Page 2 of 6 FirstFirst 123456 LastLast
Results 11 to 20 of 56

Thread: 19 year old daughter, new SCI, no insurance

  1. #11
    I am sorry to hear about your daughter! I would think, she would qualify straight up for medicaid, is the little girl her's? I have not read all of the post, so, I might have missed. I would def. speak with the Social Worker where she is now.
    If she is medicaid pending, due to the severity that seems odd, states may be different. I had a huge share of cost even with 4 kids however; that amount well, hit with just the helicoptor ride. I would get on the phone and push buttons to get this going faster for her to get what and where she needs to go/be.
    I wish you well on the rode to recovery for your daughter!
    "I've got to keep breathing. Because tomorrow, the sun will rise. Who knows what the tide could bring?"

  2. #12
    Careful holding a fundraiser for her. You don't want such funds to render her Medicaid ineligible.

  3. #13
    Unfortunately it is very unlikely that Rancho would take her. Rancho is a county hospital, and they generally will only accept Medicaid pending patients who are legal LA County residents, or at least state of CA residents. With your daughter being a NV resident, it is unlikely that Rancho would take her. Of course you could call and check, but it is very rare that NV Medicaid will pay for out-of-state care (I have only seen it once) and Rancho would not take her with no prospect of being paid at all. It is most likely that you need to get NV Medicaid and then try to get into one of the Sunrise rehab units in LV or into the rehab center at Washoe in Reno.

    If you are planning any fund raising, I would strongly urge you to manage any funds through this organization so you don't jeapordize her eligiblity for either Medicaid (or if needed, SSI):

    http://www.transplantfund.org

    (KLD)

  4. #14
    Quote Originally Posted by marmalady
    My son's accident was in South Carolina; while he was in intensive care there, the caseworkers and insurance folks at the hospital worked with me to get him set up not only for Medicaid in SC, but also to start the application process for him to begin New Jersey Medicaid when he moved back home with us to attend Kessler Rehab. As someone else said, I think a lot of rehab centers as well as acute care hospitals do the 'pending' thing.
    Does this mean that I am going to need to apply for Medicaid in whichever State she may be sent to for rehab as well as here in Nevada? Is there not a State residency qualification or something? The case coordinator and social worker are working with us to get everything worked out for Rehab referral as well as SSDI and Medicaid, so Im hoping it all falls into place.

    "Careful holding a fundraiser for her. You don't want such funds to render her Medicaid ineligible"

    We are from a very small community....approx. 4000 people. We all come together and try to help any and all in our town who is facing hardship. They have had a couple fundraisers for us which enabled us to be able to take off work to be with her for the first 21 days when we werent sure she was going to pull through. Without their help it would have been financially impossible for us to have done that. I will forever be grateful for that. With that being said tho, I believe that raising the funding required to pay for Rehab would be quite difficult in such a small community. On the same note tho... Do I have to report any donations made to us as an asset of sorts? I wouldnt try to hide anything or cheat the system so I guess that is something I should know as well. If they are donations or fundraisers for us to be able to be with her, is it considered her assets therefore possibly making her ineligible? Ive even looked into getting loans from our life insurance policies to help but unfortunately new policies so not enough built up to amount to a tank of gas these days!..lol

    "It is most likely that you need to get NV Medicaid and then try to get into one of the Sunrise rehab units in LV or into the rehab center at Washoe in Reno."

    We live about 2 hours away from Renown (formerly Washoe) in Reno which is where she is...and tho the Trauma unit there is great, they even suggest an actual Rehab for SCI as they are not equipped to work with SCI as needed for substantial recovery or education. I really hope and pray that we are not reduced to settling for just a generic rehab.

    "I am sorry to hear about your daughter! I would think, she would qualify straight up for medicaid, is the little girl her's? "

    Yes...Trinity is IvyJo's 3 year old daughter. They lived with us at the time of the accident so Trinity hasnt had to be uprooted or anything...shes still home so thats a plus....Missing her mommy tho. Ivy cant talk except for maybe 10 minutes at a time when they put the Passy Muir valve in her traech, so Trin thinks her mommy cant hear her. Should have seen her eyes light up when she heard mommy talk for the first time after such a long silence. Was beautiful!

    Ok ..sorry this was another long one....but it has seemed to be helping my anxiety to be posting and reading here....so thank you all for your input, time and patience!

    Dianna

  5. #15
    Yes, Medicaid is federal funds partially and state funds partially, so it is administered by each state separately, and most states will not allow Medicaid funds to be used nor will they authorize out-of-state care. In most states, you must be a resident for a minimum of 30 days prior to applying for Medicaid, and there are pretty strict definitions for what qualifies as residency (generally being in the hospital in another state is not a qualification). You can apply to NV Medicaid for them to pay for out-of-state care (Rancho in CA, Craig in CO, Santa Clara Valley in CA, for example) but as I said above, my experience with them has show they rarely approve this, and as a non-CA resident (or CO resident) she is not eligible for Medicaid in those states.

    At this point, she needs the rehab she can get with Medicaid. The alternative is for her to be placed in a nursing home, and you want to avoid that with every fiber of your being.

    There will be many things she will need that will not be paid for by Medicaid (a van for example, or home modifications, or a standing frame or gliders or FES bike). Fund raising for this is a very good idea, but you MUST be sure that no funds are put into her name or bank account. Medicaid allows her only $2000 and one vehicle and a home, and anything of any type as far as assets over this can make her ineligible, and trying to hide money is considered Medicaid fraud. She cannot give the money away (there is a 2 year look-back for this) either.

    If you have used money yourself from fund raisers, you must declare this as income for yourself. See your tax consultant. This is why it is critical that you manage any donations or fund raisers and I strongly urge you to use the link posted above...they are a great organization and will steer you the right way to avoid these pitfalls.

    (KLD)

  6. #16
    Senior Member
    Join Date
    Aug 2004
    Location
    So. California
    Posts
    1,061
    This might be a real long-shot, but make some calls to the local casinos. I worked in Tahoe many years ago and sometimes the casinos will take on a local cause - it makes them look good in the community and it's a tax "write-off" . I wish you the best of luck and I will pray that she keeps moving those toes!

  7. #17
    been injured 22 yrs. did my rehab at rancho (no comment).

    have known KLD online for yrs. she has the best info.

    btw, at 19, your daughter is prob looking at SSI, not SSDI. my best wishes to you all. her injury is new. who knows the outcome.

  8. #18
    Senior Member Imight's Avatar
    Join Date
    Nov 2007
    Location
    Philippines
    Posts
    6,535
    Quote Originally Posted by cass
    been injured 22 yrs. did my rehab at rancho (no comment).
    I got out of there pretty quick, but if I didn't have insurance I would have toughed it out lol.

  9. #19

    suggestion

    My idea is to verify the SCI eligibility application, and verify that, weather it will suit your need or not. While I am searching info for u , I get hsd.state.nm.us- this site includes more details about SCI and I Think this may be helpful for u.Good luck.

  10. #20
    Quote Originally Posted by Imight
    I got out of there pretty quick, but if I didn't have insurance I would have toughed it out lol.
    yeah well...i was there 6 months...hopefully they're better now.

Similar Threads

  1. Insurance settlement
    By Wesley in forum Life
    Replies: 9
    Last Post: 01-27-2006, 03:54 AM
  2. Rise in Insurance Forces Hospitals to Shutter Wards
    By Wise Young in forum Health & Science News
    Replies: 0
    Last Post: 08-25-2002, 07:30 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •