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So many mixed emotions. I'm grateful to Obama for my new health insurance, my public option,

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tpsbmam Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 03:54 PM
Original message
So many mixed emotions. I'm grateful to Obama for my new health insurance, my public option,
but so angry it's still unaffordable for so many, including my friend who remains uninsured and uninsurable. For that reason, I feel selfish celebrating my newfound insurance, but celebrate I must for giving me a chance to beat cancer.

The insurance I will have starting 10/1 thanks to him is truly like the public option most Americans supported. It's more expensive at this point because there are none of the subsidies that will purportedly kick in in 2014 (barring ReTHUG killing the Affordable Care Act). Once the huge deductible has been met, it has none of the niggling aspects of most private insurance policies -- no copays, etc etc. On top of that, it covers specialty drugs (I have 3 very expensive ones) up to $100,000/year! Most private insurance policies don't come close to that. In short, it's an excellent policy compared to many these days and what I envisioned a public option to look like.

I have multiple preexisting conditions precluding me from getting any individual health insurance policy. Two of them, multiple sclerosis & chronic kidney failure/disease, doom me from the outset, as do the rest of them. I've been excluded from Medicare via an unsurmountable loophole (and yes, I've consulted 3 different attorneys....a couple of assholes on DU called me a "fool" because of this.....thanks so much, assholes.....you know who you are).

And now I add to that my recent diagnosis of ovarian cancer, the kind that killed my mother just 7 years ago. Oh joy!

Two things led to me being a newly insured person as of October 1. One was the cancer diagnosis and two was NC finally joining the federal high risk pool.

I've been living incredibly frugally on my savings -- my IRA and some other savings that were barely enough to keep me going into old age. Well, as of a cancer diagnosis, everything changed and I'm cashing in my chips now, so to speak. I'm taking monies I had allocated to get me through my 70s and beyond and spending it now at age 55, buying myself an insurance policy I'd otherwise not be able to afford rather than save it for some chimera of a future when I'm 85!

And, thanks to Obama, I got a new insurance policy {i]with diagnoses of MS, CKD & cancer and others. As a matter of fact, the requirements for the policy were being turned down for health insurance (they actually accepted me without that.....BCBS did turn me down, but only after I'd been accepted in the federal plan) & having preexisting condition(s). I have a massive deductible but after that, everything will be covered 100%! And adding in the cancer diagnosis didn't change the monthly fee one iota, remarkably enough. The NC state high risk policy was truly unaffordable, even now, and precluded preexisting conditions for 6 months after taking the policy. I'd have been doomed. But, with the federal high risk policy, I'm covered. My surgery is scheduled for 10/5 and I'll be able to undergo chemo afterward.

I have personally written to Obama to thank him. It is thanks to him that I can get treated at all -- without this, I'd have to lie down and die with this diagnosis. I don't have to do that now, and for that I offer him a huge THANK YOU!


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dmallind Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 03:58 PM
Response to Original message
1. I've never said this before - but I recc'd to zero??
Edited on Wed Sep-21-11 04:04 PM by dmallind
How the hell can anyone here hate the idea of a Democratic president championing a bill that helped a DU member battle cancer?

I'm certainly not the most empathetic person on earth but that's fucking COLD.

Whoever did that, congratulations - you are vicious enough to make someone who has always considered angst about the rec/unrec crap laughable feel the need to comment on its use.
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bigwillq Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 08:14 PM
Response to Reply #1
12. On the first post
Jeez, give the thread a little time to get going before you complain about rec/unrec.
Maybe you should go back to laughing at it.
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dmallind Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 11:54 AM
Response to Reply #12
17. On what other fucking post would I be able to tell?
You will note I did not speak one wrod about overall recs or unrecs, only the one specific unrec that I was the counterweight to. Without the count being at zero after my vote, how else would I know? Certainly not by waiting.
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NYCGirl Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 04:00 PM
Response to Original message
2. tpsbmam, my best friend was diagnosed with ovarian cancer
quite a while ago, and she's now been cancer free for sixteen years. You can beat it! All my best thoughts to you, and although it's not 100% of what we'd wish right now, I'm glad to hear that you'll be able to get the care you need.
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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 04:02 PM
Response to Original message
3. I am glad that it's working for you, expensive as it may be--I wish you good luck in your treatment.
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HockeyMom Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 04:02 PM
Response to Original message
4. I will be eligible for Medicare in 2 years
I was paying $160 a month just for me with a $3,500 deductible from my school district employer making $13/hour. MAJOR hit. I quit my job because I want to move. That "insurance" from any employer is totally insane. People who have children there cannot afford to have family coverage. I really feel for them. It is totally out of control, at least in Florida. Coming from NY, a BLUE state, I know what the health insurance was there. Not even close. These Repuke Teabagger controlled states are out to bilk the little guy for everything they have.
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Whisp Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 04:05 PM
Response to Original message
5. good to know you just have to worry about your health now
which is a Huge worry enough!. but don't have to worry about the financing, like Obama's mum had to,

But you will be called names for posting this, I hope you know. There are some here that will think you are lieing because Obama really wants to kill you, not help you.

