Patients on Medicaid - page 29

by DiEd 34,172 Views | 333 Comments

I hope not to offend anyone out there, but I would appreciate some feedback on taking care of young to middle-aged adults who are on medicaid. It seems that so many (I realize not all) are some of the most difficult patients to... Read More


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    [quote=motorcycle mama;2376643]
    we were sent to a walk-in clinic and they actually had a dry erase board that was divided down the middle: on one side they had "medicaid" patients and the other side said "other". i kid you not, they would leave the medicaid patients waiting until the very last, taking the "others" who came in after them first.quote]


    when i got pregnant with my daughter, i was working ft hours, but i was only considered "staff relief". i applied for and was approved for medicaid. i only had it while pregnant (after my daughter was born, i got a position with health insurance). my boyfriend put her on his insurance. about a month later, i get this medicaid card in the mail with my daughter's name on it. apparently she qualified for medicaid for one year (which we didn't know). so we figured we'd use it to help cover co-pays, etc. that the insurance didn't. well, let me tell you. as soon as we presented that card to our pediatrician, our wait time went from 10-15 mins to 45 mins to an hour. needless to say, we didn't stay with him for long after that. but i did ask any prospective doc if he/she had hang ups for people on medicaid.

    on another note,
    my mother is on medicaid, since having colon ca back in 1992. she did have major medical, but the company tried to say that my dad lied (which he didn't) about her having epilepsy and dropped her just before surgery. the first few years that i went to the reviews to renew her medicaid, the county assistance people acted like i was trying to scam them. they were very demoralizing! my parents had to practically live in poverty to qualify. my dad over the years had to cash in life insurance policies, not work quite as hard (he was part owner of an automotive shop) and a variety of other things to come in below the cash income levels. fast forward a few years and pa decides that medicaid recipients have to choose a healthcare plan - an hmo of sorts. well, fine and dandy, but the 4 closest docs that i tried to sign my mom up with (all the others were at least an hour away from us) did not accept medicaid. each office told me that they had been telling the state for months that they wouldn't take medcaid patients, yet here is the state telling me that they would. she's in a snf now d/t her extensive medical history. my aunt is her poa, so i really have no idea what it's like now for the medicaid side of things. sad to say, but it's a relief to me not to have to deal with it anymore. all i really have to say for medicaid is that if she hadn’t been able to qualify, she would not have been able to afford her meds and blood work and any of the other stuff she’s needed over the years.
    sharona97 likes this.
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    This is so sad, its all about human decency, which seems to be lacking in our modern day world. I, just yesterday, dealt with an INCREDIBLY rude person who is employed with local County Housing Authority, I had to ask her to quit interrupting me to let me finish my sentence, and asked her if she was this rude to all of her clients. I explained to her that I had worked as nurse for almost 30 years, and would have been disciplined if I had spoken to my patients in the disrespectful way she just spoke to me. Only then did she change her demeanor.

    Sad ,I wonder how she treats some of the other folks she deals with, some who's cognitive abilities are affected, those who are frail, scared or unable to stand up for themselves.

    I know this has nothing to do with Medicare, but we as a society must hold those who are in the position of dealing with the poor,ill, or disenfranchised to a standard of human decency. I will be reporting her behavior to the regional director in my part of the country.
    rph3664, sharona97, MAISY, RN-ER, and 2 others like this.
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    I have called for doctor's appointments and before I even say why they are asking about my insurance info. I did advise the doctor that it comes across as uncaring. Ask about the patient's complaint first, and then ask for their insurance and financial info. The doc agreed and the policy was changed.

    I also don't expect to pay a penny before I see the doctor in a doctor's office setting. That's just bad business. lol
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    A personal observation...I work with an aide who has 1) a brand new truck 2)has the cell phone that you put in your ear to wear 3) has gone on two cruises in the past 6 months 4) just moved into a new house last summer and 5) cannot afford to pay for health insurance so the kids are on a state-funded insurance program and she goes to the free clinic. So why am I driving a 5 year old car and paying $400 per month plus a $4000 deductible for health insurance???
    mc3
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    Quote from woody62
    Second, I was commenting only on those fools that have issues with people who collect SSDI and they feel they shouldn't. I am aware of one such fool, who has always maintained that I am stealing her money because
    1. I have a computor.
    2. I am online.
    3. I drive long distances sometimes, without her knowing exactly how long it takes but I can work because I can drive.
    4. I went to graduate classes, there for I am able to work.

