, I think it's time for people to step back here. Telling each other to "begone" isn't helpful and neither is calling troll. Please knock it off before I have to start handing out official warnings - and that includes warning the OP.

Personally, I don't agree with using ADAP for what is essentially an elective surgery - pain or no pain. Until you've totally exhausted other non-surgical ways of dealing with varicose veins themselves, I think you're silly for jumping into surgery. There are plenty of ways to deal with varicose veins and surgery should be a last resort. Any decent doctor will tell you this.

As others have said, ADAP programs across the country are struggling to provide meds for people who can't otherwise afford them. This seems like a misuse of the funds, whether or not your State allows it. It doesn't really sound as though you've explored other options or given them time to work. We already know you're very impatient when it comes to health-care concerns and I have a feeling this is another time where you need to have some patience and look at the bigger picture.

While I do not agree that ADAP funds should be used for something like varicose veins, I'm also not going to call Rjane a troll nor am I going to tell him to "begone". If you cannot offer Rjane some practical information on how he can be dealing with his varicose veins, please refrain from commenting.

Rjane, in turn you need to realise there are many people here who have struggled to make ends meet and struggled to qualify for programs such as ADAP and have spent time on waiting lists for much needed assistance. Some have watched others die as a direct result of not being give assistance when it was imperative to save their lives. When you post about using a program in the way you propose, you've got to expect some disagreement. However, I will say you should be able to expect to have disagreements voiced with a bit of respect instead of name-calling.

Ann
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Joe K on July 28, 2009, 11:37:59 am
Oh, OK.  I'm not the guy who came on here trying to cheat the ADAP program to pay for something that you can afford.  I'm not the guy who claimed his state would pay, but then will not provide the name of the state and that is because NO ADAP PROGRAM PAYS FOR ANYTHING, OTHER THAN MEDICATION.

My only goal here is to insure that our readers understand that the AIDS DRUGS ASSISTANCE PROGRAM (ADAP) will assist QUALIFIED pozzies with their HIV and HIV-related medications.  For EVERYTHING ELSE, they should contact either Medicaid or the Ryan White program.  And if anyone is on Medicare, you can still use the ADAP program for HIV meds, when you hit the "doughnut hole".

Edited to add:  Ann you are so right and Rjane, I apologize for my inappropriate comment.
Title: Ann
Post by: Rjane on July 28, 2009, 11:43:21 am
OK, I think it's time for people to step back here. Telling each other to "begone" isn't helpful and neither is calling troll. Please knock it off before I have to start handing out official warnings - and that includes warning the OP.

Personally, I don't agree with using ADAP for what is essentially an elective surgery - pain or no pain. Until you've totally exhausted other non-surgical ways of dealing with varicose veins themselves, I think you're silly for jumping into surgery. There are plenty of ways to deal with varicose veins and surgery should be a last resort. Any decent doctor will tell you this.

As others have said, ADAP programs across the country are struggling to provide meds for people who can't otherwise afford them. This seems like a misuse of the funds, whether or not your State allows it. It doesn't really sound as though you've explored other options or given them time to work. We already know you're very impatient when it comes to health-care concerns and I have a feeling this is another time where you need to have some patience and look at the bigger picture.

While I do not agree that ADAP funds should be used for something like varicose veins, I'm also not going to call Rjane a troll nor am I going to tell him to "begone". If you cannot offer Rjane some practical information on how he can be dealing with his varicose veins, please refrain from commenting.

Rjane, in turn you need to realise there are many people here who have struggled to make ends meet and struggled to qualify for programs such as ADAP and have spent time on waiting lists for much needed assistance. Some have watched others die as a direct result of not being give assistance when it was imperative to save their lives. When you post about using a program in the way you propose, you've got to expect some disagreement. However, I will say you should be able to expect to have disagreements voiced with a bit of respect instead of name-calling.

Ann




You are simply an amazing person.