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pinto Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 04:13 PM
Response to Original message
6. Best of luck with your treatment(s).
:hi:
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dennis4868 Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 04:20 PM
Response to Original message
7. in 2014 there will be the exchanges...
and that is when health insurance will be much more affordable...but it's not until 2014 (thanks to dems in the senate).
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dflprincess Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 08:51 PM
Response to Reply #7
24. In 2014 the exchanges will be limited to the uninsured
and people working for companies with fewer than 50 employees.

And nothing is going to bring down premiums once the mandate kicks in.
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nenagh Donating Member (657 posts) Send PM | Profile | Ignore Wed Sep-21-11 04:38 PM
Response to Original message
8. Best of luck with your treatment... and I am so glad you've got Health Insurance
When I was diagnosed with cancer..there was a very low cost program, run by a psychologist, "The Healing Journey"..it helped reduce the stress, essentially...

Again... Take care .. so lucky to have just got the insurance you needed..

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tpsbmam Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 07:01 PM
Response to Original message
9. Thanks to you all for your kind thoughts & words......
I'm full of hope. Dread for the surgery but ultimately hope. And selfish gratitude for being able to get treatment. So many have died and will die without being as lucky as I am, it's criminal. Believe me, I'm counting my blessings!


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Selatius Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 07:10 PM
Response to Original message
10. Just curious, but exactly how big is this deductible you pay before any care kicks in? nt
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tpsbmam Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 08:09 PM
Response to Reply #10
11. Enough so that I'd never be able to afford it if I weren't cashing in and betting
on a few things, including my life being shortened by this. Which isn't to say I'm giving up or giving in -- far from it! But my financial plans have certainly been altered. I'd be THRILLED to be here 10 years from now at 65 and beyond thrilled to see 70! Whereas I was planning my financial life well through my 70's before, now I'm planning it so I maybe get to see 70! So, assuming I have this plan at least for a couple of years, it'll cost me a $4500 deductible each year, in addition to the monthly cost of the insurance. Balancing that against (a) lying down and dying with this diagnosis and no treatment or (b) wiping out everything I have with little more than the surgery alone, the cost is worth it. I'm hoping 2014 will bring more affordable costs, for me too -- I can't keep this up forever! This is definitely a short-term plan, affordable MAYBE until 2014, certainly for the rest of 2011 and for 2012. Beyond that it's getting dicier. I'll think about it then! Right now, I just need to get through surgery & then chemo.


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bvar22 Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 09:44 AM
Response to Reply #11
14. Congratulations on finding coverage.
Thanks for sharing your story,
and Best Wishes & Good Luck to you in your upcoming surgery.

If you don't mind, how much is the monthly premium?

And does this policy cover 100% of the costs?
Most of the policies I have looked at in my price range only cover 80%.

Thanks.

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tpsbmam Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 12:45 PM
Response to Reply #14
19. Mine is affected because I've used tobacco products in the last year
I quit but less than a year ago, so it's more because of that. It's $340/month, which is WAY more than I could have paid normally -- never in a million years could I have coughed up that much without the cancer diagnosis. With the diagnosis, it makes all kinds of fiscal sense for me to pay for it now.

After the deductible is met, it covers 100% of "in-network" costs and 100% of "reasonable & customary fees" for out-of-network. I made damn sure before I did all of this that the oncology practice I'd chosen is in-network. All of the hospital and its physicians who'll be part of my surgery are in-network. All of the pharmacies around here are in-network (e.g., CVS, Walgreens, and the local market I use, etc). There really isn't anything that's out-of-network so far. So, after the deductible, everything will be covered 100%! I chose the "catastrophic" policy, but I truly think it's the best policy. There were other choices with higher monthly fees and lower deductibles, but truthfully, I think the one I chose is the best one. I don't have to worry about a damn thing after the deductible is met -- no copays, no nothing. I'm 100% covered. I've forgotten the exact numbers, but the policy choice that was the next to mine was something like a $3500 annual deductible and after that, it would cover like 80% of costs and there were copays for most things......I think it would have ended up costing me way more in the end with the higher monthly fee for the policy + not getting everything covered at 100%.......like I said, I think I'd have chosen that policy no matter what.

