My insurance coverage has changed-* a little update-Friday afternoon*

C

cdale613

New member
My insurance coverage has changed-

What state do you live in? As of 2006, several states had adult CF assistance programs.

CA, MI, and NY have adult CF assistance programs that do not use financial eligibility criteria. The NY plan is the most complicated of these, requiring enrollees to carry private insurance, and contribute 7% of income toward CF related medical expenses. The CA and MI plans are more straightforward. CA has minimal cost sharing, but higher income enrollees have to pay an enrollment fee. MI has cost sharing for enrollees with income over 250% of the federal poverty limit (FPL).

OH has a program that evaluates financial eligibility on a case-by-case basis. The program does require cost sharing based on ability to pay.

PA and FL have programs that have financial eligibility criteria of <300% FPL. The FL program has no cost sharing; the PA plan does have some, based on a sliding fee scale.

TX financial eligibility requirement of income/ assets <200% FPL, no cost sharing.

Hope this is helps... sorry to hear about the changes.

Chris

27 m w/CF
 
C

cdale613

New member
My insurance coverage has changed-

What state do you live in? As of 2006, several states had adult CF assistance programs.

CA, MI, and NY have adult CF assistance programs that do not use financial eligibility criteria. The NY plan is the most complicated of these, requiring enrollees to carry private insurance, and contribute 7% of income toward CF related medical expenses. The CA and MI plans are more straightforward. CA has minimal cost sharing, but higher income enrollees have to pay an enrollment fee. MI has cost sharing for enrollees with income over 250% of the federal poverty limit (FPL).

OH has a program that evaluates financial eligibility on a case-by-case basis. The program does require cost sharing based on ability to pay.

PA and FL have programs that have financial eligibility criteria of <300% FPL. The FL program has no cost sharing; the PA plan does have some, based on a sliding fee scale.

TX financial eligibility requirement of income/ assets <200% FPL, no cost sharing.

Hope this is helps... sorry to hear about the changes.

Chris

27 m w/CF
 
A

AnD

New member
My insurance coverage has changed-

Thanks all!

A letter from my attorney- that's a thought. I will ask my social worker about that one, too. I am going to call her this morning. I am also refilling everything I can today-lol. They'd better have my Tobi order straightened out and the script run through BC/BS today, or else I am going to have a fit...all this starts Monday...and I found out about it last night!

I'm in Alabama, but I will ask about any programs here. I didn't realize there were programs like that out there.

Thanks again!


Little update- Tobi is on it's way, but with only 2 nebs- instead of the <b>8 </b>I requested! Arrggghhhhh!!!! (*pulls out hair*) They are supposed to be fixing it...
 
A

AnD

New member
My insurance coverage has changed-

Thanks all!

A letter from my attorney- that's a thought. I will ask my social worker about that one, too. I am going to call her this morning. I am also refilling everything I can today-lol. They'd better have my Tobi order straightened out and the script run through BC/BS today, or else I am going to have a fit...all this starts Monday...and I found out about it last night!

I'm in Alabama, but I will ask about any programs here. I didn't realize there were programs like that out there.

Thanks again!


Little update- Tobi is on it's way, but with only 2 nebs- instead of the <b>8 </b>I requested! Arrggghhhhh!!!! (*pulls out hair*) They are supposed to be fixing it...
 
A

AnD

New member
My insurance coverage has changed-

Thanks all!

A letter from my attorney- that's a thought. I will ask my social worker about that one, too. I am going to call her this morning. I am also refilling everything I can today-lol. They'd better have my Tobi order straightened out and the script run through BC/BS today, or else I am going to have a fit...all this starts Monday...and I found out about it last night!

I'm in Alabama, but I will ask about any programs here. I didn't realize there were programs like that out there.

Thanks again!


Little update- Tobi is on it's way, but with only 2 nebs- instead of the <b>8 </b>I requested! Arrggghhhhh!!!! (*pulls out hair*) They are supposed to be fixing it...
 
A

AnD

New member
My insurance coverage has changed-

Thanks all!

A letter from my attorney- that's a thought. I will ask my social worker about that one, too. I am going to call her this morning. I am also refilling everything I can today-lol. They'd better have my Tobi order straightened out and the script run through BC/BS today, or else I am going to have a fit...all this starts Monday...and I found out about it last night!

I'm in Alabama, but I will ask about any programs here. I didn't realize there were programs like that out there.

Thanks again!


Little update- Tobi is on it's way, but with only 2 nebs- instead of the <b>8 </b>I requested! Arrggghhhhh!!!! (*pulls out hair*) They are supposed to be fixing it...
 
A

AnD

New member
My insurance coverage has changed-

Thanks all!

