Page 1 of 2 12 LastLast
Results 1 to 10 of 20

Thread: Bravo-Amerigroup (use to be Health & Human Resources)

  1. #1
    Senior Member Mona~on~wheels's Avatar
    Join Date
    Oct 2007
    Location
    Cleburne, Texas, USA
    Posts
    5,664

    Unhappy Bravo-Amerigroup (use to be Health & Human Resources)

    It's my Medicaid HMO. Does anyone else have them for their care? They're driving me crazy. They won't approve anything. Everything I ask for is deemed a luxury not a necessity. Even exam gloves. They said my pca's need to buy their own.
    Is this Obama Care?

  2. #2
    Senior Member skippy13's Avatar
    Join Date
    Mar 2008
    Location
    in a handbasket
    Posts
    2,537
    It is not Obamacare. Why do you think it is Obamas fault that you have improper care?

    It is the fault of your HMO. Never sign up for an HMO. HMO's are notorious for poor care provided their clients. Do you have another choice for services? Do some research for the next sign up period and don't fall for an HMO if you have a choice.
    Anything worth doing, is worth doing to excess

  3. #3
    It is really hard to get gloves covered. Most standard insurance companies will not. Medicare will not. It seems on this site that those on Medicaid get them most often.
    Last edited by hlh; 02-17-2012 at 09:21 PM.

  4. #4
    Most insurances, both private and public, are very resistant to paying for so-called "disposables."
    You will find a guide to preserving shoulder function @
    http://www.rstce.pitt.edu/RSTCE_Reso...imb_Injury.pdf

    See my personal webpage @
    http://cccforum55.freehostia.com/

  5. #5
    Senior Member Mona~on~wheels's Avatar
    Join Date
    Oct 2007
    Location
    Cleburne, Texas, USA
    Posts
    5,664
    Nah didn't have a choice. The government changed Medicaid that use to be furnished through Human Resources to 2 HMO's called Bravo or Amerigroup. That's why I asked Obama care. They're government HMO's. It's not just gloves but everything I need is denied.

  6. #6
    Since Medicaid is mostly administered on the state level, I suspect the issue is the terrible economy and that the states are trying to cut back on Medicaid to save money. It is a big problem where I live. So the "government" you are referring to is the State government - not Federal.

    Obamacare actually leads to an expansion of Medicaid!

    It is the individual states that are fighting this. Money is tight everywhere, and as we know, many individuals in the US are not sympathetic of people who have higher needs. There is a huge pressure to cut back on Medicaid, and I think Texas is moving to an HMO model for managing Medicaid in their states, with hopes to save money in the long run.

    http://www.hhsc.state.tx.us/medicaid...-tentative.pdf

    I know Obamacare is complicated, but all of us on this board should make an effort to understand it well, as it helps almost every single one of us. Especially those of us not lucky/fortunate enough to be working for a large employer with a group health insurance plan that accepts all.

    It is very frustrating when you received benefits previously and now they seem to have stopped. I encourage you to start gathering letters of medical necessity from your doctors and start fighting and appealing every denial. My guess is that they don't have an absolute policy for denying these items if they were covered in the past, but are using this transition to new HMO plans as an "excuse" to start denying items and hoping that people will giving up asking for coverage. Don't give up yet.
    Last edited by hlh; 02-18-2012 at 01:59 PM.

  7. #7
    Senior Member Mona~on~wheels's Avatar
    Join Date
    Oct 2007
    Location
    Cleburne, Texas, USA
    Posts
    5,664
    Quote Originally Posted by hlh View Post
    Since Medicaid is mostly administered on the state level, I suspect the issue is the terrible economy and that the states are trying to cut back on Medicaid to save money. It is a big problem where I live. So the "government" you are referring to is the State government - not Federal.

    Obamacare actually leads to an expansion of Medicaid!