You KNOW the deductible will be met in 5 minutes with the first surgery & hospitalization. I'm also fortunate in that I have someone I trust who is willing to take care of the bills for me! That will also make all of this much easier. But after taking care of the first $4500, there shouldn't be any bills at all -- it should all just go directly to insurance and we shouldn't see any of it.


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dflprincess Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 08:55 PM
Response to Reply #19
25. And check with your hospital or clinic, they may wave the $4500
depending on your income and other assets.

My brother went on disablity after he was diagnosed with lung cancer and the hospital system he used picked up what insurance didn't pay except for some drug copays.
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Admiral Loinpresser Donating Member (1000+ posts) Send PM | Profile | Ignore Wed Sep-21-11 09:28 PM
Response to Original message
13. Good on you. n/t
n/t
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ZombieHorde Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 11:44 AM
Response to Original message
15. ...
:hug:
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tpsbmam Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 11:46 AM
Response to Reply #15
16. Awwwww, thanks.....I needed that today! I'm getting all anxious about surgery......
Never had general anesthesia before. Yikes!

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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 02:32 PM
Response to Reply #16
21. I had general anesthesia a couple years ago, for the first time--
had a hysterectomy. I was nervous too, but as the OR team wheeled me in to the operating room, they dosed me up with Versed and soon I was sailing away...last thing I remember is them asking me to assist them in sliding onto the operating table. Then I woke up in recovery, not in any real pain, either. Easy as pie.
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tpsbmam Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 03:35 PM
Response to Reply #21
22. That's what I'm counting on.....getting high and pain meds afterward.....
My mother was a tough woman. She desperately wanted to go to her granddaughter's HS graduation but ended up having emergency surgery due to a bowel block (due to her ovarian cancer). I was headed down to her (she lived in SC, I lived in MA) but she asked me to go to the graduation in her place and then come down after that. I'll never forget calling my brother's cell phone (he'd been there with her when the emergency hit....he'd flown down to help her fly to CT for the graduation) and he said she was out of surgery and back in her room. He put his phone to her ear and I said, "____________'s all graduated Mom. I just called to check on you and tell you that we missed you and love you tons!" This tough woman's response was, "Love meeeeeeeeeeeeeeeeeeeeeeee!" ROFLMAO!! :rofl: OMG, she was as high as a kite and definitely not feeling any pain! So hope I'm the same and just happy to be done, pain free and sleeping.


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TwilightGardener Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 09:04 PM
Response to Reply #22
26. Aww, your poor mom! Yeah, it really wasn't bad afterwards--
Edited on Thu Sep-22-11 09:05 PM by TwilightGardener
my husband was in my room when I arrived from recovery, and he was calling family members to tell them I made it through OK, but in my peaceful druggie stupor his voice sounded SO FREAKING LOUD and was harshing my mellow, I kept waving my arms and saying "SSSHHHHHHH!!! BE QUIET!! SHUT UP! SSHHHHHHH!!!" I don't really remember this, this is what I was told. You'll be so glad to get it over with and start healing, believe me.
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ZombieHorde Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Sep-23-11 04:48 PM
Response to Reply #16
27. You're very welcome. I wish I had more to offer than a cyber hug. nt
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Tsiyu Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 12:17 PM
Response to Original message
18. K&R


It's sad to think how many hoops people must jump through for health care, but I am so glad to hear you're covered now!

You sound like you have a good attitude going into this thing, and I am hoping for the best outcome for you in the days ahead.

Thanks for sharing your story with us :hug:



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truedelphi Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 02:26 PM
Response to Original message
20. It's not just "more expensive" -- it is 40% more expensive!
Edited on Thu Sep-22-11 02:27 PM by truedelphi
And that 40% is on top of the fact that even before the Affordable Health Care Act of 2009 was passed, we Americans paid more money toward insurance, health care, and our pharmaceuticals than people of any other nation on earth.

All this new Health Care "Reform" Act did was allow the Executives at those industries to extort even more from the average person.



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TheKentuckian Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Sep-22-11 04:41 PM
Response to Original message
23. I'm glad you got access to coverage and can find a way to pay for it.
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IntegrityInsurance Donating Member (1 posts) Send PM | Profile | Ignore Sun Sep-25-11 11:09 PM
Response to Original message
28. Good for you
Very glad for you that you were able to get covered. did the high risk pool open up in your state as a result of healthcare reform? some states still do not have them available right now. Health insurance does not go guaranteed issue nationwide until 2010, and even there there is no firm regulation on premium.
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