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View Full Version : Good news. Confusing but Good News.



gimmethesimplelife
5-8-14, 11:46am
So....it looks like I do have insurance. Two days ago I spoke to DES who told me that I was not in their system as qualifying for Medicaid as my proof of income was not exactly up to their standards. I asked them why then does the Medicaid HMO say I am a current in their system and that I do have coverage? After setting up a fair hearing date for me on June 18th, I was told to call the Arizona Health Care Cost Containment System, or AHCCCS as we call it here - the state Medicaid Agency. I was told if they say I have coverage, I do have coverage, and I could then cancel my fair hearing. So I called the state Medicaid people and yes, they say I do have coverage. I still don't understand DES and why I have went through all this drama but whatever.....my recent hospital stay will be covered it seems. Big breath of relief on that one.

I still don't know what all to make of this but I am seeing things differently now. During this entire process it has seemed to me that essentially no one really knew what was going on and I was often told incorrect information. I'm seeing government aid programs differently now, that's for sure. Will I continue to use the card? I have debated that one over and over in my head and what I am coming up with is that if it is life and death, yes, I will. If it isn't - I'm going to Mexico going forward. It's cheap, clean, and once you pay for your medical services in cash (did I say it was incredibly cheap?) that's it - no bills, no drama, no fear of insurance or government agencies to potentially dog your every step.

Please don't anyone misunderstand me - I am grateful that my ducts were cleared of gallstones on Medicaid's dime. I'm grateful that my friend Marissa had her tumor removed. I'm grateful that many servers I know can now actually access health care whereas before for many this was not realistic unless crossing the border. But this whole process, for me anyway? I think I'm best off just detaching from American politics altogether and minimizing my exposure to American health care. That's my take anyway.

Something else interesting is that as I was being released from the hospital, I was given a sheet of paper with some future appointments on it. Turns out the gastrointerologist I was scheduled for was not in network - me being me, I called to confirm everyone was in network from my room at the hospital before even checking out. Yet another reason to embrace Mexican medical care - no triple checking if everyone is in network and no worries of clerical errors causing huge bills - you just pay and you are done.

I'm really glad though to be covered - for the past few weeks I have felt like a cornered animal due to using the Medicaid card - I'm glad that seems to be resolved now. I've also been hating myself for not going to Mexico in the first place but I'm letting that go now, too - live and learn, I guess. What is interesting to me is that my politics seem to be shifting a little here as a result of this and my take overall continues to be one that would be "unique" to many. Rob

PS There's positives here, too. I am really working on changing my diet and as a result, I do feel slightly less foggy and more energetic already. And I'm also realizing too that I have to put self care much higher on my list of priorities than I have in the past.

awakenedsoul
5-8-14, 6:52pm
Great Rob! So glad you are covered. When you document and keep records, they can sense that you're organized. It's a good form of self protection. Carolyn Myss has some interesting videos on Youtube about healing, energy, stress, etc. You might like them. It's all so connected.

Maybe your income will go up so that you'll be able to afford the Silver Plan. That's what I have. It's good you have a back up plan that's affordable.

Spartana
5-16-14, 4:21pm
Hey Rob - Congrats on getting the Medicaid insurance thing settled out. These things take time but usually work out on the end. I recently dropped my private coverage with Blue Cross as it became way to pricey since I can't get subsidies because I have the VA. So just using the VA now and of course not happy with that either (especially with all the recent news coverage about people dying while they wait for appointments for years). But for now it'll do and since, unless I have an emergency like you did, I shouldn't have to go to the doctor for a couple of years, I'll take the chance. Although I am currently looking for a less expensive private policy I can buy though.