Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
October 20, 2014, 05:47:49 AM

Login with username, password and session length


Members
  • Total Members: 23730
  • Latest: lume
Stats
  • Total Posts: 642739
  • Total Topics: 48891
  • Online Today: 183
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 5
Guests: 145
Total: 150

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: The "D"Hole  (Read 1952 times)

0 Members and 1 Guest are viewing this topic.

Offline hallmark

  • Member
  • Posts: 5
The "D"Hole
« on: June 07, 2006, 07:58:52 PM »
Is there any help for people like myself that have fallen into the Donot Hole {medicare partD}?
I make a mear $1200 a month and my medications will cost me $1100 a month till  I reach an out of pocket of$3600. I sometime feel that I am the only person that this affecting. I have written letters to all government Officals in the State of Tennessee and I have heard from one!!! It seems like the poorest of poor and wealthy are the only ones that will benefit from this so called fix to medicare!!! :(
Mark

Offline ZCorker

  • Member
  • Posts: 48
Re: The "D"Hole
« Reply #1 on: June 08, 2006, 01:46:44 AM »
Yes.  There is an option.   Some states have secondary coverage in the high risk insurance pool that pays all of the left over that Medicare Part D doesn't cover.   Washington State is one of those states, but i suspect that any state with a high risk pool will also have this.  Your best bet is to contact either the insurance commission of the state you are in or considering or to contact someone in the Department of Health who handles the ADAP Program.  ADAP folks are usually well versed on what is covered.  I had to go through the same worries recently. 

  If you are not covered by a high risk pool, you can only get into it if you are denied coverage by two companies in Washington State.  I don't know the rules in other states but believe it is pretty similar.  Usually just a couple of letters will take care of this problem.  I don't know if I would be too amenable to disclosing that you have existing coverage or the other insurance companies may not be inclined to deny you.  Some states have laws that require them to take you if you are already insured and don't have more than a 30 day lapse in coverage -- kind of like auto insurance.  You pay more for a new signup if you are uninsured.  Medicine is similar.

Offline hallmark

  • Member
  • Posts: 5
Re: The "D"Hole
« Reply #2 on: June 08, 2006, 08:54:18 AM »
Thanks for your reply!!!! :) The issue in the state of Tennessee there is no medicaid or any other means to get any assistance. In my working years {started at 16} I have never been without insurance. In regards to the my so called case  manager with Ryan White, her responce was " I do not know what to tell you good luck". I have bills that have been sent to Ryan White for payment from 02/06. They still have not been paid. I fax the information to them and still they are not paid. I will be paying her office a visit today. I do not know if the insurance comissonar can be of any help.
I like more people in the state of Tennessee have been basically left out to dry!!!Advocacy is none exsisting in this area most people have there own adgenda and if a issue does not affect them then you are labeled as a BITCH if you bring up. Or better yet you are told to shut up  and listen. I spoke to another case manager and he stated that he has client to have fallen into the Donut hole and he stated that they were not concerned and they probably would just stop taking their meds..I wrote a letter to the person in charge of Ryan White funds and I did not get any responce back. I wrote the governer of Tennessee and there again no responce back. It is a waist of my time to send a letter to Bill Frist, his actions show that he could care less. So I will either be in debt for the rest of life or like other just stop taking my meds. I have an oppiontment this afternoon with my doctor and I will tell them what I am dealing with and tell him my oppiontions. I do not have a infectious diesease doctor mainly because there is one group in this area that cover a very large population.  All I can say about that is a had to divorce my infectious dieasease doctor.
Once again Thanks for your reply!!! ;)
Mark

Offline Ann

  • Administrator
  • Member
  • Posts: 28,140
  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: The "D"Hole
« Reply #3 on: June 08, 2006, 12:18:24 PM »
Hi Mark,

You posted this thread in the Activism forum, but you'll get more responses in the Living forum so I moved it for you.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Moffie65

  • Member
  • Posts: 1,755
  • Living POZ since 1983
Re: The "D"Hole
« Reply #4 on: June 08, 2006, 12:31:42 PM »
Hey Mark,

Wanna job in Arizona????  There are loads of us in the same boat you are.  I know that doesn't help you in this situation, but here in Arizona, I sit on the State Advisory Council and the ADAP Formulary Committee.  What I have observed is exactly what you are saying and that very few people really know the new setup, or are willing to even give a shit.  I know your case manager needs to be fired and not ever let back into HIV work, but that is not going to happen.

No, my friend, you have one option.  Get involved in the Ryan White work in your state, attend meetings on the state level, (they cannot refuse you as an HIV+ individual) take loads of notes, download the Ryan White CARE Act Manual at the Ryan White website, memorize this book, listen to everything, and because the system is not working in Tennessee, you now have your work cut out for you. 

I know here in Arizona, the ADAP coordinator has stated that NOBODY will have to pay full price for meds, NOBODY!  I see that is now working, and those of us like you, are now paying the state co-pay of $9.00.  I am not sure of the details, but that is the way Arizona is handling it.  Hence my quesiton about moving. ;D

In Love and Support.
The Bible contains 6 admonishments to homosexuals,
and 362 to heterosexuals.
This doesn't mean that God doesn't love heterosexuals,
It's just that they need more supervision.
Lynn Lavne

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.