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Medicade

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confused1871

Junior Member
What is the name of your state Ohio

I am disabled due to mental health issues. My primary source of insurance has been medicare. I do get ohio state medicare if I meet the spend down each month. However after talking to a few different mental health advocates they said I should be setting straight medicade without the spend-down. The spend-down is $345 a month in bills I have to rack up in order for me to receive medicade benefits each month.

back track:
march - i got out of an unhealthy relationship and got mine own apt. I tried numerous times to get in touch with social services to alrt them of my changes

May 11: i had to go into an in-patient program because my mental health problems were out of control and I had to be medically stabilized for an eating disorder. there was no programs in ohio that took medicare and I had to travel all the way out to WI (which came out of my own pocket) and stay in a locked facility.

many more attempts to reach soc services. I would constantly get there voicemail in which the mail box was always full.

Finally this week got in touch with my worker and he said yes you are eligble for medicade and have been since 3/1/11. I was very frustrated because they have a eating disorder intensive out patient program 10miles from me and I did not have to travel so far away to such an awful experience of being in a locked facilty. The other health issue is I have no teeth knowing i could of had my dentures 6 months ago pissed me off. That adds to my mental illness, the anxiety I go through.

Is there anything I could do against soc services in terms of a suit? for pain and suffering and to get them to pay on the treatment facility/travel expenses I have top come out of pocket when treatment was avial to be all along.
 


ecmst12

Senior Member
No, you can't sue social services. They are overworked and understaffed. Calling is never the best way to get in touch with them, it is always best to go to the office in person and wait to speak to a caseworker.
 

confused1871

Junior Member
Due to the nature of my illness(s) I was unable to go directly into the ofc. All interactions I have had with them has been via phone for past two yrs.

As I said with being unable to reach them treatment I needed was not avail to me due to lack of reaching someone and every caseworker/managers i tried to reach i went directly to a voicemail system that didn't allow you to leave messages.

Like I said i had to go to a treatment program in WI and can not say how traumatizing it was to be in a locked facility - the medical bills I am responsible for for what medicare wont pay for and my travel expenses. Had I had the insurance I should of had I could of did a program in town.

Then add the dental and having no teeth is just fueling my mental illness(s) and knowing it was avail 6 months ago. Can you even understand how hard it is to go out and do things with no damn teeth in your mouth and all the rude things people have said to me.

I don't care how overworked they are they are suppose to be here for us. There should be some recourse to sue or lease get some of those bills paid from that program i had to go to out of state being soc services werent avail.
 

OHRoadwarrior

Senior Member
The spend down is set by your ability to pay medical. So in essence you want to sue, to change the rules everyone in OH, getting medicaid is subject to. Your spend down will get lower, when your income does.

You losing your teeth is not medicaids fault. I suggest if you cannot afford travel expenses, you move closer. My wife commutes 86 miles and I commute 120 miles to work. The government doesn't give a discount for my living and working in two different places.
 
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TheGeekess

Keeper of the Kraken
I'm wondering if you're not a bit confused on Medicare (a federal program, dependent on your status as retired or disabled) and Medicaid (a state-administered program for indigent persons that uses Fed money).

Medicaid is the coverage that many doctors will not take, due to low reimbursement from the government.
 

justalayman

Senior Member
=confused1871;2890701]Due to the nature of my illness(s) I was unable to go directly into the ofc. All interactions I have had with them has been via phone for past two yrs.
You could travel all the way to Wisconsin but you couldn't go to the social services offices in person?
 
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