R
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Ann on July 28, 2009, 12:00:33 pm
R,

I think perhaps the person you spoke to on the phone gave you misinformation. As others have said, ADAP only covers meds and a few things med-related. Please see this link:

http://hab.hrsa.gov/programs/adap/

 TITLE II: AIDS DRUG ASSISTANCE PROGRAM

The AIDS Drug Assistance Program (ADAP) provides medications for the treatment of HIV disease. Program funds may also be used to purchase health insurance for eligible clients.  Amendments to the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in October 2000 added language allowing ADAP funds to be used for services that enhance access to, adherence to, and monitoring of drug treatments. The program is funded through Title II of the CARE Act, which provides grants to States and Territories.

Title: Ann
Post by: Rjane on July 28, 2009, 12:13:37 pm
R,

I think perhaps the person you spoke to on the phone gave you misinformation. As others have said, ADAP only covers meds and a few things med-related. Please see this link:

http://hab.hrsa.gov/programs/adap/

 TITLE II: AIDS DRUG ASSISTANCE PROGRAM

The AIDS Drug Assistance Program (ADAP) provides medications for the treatment of HIV disease. Program funds may also be used to purchase health insurance for eligible clients.  Amendments to the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in October 2000 added language allowing ADAP funds to be used for services that enhance access to, adherence to, and monitoring of drug treatments. The program is funded through Title II of the CARE Act, which provides grants to States and Territories.



Ann, the person was from the dept of health and the number i dialed was the number on my adap card. as I mentioned back in 2003 i had minor surgery and they paid for it

I called back again, within the last 20 minutes and was told again, they cover it. This is straight from the Adap reps mouth, and their supervisor.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Joe K on July 28, 2009, 12:15:13 pm
Rjane, my guess would be that when you called your Health Department, and inquired about a surgery, that they said they would help you, but they should have said any medical services would be covered under the Ryan White program.  States often combine administration of HIV services under one area, which is good, because they can coordinate care, using the various public programs for payment. However, which program pays for what, can often be confusing to the clients and my point was that ADAP only covers medications. The fact that your ADAP card contains the Health Dept. number, does not mean such services would be covered by ADAP. but rather that your Health Dept. administers your ADAP program.

Regarding your varicose veins, have you spoken with a vascular surgeon?  Given present day laser treatments, they may be able to treat you that way, which would be an outpatient procedure and a lot less risky or possibly disfiguring that actual surgery.

Edited for clarity.
Title: Kill
Post by: Rjane on July 28, 2009, 12:20:46 pm
Rjane, my guess would be that when you called your ADAP office, and inquired about a surgery, that they said they would help you, but they should have said any medical services would be covered under the Ryan White program.  States often combine administration of HIV services under one area, which is good, because they can coordinate care, using the various public programs for payment.  However, which program pays for what, can often be confusing to the clients and my point was that ADAP only covers medications.

Regarding your varicose veins, have you spoken with a vascular surgeon?  Given present day laser treatments, they may be able to treat you that way, which would be an outpatient procedure and a lot less risky or possibly disfiguring that actual surgery.

thanks, for the heads up. I will inquire about laser surgery. I really appreciate the info. If I dont have to go under the knife, i would rather not.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Ann on July 28, 2009, 12:38:54 pm

 If I dont have to go under the knife, i would rather not.


Any reputable doctor will first insist on trying non-invasive therapies before resorting to surgery or any of the other medical based options. They normally start with insisting you wear compression stockings and that you give it time to work. In other words, you'd have to stick with using them for more than just a week or two.

