Question:
I have medcaid, and my benfits are about to expire this month April 30,2005. I was

Schedule to have the surgery for May 11,2005. What should I do? I don't qualify for Medcaid after April 30,2005, Is there anyone who can help Please.. I a idea solution anything. I really need this surgery. Thanks    — cynthia_33150 (posted on April 8, 2005)


April 8, 2005
If you already have been approved and have a surg date there are several things you can do. 1) call your case worker and tell her that you have surg scedualed for may 11 but your benefits end on april 30th and see if they are still planning to cover the surg.you do not need to tell her what kind of surg if you think that will make her/him biased against you. 2) you can appeal the end of your benefits and they still have to cover your medical until after the appeal.
   — agoddessinme

April 8, 2005
How ironic is that.. I have medicaid too and my benefits are going to expire April 30th also. Don't know what state you are in but I qualify for spend-down which is like paying a deductible and your 'deductible' is based on your monthly income. If you'd like to talk I can explain more about it just e-mail me. T
   — Tracie

April 8, 2005
I would call your surgeons office everyday till the end of april and see if anyone cancels. Let them know what has happened maybe someone who was scheduled for end of april will switch places with you if the surgeons office explains this might be your only chance i know as anxous as i was if i thought it was someones only chance i would have traded days Best Wishes Hope it happens for ya.
   — Shell G

April 10, 2005
Beth is right, I ran into this situation before my tubal back in 2001, APPEAL it! As long as your tied up in appeals, your benifits still continue! Take it from me, you can keep it in appeals for 6 months LOL Just make sure you get everything in writing...NEVER take someones word for it that you are in an appeal!
   — inantit

April 10, 2005
I don't know what state you live in but Medicaid have to pay for anything approved for up to three months before benefit has ended. therefore if you are already approved for surgery before the end of benefits you can still have your surgery, call your caseworker and have your doctor submit proof and you are covered. I was approve for all pre-existing services up to three months after I applied for medicaid, so even the doctor I went to before I got on was paid.... Good luck
   — Rebe W.

April 11, 2005
I have to agree with the others. Appeals and seeing if someone might switch dates with you. I realize each state is different, but I just dont understand why they would approve you and then discontinue your coverage. That is definately up for an appeal. I have worked in the insurance business and I really couldn't see why they wouldn't cover it, epsecially since they approved it. Good luck. I know Medicaid is hard. I got very lucky, approved in 3 months, usually it can takes years.
   — SLIMMING SPUD




Click Here to Return
×