A letter from my attorney- that's a thought. I will ask my social worker about that one, too. I am going to call her this morning. I am also refilling everything I can today-lol. They'd better have my Tobi order straightened out and the script run through BC/BS today, or else I am going to have a fit...all this starts Monday...and I found out about it last night!

I'm in Alabama, but I will ask about any programs here. I didn't realize there were programs like that out there.

Thanks again!


Little update- Tobi is on it's way, but with only 2 nebs- instead of the <b>8 </b>I requested! Arrggghhhhh!!!! (*pulls out hair*) They are supposed to be fixing it...
 
A

AnD

New member
My insurance coverage has changed-

Thanks all!

A letter from my attorney- that's a thought. I will ask my social worker about that one, too. I am going to call her this morning. I am also refilling everything I can today-lol. They'd better have my Tobi order straightened out and the script run through BC/BS today, or else I am going to have a fit...all this starts Monday...and I found out about it last night!

I'm in Alabama, but I will ask about any programs here. I didn't realize there were programs like that out there.

Thanks again!


Little update- Tobi is on it's way, but with only 2 nebs- instead of the <b>8 </b>I requested! Arrggghhhhh!!!! (*pulls out hair*) They are supposed to be fixing it...
 
A

AnD

New member
My insurance coverage has changed-

Got the ball rolling with the Genentech endowment and the Tobi folks <img src="i/expressions/face-icon-small-smile.gif" border="0"> . Just have to send in the applications (one is online, one will be mailed). I'm going to mention on the Pulmozyme one that I was in the drug study- pulling out all the stops I can think of <img src="i/expressions/face-icon-small-wink.gif" border="0"> lol.

Bad news is, we don't currently have a social worker! :confused They are interviewing, but don't have a replacement yet. *sigh*

Please pray we get accepted into the programs!
 
A

AnD

New member
My insurance coverage has changed-

Got the ball rolling with the Genentech endowment and the Tobi folks <img src="i/expressions/face-icon-small-smile.gif" border="0"> . Just have to send in the applications (one is online, one will be mailed). I'm going to mention on the Pulmozyme one that I was in the drug study- pulling out all the stops I can think of <img src="i/expressions/face-icon-small-wink.gif" border="0"> lol.

Bad news is, we don't currently have a social worker! :confused They are interviewing, but don't have a replacement yet. *sigh*

Please pray we get accepted into the programs!
 
A

AnD

New member
My insurance coverage has changed-

Got the ball rolling with the Genentech endowment and the Tobi folks <img src="i/expressions/face-icon-small-smile.gif" border="0"> . Just have to send in the applications (one is online, one will be mailed). I'm going to mention on the Pulmozyme one that I was in the drug study- pulling out all the stops I can think of <img src="i/expressions/face-icon-small-wink.gif" border="0"> lol.

Bad news is, we don't currently have a social worker! :confused They are interviewing, but don't have a replacement yet. *sigh*

Please pray we get accepted into the programs!
 
A

AnD

New member
My insurance coverage has changed-

Got the ball rolling with the Genentech endowment and the Tobi folks <img src="i/expressions/face-icon-small-smile.gif" border="0"> . Just have to send in the applications (one is online, one will be mailed). I'm going to mention on the Pulmozyme one that I was in the drug study- pulling out all the stops I can think of <img src="i/expressions/face-icon-small-wink.gif" border="0"> lol.

Bad news is, we don't currently have a social worker! :confused They are interviewing, but don't have a replacement yet. *sigh*

Please pray we get accepted into the programs!
 
A

AnD

New member
My insurance coverage has changed-

Got the ball rolling with the Genentech endowment and the Tobi folks <img src="i/expressions/face-icon-small-smile.gif" border="0"> . Just have to send in the applications (one is online, one will be mailed). I'm going to mention on the Pulmozyme one that I was in the drug study- pulling out all the stops I can think of <img src="i/expressions/face-icon-small-wink.gif" border="0"> lol.

Bad news is, we don't currently have a social worker! :confused They are interviewing, but don't have a replacement yet. *sigh*

Please pray we get accepted into the programs!
 
A

AnD

New member
My insurance coverage has changed-

Got the ball rolling with the Genentech endowment and the Tobi folks <img src="i/expressions/face-icon-small-smile.gif" border="0"> . Just have to send in the applications (one is online, one will be mailed). I'm going to mention on the Pulmozyme one that I was in the drug study- pulling out all the stops I can think of <img src="i/expressions/face-icon-small-wink.gif" border="0"> lol.

Bad news is, we don't currently have a social worker! :confused They are interviewing, but don't have a replacement yet. *sigh*

Please pray we get accepted into the programs!
 
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