Here's a list of self-help therapies normally recommended before any invasive proceedure, from the Mayo Clinic (http://www.mayoclinic.org/varicose-veins/treatment.html):

Self-care and home-based therapies

An important aspect for treating varicose veins is for patients to take steps they can do themselves. Such home-based therapies include:

    * Leg elevation: Raising the legs above the heart for 10 to 15 minutes, three to four times daily, will drain pooled blood from the legs.
    * Compression therapy: The patient wears elastic support stockings all day to help keep blood flowing up from the legs to the heart. Special compression stockings are available through pharmacies.
    * Exercise: Any activity that gets the legs moving, such as walking, swimming or dancing, will stimulate good blood flow in the veins and strengthen the cardiovascular system.
    * Weight loss: Excess body weight adds stress and strain to the leg veins.
    * Avoiding long periods of sitting or standing. Doing such activities for a prolonged time impedes blood flow to the heart.
    * Avoiding sitting with legs crossed.
    * Avoiding high heels and tight clothing that can restrict blood flow in the legs.
    * Good skin care, such as using skin lotions to prevent fragile skin from cracking, and avoiding sun or using sunscreen, especially for fair-skinned people.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDU
Post by: Inchlingblue on July 28, 2009, 02:07:58 pm
Any reputable doctor will first insist on trying non-invasive therapies before resorting to surgery or any of the other medical based options.  

That may be true of a reputable doctor, I find there are fewer and fewer of those around. There are horror stories about some doctors and especially some teaching hospitals wanting to perform surgeries that should have been considered a last resort and were not necessary in order for the interns to get surgical practice as well as to be able to bill for the procedure. Rjane, you should get a second opinion, they might have no problem operating on you for the reasons stated above, not because it's in your best interest.

There was a recent piece by a journalist who went to see doctors in several different countries for a shoulder ailment, in order to compare how each country's system handled the same ailment. The doctor in the US was the only one who recommended surgery to replace the rotator cuff. All the other doctors from different countries had other options that did not require surgery and were better for this patient. Go figure.

I don't think it's right to judge Rjane for wanting to use ADAP/Ryan White if it's available as an option. If his particular state covers it then that means that his particular state still has the funds. I'd consider moving there if they are doing so well that their ADAP/Ryan White is still flush! It's not like his procedure would mean someone will go without HIV meds, cuts to these programs begin way before that is considered.

If only we had universal health care coverage in the good ol' USA, as so many other industrialized countries do. Whether rich or poor or anywhere in between, health care should be a basic right, whether it's for varicose veins or cancer or whatever.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Dachshund on July 28, 2009, 03:07:54 pm
Was I seeing things or did you edit out the part about talking to a vascular surgeon this morning? You said he quoted you a price of $400 of which $200 you would have to pay and the rest would be covered by ADAP.

All this confusion could be cleared up if you would be so kind as to tell us what state you're living in. It would be a service to people living with HIV in your state who might not know that ADAP covers out patient surgery.
Title: Daschund
Post by: Rjane on July 28, 2009, 03:13:36 pm
Was I seeing things or did you edit out the part about talking to a vascular surgeon this morning? You said he quoted you a price of $400 of which $200 you would have to pay and the rest would be covered by ADAP.

All this confusion could be cleared up if you would be so kind as to tell us what state you're living in. It would be a service to people living with HIV in your state who might not know that ADAP covers out patient surgery.

I did remove that blurb when I found out ADAP covers the procedure. However I did NOT say that "adap would cover the rest." I said the doctor would work out an arrangement that I will not get into.

If anyone wants info or is looking for definitive answers, better to contact ADAP directly and not rely on info obtained from this site. Since ADAP funding can vary from state to state, my state's ADAP fund may differ from yours (in subtle ways).
Title: Re: Daschund
Post by: Dachshund on July 28, 2009, 03:27:20 pm
I did remove that blurb when I found out ADAP covers the procedure.

If anyone wants info or is looking for definitive answers, better to contact ADAP directly and not rely on info obtained from this site. Since ADAP funding can vary from state to state, my state's ADAP fund may differ from yours (in subtle ways).

This is why people are doubting the veracity of your story. Naming the state that offers this type of coverage would be a definative answer. Wouldn't hurt you and could possibly help others. That said, I'm tired of this nonsense.

As for the "blurb" you deleted you said the surgeon told you ADAP would cover it. Your story changed considerably after your blurb delete.

just sayin
Title: Daschund
Post by: Rjane on July 28, 2009, 03:29:24 pm
This is why people are doubting the veracity of your story. Naming the state that offers this type of coverage would be a definative answer. Wouldn't hurt you and could possibly help others. That said, I'm tired of this nonsense.