    Neither she nors others know what the SSA defines as disabled. And people should really educate themselves.
    This is an excellent point!!! I believe there are many people uninformed/misinformed about what the Government considers a Disability. I've posted this before in another thread, but I will post it again.
    Am I Disabled?
    Anyone can apply. If you feel you are disabled, it's free to put in an application.
    The Government is very strict though. Believe me, they would rather have people working.
    Being approved can be a very long process. It can entail a lot of paperwork as well as a lot of Doctors appointments. In CA, it can take over 2 years to be approved!

    Anyway, I got off topic. Here is my experience with those on Medicaid. They can be nice and they can be rude, just like my insured patients or those patients paying out-of-pocket. The real difference at my Hospital is that the rate of leaving AMA is much, much higher in those receiving Medicaid. I truly believe it is because there are no repercussions for packing up and walking out in the middle of a treatment. Yes. I know that is their right to leave, but when they are in the ER the next week and the next week for the exact same problem that they refuse to finish treatment for, it can be very frustrating. The insured/OOP patients finish their treatments more often. Maybe because they know there is going to be a bill sent to them and they want to get better and not have to come back to the Hospital? I don't really know.
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    Quote from mc3
    A personal observation...I work with an aide who has 1) a brand new truck 2)has the cell phone that you put in your ear to wear 3) has gone on two cruises in the past 6 months 4) just moved into a new house last summer and 5) cannot afford to pay for health insurance so the kids are on a state-funded insurance program and she goes to the free clinic. So why am I driving a 5 year old car and paying $400 per month plus a $4000 deductible for health insurance???
    mc3
    Two words regarding the aide: CREDIT CARDS.

    JMHO.

    Some auto dealers give new car loans to anyone who breathes on a mirror, and often live to regret it. Betcha that truck gets repossessed very soon.

    Does she get a lot of child support (I understand some states do not take this into account for health programs) or does she have a wealthy boyfriend or relatives who slip her money on the side?
    Simplepleasures and MAISY, RN-ER like this.
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    Might that be in your equation in Charlotte County?.........

    I hear ya Woody.
    Last edit by sirI on Feb 8, '08 : Reason: please do not post names or partial names of companies
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    Quote from heron
    Why is it my responsibility to work and pay into a system so someone else can inherit wealth they never earned? How is that different from using the system to pay your way so you won't have to get up and go to work?
    Heron,

    May you never have a catastrophic event in your life, after all those years you've worked or are working towards and then poof, your assetts are above the legal limit to qualify for help when your short and long term disability run out and your savings and your 401K so you will have the gov't whether it is SSDI or Medicaid or Medicare left to help you. And do you think they are going to tell you no? They will help you with their monies received from you and your work years along with all other decent working people, and educated. Why, because you will be in need.

    It's easy to have the opinion that people on these systems are worthless when actually many have worked as hard if not harder than you and something terrible happened in their life. In other words, IMO be careful for what you wish for, yes there are abusers and generations of abusers of these systems,but belive me they are the minority.

    State run programs are getting smarter about women with lots of kids learning a skill, changing their mindset, trying to stop the abuse. And it just isn't woman, I don't mean to imply that.

    And the poster who gets it concerning our military heroes thank you. Our gov't isnt perfect, I've not met a perfect person yet, have you? Your check has monies taken from it for this sort of problem and when it happens, believe me it is a problem. And your contribution from your check will be used to help you, and you will still have to beg your creditors and settle for things you can't even imagine.

    I mean no offense, but I sure miss the 40,000 I lost due to someone who did nothing more than misdiagnose me. That's all it takes.
    Simplepleasures likes this.
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    Quote from Batman24
    I also don't expect to pay a penny before I see the doctor in a doctor's office setting. That's just bad business. lol
    My doctor also requests payment up front. My attitude is, "I'm going to pay anyway, so might as well get it over with now." I'm guessing they've had people walk out the door without paying, so that's why they do it.

    JMHO.
    KidsRNstill likes this.
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    Quote from mc3
    A personal observation...I work with an aide who has 1) a brand new truck 2)has the cell phone that you put in your ear to wear 3) has gone on two cruises in the past 6 months 4) just moved into a new house last summer and 5) cannot afford to pay for health insurance so the kids are on a state-funded insurance program and she goes to the free clinic. So why am I driving a 5 year old car and paying $400 per month plus a $4000 deductible for health insurance???
    mc3
    mc3 - We drive a 4 year old vehicle, and my insurance costs me $645 monthly - just for me. I could care less what other people do with their money - I don't have bill collectors calling me, and I sleep at night.

    I do understand your frustration, tho. I'm afraid it's just the way our culture is becoming - there is little pride left in taking care of yourself without entitlements.


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