    It is the individual states that are fighting this. Money is tight everywhere, and as we know, many individuals in the US are not sympathetic of people who have higher needs. There is a huge pressure to cut back on Medicaid, and I think Texas is moving to an HMO model for managing Medicaid in their states, with hopes to save money in the long run.

    http://www.hhsc.state.tx.us/medicaid...-tentative.pdf

    I know Obamacare is complicated, but all of us on this board should make an effort to understand it well, as it helps almost every single one of us. Especially those of us not lucky/fortunate enough to be working for a large employer with a group health insurance plan that accepts all.
    Yes we should. We need to understand. Yeah they're saving by not spending ANYTHING.

    What does this mean?

    large employer with a group health insurance plan that accepts all
    Aren't the states governed by the President down the road?
    What I see is more for children & middle age. But less for the elderly & disabled.

  8. #8
    Senior Member Mona~on~wheels's Avatar
    Join Date
    Oct 2007
    Location
    Cleburne, Texas, USA
    Posts
    5,664
    OMGOSH! Thanks but NO thanks for that link!

    Bravo & Amerigroup that has ruined MY HOME HEALTH CARE is taking over MY MEDICINE March 2012 next month!!!

    So now I have that mess to look forward to also. grrrrrrr

    If you're not able to work & provide for yourself you've got trouble.
    Now how is this not the President? It wasn't this way before he became president.

  9. #9
    Quote Originally Posted by Mona~on~wheels View Post
    OMGOSH! Thanks but NO thanks for that link!

    Bravo & Amerigroup that has ruined MY HOME HEALTH CARE is taking over MY MEDICINE March 2012 next month!!!

    So now I have that mess to look forward to also. grrrrrrr

    If you're not able to work & provide for yourself you've got trouble.
    Now how is this not the President? It wasn't this way before he became president.

    What I was talking about in the other post was that those of us who are working, and working for a big employer, are the luckiest ones when it comes to health insurance. Typically, you aren't excluded for coverage by having pre-existing conditions, and your premiums are lower because your large employer is paying a larger portion of your health care. Many people in the US do not work for these employers, so they struggle the most. So I agree - if you are not able to work at a big company and provide for yourself, life is harder.

    Yes, I know you are not happy about the changes in Texas with medicaid, and that's why I provided that link. It sounds like a lot of changes are happening. Keep speaking up, and appealing.

    But remember, Medicaid is administered by the State. Not by president Obama. He is actually trying to salvage programs, find more fraud and methods of saving money, and expand health coverage for those who don't have sufficient care. Some of it will cost this country money. Since our country is unfortunately not based on a belief that everyone deserves equal and sufficient health care, this is not well received by all.

    What could be done for Medicaid in the state of Texas? Well, things that people of the State of Texas do not want to do. For example, they could start a state income tax to start to pay for more social programs. But Texas is a more conservative state, and I don't think that would happen.

    I have learned that most people who have not had a spinal cord injury happen in their family, do not have any idea what it means and the stresses it puts on you physically and financially. Similarly, people who have not had a health emergency/catastrophe in their family, do not understand the desperate need for better health insurance coverage - both in private and public policies.

    Also, the 25 year old or 30 year old or 40 year old "healthy kids" who don't want to be "forced" to buy health insurance, don't understand that they are not indestructible. They could be hit by a taxi tomorrow, and become a quad. Then what? If they don't have health insurance, then they will exhaust their personal funds quickly and eventually be on Medicaid.... Only then will they understand. And that's unfortunate.

  10. #10
    Senior Member Mona~on~wheels's Avatar
    Join Date
    Oct 2007
    Location
    Cleburne, Texas, USA
    Posts
    5,664
    I agree it's a mess. So the president has NO control over states?

Similar Threads

  1. Bravo
    By Mrs770 in forum Cure
    Replies: 6
    Last Post: 05-19-2011, 01:40 PM
  2. U.S. Dept of Health and Human Services
    By jhorn4012 in forum Announcements & Feedback
    Replies: 0
    Last Post: 08-20-2009, 10:10 PM
  3. Replies: 6
    Last Post: 01-09-2007, 09:47 AM
  4. Replies: 0
    Last Post: 06-16-2002, 02:25 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
  •