As for the "blurb" you deleted you said the surgeon told you ADAP would cover it. Your story changed considerably after your blub delete.

just sayin

Like I said. People should call their state ADAP office and confirm. I called mine and they said they cover the cost of the procedure. I am not going to tarry on this point. You have a good day now.

Thank you and good bye.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Oceanbeach on July 28, 2009, 03:42:56 pm
Mr. Rjane, I clicked ignore, goodbye
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Miss Philicia on July 28, 2009, 03:48:42 pm
There's been so much post-hoc editing in this thread by Rjane that's it's been rendered a bit useless.  Bad netiquette, darling.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: BT65 on July 28, 2009, 03:59:24 pm
I don't understand why you won't just tell us the state you live in (cough, cough).  Oh, nevermind.  I do understand.
Title: Miss P
Post by: Rjane on July 28, 2009, 04:31:34 pm
There's been so much post-hoc editing in this thread by Rjane that's it's been rendered a bit useless.  Bad netiquette, darling.

I edited one post once. As I may have said before, many people come to this forum for advice, to be uplifted and consoled. I fail to see how the tone of your continuing statements make this forum a comfortable place.  The matter is settled and there is no need for further inflammatory discussion.

.
Title: Re: Miss P
Post by: David_CA on July 28, 2009, 04:56:56 pm
There's been so much post-hoc editing in this thread by Rjane that's it's been rendered a bit useless.  Bad netiquette, darling.

I edited one post once. As I may have said before, many people come to this forum for advice, to be uplifted and consoled. I fail to see how the tone of your continuing statements make this forum a comfortable place.  The matter is settled and there is no need for further inflammatory discussion.

I don't mean to nit pick or anything, but I'm having a hard time following this, and a few other, posts due to so much after-the-fact editing.  I believe I counted 11 posts in this thread that had been edited by the OP. 


Title: David
Post by: Rjane on July 28, 2009, 05:02:45 pm
I don't mean to nit pick or anything, but I'm having a hard time following this, and a few other, posts due to so much after-the-fact editing.  I believe I counted 11 posts in this thread that had been edited by the OP.  




I dont know why people feel the need to continue commenting in this regard. The conversation is over, ended, finished.. Period. There are more useful ways to spend your time than dwelling in the past or on issues that have been resolved.

If anyone has any questions on anything related to ADAP, call them. Period. Conversation ended.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: WillyWump on July 28, 2009, 05:51:21 pm
I'm just simply aghast at the fact that you want to "use" ADAP first (even if it is indeed possible) for vericose veins rather than having to jump on your wifes insurance or pay for it yourself out of your own pocket (as stated in previous posts), you seem to be awash in money, upgrading to a bigger and better house, trying to conceive, and contempating going back to your job in finance.

I wish Scott, my dear friend I lost  a couple of years ago, had had the ability to get Meds from ADAP, (much less for vericose veins), or had a couch of his own to sleep on, (much less the ability to upgrade to a bigger and better house) or had a family of his own (much less the ability to grow a family).

I'm not trying to judge you, but your post seems very insensitive when you look at the big picture and remember all those who are on waiting lists for ADAP, or are having trouble getting assistance from ADAP, or have died during both of these instances.

-Will
Title: Will
Post by: Rjane on July 28, 2009, 06:01:47 pm
I'm just simply aghast at the fact that you want to "use" ADAP first (even if it is indeed possible) for vericose veins rather than having to jump on your wifes insurance or pay for it yourself out of your own pocket (as stated in previous posts), you seem to be awash in money, upgrading to a bigger and better house, trying to conceive, and contempating going back to your job in finance.

I wish Scott, my dear friend I lost  a couple of years ago, had had the ability to get Meds from ADAP, (much less for vericose veins), or had a couch of his own to sleep on, (much less the ability to upgrade to a bigger and better house) or had a family of his own (much less the ability to grow a family).

