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Old 07-05-2011, 04:14 PM #1
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Default I would stomp my feet and scream but I am afraid to move.

SO without warning, my medicaid ran out june 30th. I was informed on june 28th. Well, not true, I was informed like a month ago and when I called to check on it I was told it was incorrect and not to worry about it. 2 days after that call I received a letter telling me my policy was still active.

And I have spent the last week fighting these idiots trying to get my insurance reinstated. I am now in day 5 of being uninsured and still no answers. My Tysabri infusion is scheduled for the 11th. The docor is throwing a fit about me mising my infusion but I don't exactly have an extra 10 grand laying around. Especially since the SSDI and SSI benefits I was supposed to receive have been reduced by 22 grand.

I am so sick of fighting these people. Isn't this what I paid the lawyer to do or am I missing something??
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Old 07-05-2011, 04:53 PM #2
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have you called your lawyer?
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Old 07-06-2011, 06:43 AM #3
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Yup. it appears we may need to file an appeal do to the state trying to ue my boyfriend's income as mine. Which yes, we do live together, but no, we are not married. Legally I am not entitled to any of his earnings so if he decides to be a bonehead like he was earlier this year, I am on my own so I don;t see it being fair that his income counts as my own unless the laws have changed and I am magically entitled to half his stuff if we split up.

Plus, it appears that although I did everyhting on my end that was necessary, someone dropped the ball and never filed for my daughter. So now I get to add that to the list. Nothing the lawyer can o about mediciaid. So I am stuck with that one on my own and these people are not returning my calls and when i show up in person without an appointment, they let e leave a note before sending me on my way.

Of course the question for the lawyer was a pretty simple one. Seeing as I am being evaluated on his income, does this also mean I get to claim his daughter as a dependant and file for benefits on her behalf too? Because that is the only way that would even begin to make sense to me.

So the lawyer has brought out his fine tooth comb to go through the numbers and should be getting back to me.

I don't need the stress right now.
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Old 07-06-2011, 07:50 AM #4
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I'm confused. Why would your DBF's income not count in this scenario? You both live in the same household and you depend on his income. This is probably not the popular viewpoint but it seems like you're getting the benefits of both scenarios.......being a disabled single mother with no income and being in a married relationship with access to DH's income. I'm not trying to argue....just genuinely confused as to which way it is.
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Old 07-06-2011, 08:24 AM #5
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Quote:
Originally Posted by Kitty View Post
I'm confused. Why would your DBF's income not count in this scenario? You both live in the same household and you depend on his income. This is probably not the popular viewpoint but it seems like you're getting the benefits of both scenarios.......being a disabled single mother with no income and being in a married relationship with access to DH's income. I'm not trying to argue....just genuinely confused as to which way it is.
I had the same thought. I can not qualify for any income-determined benefits based on my low income because of my partner's income. We can't legally get married, because this state keeps refusing to allow marriage equality, but I get dinged for my "marriage-like" relationship. Besides which the language for income determination usually reads "all sources of income in the household," doesn't it? (If we could marry, I would be on her insurance right now, and saving Medicare tons of money!)

If we had universal health care none of this would be an issue, would it?
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Old 07-06-2011, 01:46 PM #6
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it is typical in most states to count the HOUSEHOLD income, not just the person applying. That means mom/daughter/husband/boyfriend/girlfriend/live in and the like. There can be situations where you can prove you live a separate life such as a room mate or if cousin Sarah moved in after her divorce, but has her own life, you cant count her income, but anytime there is a first degree relative or mate they tend to bundle you together for medicaid purposes. This is why my sister lies and says her b/f lives somewhere else. She will claim she has no b/f.

Some state will allow you to claim just yourself if you are not married, but states are getting tougher on this.
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Old 07-10-2011, 04:02 PM #7
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Yes, but this goes back to my other question... if I am claiming his income, why can't I count the other child that lives with us? She is an expense...believe me! But the state is trying to claim his income as mine and only one child living in the house is being claimed because I am not his child's mother. It makes no sense.

We got the medicaid thing straight....kind of. I am waiting on the letter to come in the mail. I finally got in touch with the head manager of the local office. Here is what they did.... When I applied based on disability which is why I needed it, it was denied because the SSDI kept denying my claim. So they resent the app as low income with minor child which I was approved for. Since I finally got a favorable decision from SSDI, this put my income too high to qualify on low income, but this also would allow me to reapply based on disability. All I had to do was go fill out a new application. For some reason, no one in the office could have figured this out and let me know why my ins was cancelled.

Still waiting and still uninsured right now. Its been a pain. I applied for DD's SSDI benefits and that is done. It was surprisingly quick and painless. Now I am waiting for that letter too.
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Old 07-12-2011, 01:42 PM #8
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Quote:
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Yes, but this goes back to my other question... if I am claiming his income, why can't I count the other child that lives with us? She is an expense...believe me! But the state is trying to claim his income as mine and only one child living in the house is being claimed because I am not his child's mother. It makes no sense.
Because you are not legally married and have not legally adopted this child. If I'm mistaken and you have adopted this child then yes, you should be able to claim her. If DBF has permanent full time custody and her mother is still alive she should be paying him child support.

Quite frankly, I'm terrified of more cuts being made to the SS and SS Disability systems. Yes, there are many recipients who rightfully deserve the benefits they receive. But, there are also many who "work" the system and collect far more than they are entitled to. This puts a huge burden on an already shaky system. And puts everyone's benefits at risk. And that's not right or fair.
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Old 07-12-2011, 02:21 PM #9
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He has sole legal custody and she does not pay child support nor has she ver paid child support. We are both responsible for this kid. Which is why I am not understanding the whole thing. We are not married therefor if he chooses to leave I am not entitled to any of his money. I dont mind counting his income as we do live together and we split the bills but we also split the expenses of the children.

I did not claim his daughter, only mine. But on that same token, I didn't claim his income, only mine.
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