xlllxJackxlllx t1_j22nup0 wrote
I am a caregiver who has experience w/ some of your issues. Why is it inoperable? Also, and I am not kidding, would it be operable on medicaid?
Obasan123 OP t1_j234v4v wrote
Not at all! It is inoperable because that's easier for me to write out than "I am a very poor candidate for surgery (CHF)." I am certain they could unzip me and replace the joint, but there's a good chance I wouldn't survive. So I'm going to give a "no" to the Medicaid. Not unless the doctor were a bit overeager.
What intrigued me was your reference to Medicaid. I had Medicaid benefits for two years after my husband's death. At that point, I both qualified for Medicare and was able to retire on my own record as opposed to as his widow. My financial picture changed to the point where I could take care of my own Medicare, and the Medicaid stopped. Fair enough. My recent application for a scooter via Medicare was denied. I felt the physical therapist made a good case.
What is curious is that I have innumerable friends, neighbors, smoking buddies, and partners in crime in this building, and many of them have terrific scooters courtesy of Medical Assistance (Medicaid). I would not begrudge a single one of them. They have worked hard, served in the military, paid their taxes, raised their families, and contributed to our city and society as a whole. In comparing notes, it seems that Medicare wants you to keep your scooter within your own four walls, while Medicaid wants you to use your scooter to get out and do those things you need to do to continue to age in place. Nothing to do with Baltimore in particular, but it is very odd.
sxswnxnw t1_j23i706 wrote
Medicare Advantage plans will deny everything... If you have the stamina, resubmit. They have a nasty habit of denying claims to imo wear you down. Traditional Medicare plans don't do this.
I'm not advising dropping your MA plan if you like it! But if willing, try again for the scooter.
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