I'm not trying to judge you, but your post seems very insensitive when you look at the big picture and remember all those who are on waiting lists for ADAP, or are having trouble getting assistance from ADAP, or have died during both of these instances.

-Will

Thanks Will.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Joe K on July 28, 2009, 06:04:57 pm
Let's kill this thread, it's all BS.

ADAP does not, nor has it ever paid for any medical services, with the exception of services required to obtain HIV and HIV-related medications.  THAT IS FACT and no matter what the OP says, he is wrong. ADAP is not there for whimsical surgery on a situation that is not HIV related and I do not want any reader to think that is so.  The fact he will not mention the state, is enough, because there IS NO STATE ADAP THAT WILL PAY FOR MEDICAL SERVICES.  PERIOD.  END OF DISCUSSION.

Rjane, you can quote and deflect all you want, but I will never share your point of view, because there is simply not enough room, up your ass, for both of our heads.  ;D
Title: Kill
Post by: Rjane on July 28, 2009, 06:08:53 pm
Let's kill this thread, it's all BS.

ADAP does not, nor has it ever paid for any medical services, with the exception of services required to obtain HIV and HIV-related medications.  THAT IS FACT and no matter what the OP says, he is wrong. ADAP is not there for whimsical surgery on a situation that is not HIV related and I do not want any reader to think that is so.  The fact he will not mention the state, is enough, because there IS NO STATE ADAP THAT WILL PAY FOR MEDICAL SERVICES.  PERIOD.  END OF DISCUSSION.

Rjane, you can quote and deflect all you want, but I will never share your point of view, because there is simply not enough room, up your ass, for both of our heads.  ;D

I had a minor procedure in 2003 which adap paid for. I will be meeting with the doctor tomorrow and its confirmed that ADAP will pay for the procedure. I will have to pay for the anesthesia. Maybe I lucked out, but its a fact Adap is paying for my procedure. Period.
Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Joe K on July 28, 2009, 06:10:33 pm
That whoosh you hear is everything going right over your head.

Edited to add: Dear readers, the information contained in this thread is highly suspect and you should contact your local Health Department to see if you qualify for any programs.  ADAP provides HIV and HIV-related medications only.  Ryan White may help with medical services or you may qualify for Medicaid.  Also, for those on Medicare Part D, most states will allow you to use ADAP when you hit the doughnut hole.
Title: Kill: last words
Post by: Rjane on July 28, 2009, 06:12:30 pm
That whoosh you hear is everything going right over your head.

People still want to go on and on with this. I guess they like arguing. I dont. I am logging off to enjoy my life, meeting my wife and friends for a early dinner and then a movie. When I return, I dont intend to respond further to this thread.

8) 8) 8)


Title: Re: Does anyone know if ADAP covers surgery? UPDATE!!! They DO COVER THE PROCEDURE!
Post by: Ann on July 28, 2009, 06:30:45 pm
At the end of the day, ADAP funds are federal, administered at the State level. When federal funds are stipulated to be for certain things, in this case hiv meds, the State cannot allocate these funds for anything other than hiv meds or their administration. I'll repeat what is stated on the federal site concerning ADAP:

http://hab.hrsa.gov/programs/adap/

 TITLE II: AIDS DRUG ASSISTANCE PROGRAM

The AIDS Drug Assistance Program (ADAP) provides medications for the treatment of HIV disease. Program funds may also be used to purchase health insurance for eligible clients.  Amendments to the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act in October 2000 added language allowing ADAP funds to be used for services that enhance access to, adherence to, and monitoring of drug treatments. The program is funded through Title II of the CARE Act, which provides grants to States and Territories.

An operation on varicose veins does not fall into the catagory of "medications for the treatment of HIV disease" nor "services that enhance access to, adherence to, and monitoring of drug treatments". Regardless of what Rjane claims.

I can't see this thread going anywhere good. I'm locking it.

Ann