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Author Topic: Health Care Reform: What It Means for PLWHIV  (Read 32481 times)

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Offline Tim Horn

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Offline tokyodecadence

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  • A one room disco.
Re: Health Care Reform: What It Means for PLWHIV
« Reply #51 on: April 07, 2010, 07:05:12 pm »
Perfect! Thanks.
[.Fodão.]

Offline J.R.E.

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  • Posts: 8,207
  • Positive since 1985, joined forums 12/03
Re: Health Care Reform: What It Means for PLWHIV
« Reply #52 on: April 07, 2010, 07:42:41 pm »


Yes Tim,... Thanks for that .  Printed it out!


Ray
Current Meds ; Viramune / Epzicom Eliquis, Diltiazem. Pravastatin 80mg, Ezetimibe. UPDATED 2/18/24
 Tested positive in 1985,.. In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started on  HAART on October 24th, 2003.

 As of Oct 2nd, 2023, Viral load Undetectable.
CD 4 @676 /  CD4 % @ 18 %
Lymphocytes,absolute-3815 (within range)


72 YEARS YOUNG

Offline Miss Philicia

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  • celebrity poster, faker & poser
Re: Health Care Reform: What It Means for PLWHIV
« Reply #53 on: April 23, 2010, 12:01:39 pm »
"I’ve slept with enough men to know that I’m not gay"

Offline Assurbanipal

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  • Taking a forums break, still see PM's
Re: Health Care Reform: What It Means for PLWHIV
« Reply #54 on: May 12, 2010, 12:38:04 pm »
The Administration is starting to come out with some of the rules on how things will work.  This week they issued guidance on how young people (under 26) can get coverage under their parents' policies.

http://www.hhs.gov/ociio/regulations/adult_child_faq.html

Some highlights:

-Your parents taxes won't go up if they add you. (And just like any other health insurance, you won't be taxed on benefits that are paid)

- You don't need to be financially dependent on your parents.  You can be married and live thousands of miles away.  The only reason they won't be able to add you is if you are over 25 or your employer offers you health insurance. (There's an exception to that second rule if your parents don't get their health insurance through an employer plan.)

-- You may be able to get your parents to sign you up now.  Officially the new law applies to plan years starting after September 23.  And since many plans use a calendar year that would mean January 1 for a lot of people.  But the Administration has persuaded many insurers to start letting people in early (a list of insurance companies is included in the link).  So if your parents buy their own insurance they may well be able to add you now.  The Administration has started asking employers to let people in sooner too, but they haven't gotten a good response yet.  So if your parents get insurance from their employers you may need to wait a while longer.

5/06 VL 1M+, CD4 22, 5% , pneumonia, thrush -- O2 support 2 months, 6/06 +Kaletra/Truvada
9/06 VL 3959 CD4 297 13.5% 12/06 VL <400 CD4 350 15.2% +Pravachol
2007 VL<400, 70, 50 CD4 408-729 16.0% -19.7%
2008 VL UD CD4 468 - 538 16.7% - 24.6% Osteoporosis 11/08 doubled Pravachol, +Calcium/D
02/09 VL 100 CD4 616 23.7% 03/09 VL 130 5/09 VL 100 CD4 540 28.4% +Actonel (osteoporosis) 7/09 VL 130
8/09  new regimen Isentress/Epzicom 9/09 VL UD CD4 621 32.7% 11/09 VL UD CD4 607 26.4% swap Isentress for Prezista/Norvir 12/09 (liver and muscle issues) VL 50
2010 VL UD CD4 573-680 26.1% - 30.9% 12/10 VL 20
2011 VL UD-20 CD4 568-673 24.7%-30.6%
2012 VL UD swap Prezista/Norvir for Reyataz drop statin CD4 768-828 26.7%-30.7%
2014 VL UD - 48
2015 VL 130 Moved to Triumeq

Offline hotpuppy

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Re: Health Care Reform: What It Means for PLWHIV
« Reply #55 on: May 16, 2010, 02:35:09 am »
The part of the bill that interests me is the provision that folks without insurance (me) and a preexisting condition (me again) will be able to acquire it through a high risk pool withen ninety days. It looks like there will be subsidies provided for folks on the lower end of the economic scale (definately me) to make it affordable. Also if I read the bill correctly, folks over a certain age and making under a certain amount will have the option to obtain medicaid. Not sure about that one. Anyway, I can't wait. I've been without insurance for a decade.

High risk pool with subsidies isn't going to be free.... so I wouldn't rush to get in the water til you make sure they aren't making soup!

I can afford insurance and the copays... but I do feel it.... it's not ideal, but better than nothing.  I think the dust needs to settle first before we all figure out what's going on.

In the long run I anticipate Ryan White becoming insurance and co-pay subsidies.  This will turn the ASO world on it's end which is a good thing.  It will force customer service, reduce waste, and give patients a choice which is something that is long overdue for us. 
Don't obsess over the wrong things.  Life isn't about your numbers, it isn't about this forum, it isn't about someone's opinion.  It's about getting out there and enjoying it.   I am a person with HIV - not the other way around.

 


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