Help!!!How could I afford the treatment cost ??
I don't know whereelse I could gain help so I post here.....Please advice what I should do now.
I'm a foreign student, and I was diagnosed with DCIS in July, when I was still covered by student insurance plan. However, the plan is terminated now. The company once said I could get continuous coverage if I get enrolled in the same plan for the next year. However, the plan I was enrolled has not been passed, which means I cannot get enrolled in the SAME plan for continuous coverage. I checked online and I know that in US it's difficult to covered by isurance plan with pre-existing condition. I don't know how much it will cost for my treatment of DCIS, and I don't know whether I could get insurance plan.....my appointment with doctor ins on Sep.3, which means I only have one week to solve this problem.
Any advice? I really appreciate that!!!!
Comments
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Clarecy,
I admit that understanding the intricacies of insurance coverage isn't my forte and hopefully someone else will weigh in with more comprehensive and particularized advice. You said that you are a foreign student who was covered by your employer/academic institution and that the plan is not approved for the following year. Does that mean that the plan will not be offered in 2014? It seems like you would still then be eligible to pay out of pocket to continue coverage of the plan for the remainder this (2013) calendar year. Have you talked to human resources or the health insurance/financial aid office at your school (if applicable) about this? Also, calling the 1-800 number on the back of your insurance card and having a discussion with an insurance rep about how to arrange continuous coverage would also be a good idea if you have not already done so. Make sure you take notes and get direct lines and full names of whomever you speak with.
If continuous coverage is indeed not an option and you are uninsured, I would contact various breast cancer and cancer advocacy organizations to see what guidance they can provide. The National Cancer Institute has a Support Services Locator web site that might be of help. There are other resources, such as Angel Flight(?), that offer free plane transportation for patients seeking treatment, etc. You could also see what information and help your treatment center can provide.
Sorry that you have to deal with this situation in addition to facing treatment.
Best of luck,
Deb
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Clarecy,
Try calling your local county health department and ask about the Breast and Cervical Cancer Screening Program. They may be able to help you or know of a medicaid program that can.
Best of luck to you.
Bren
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I know in Illinois when I was dx with breast cancer, back in 2009. I was over 18 without minor children and thus ineligible for Medicaid. Luckily there was a special Medicaid program for Breast and Cervical cancer that any low income woman was eligible for. They paid for all my treatment. Now that I'm stage IV I'm on medicare. I don't know what state you're in so you need to check into various possible government programs. Also contact the American Cancer Society. http://www.cancer.org/treatment/findingandpayingfortreatment/managinginsuranceissues/the-cost-of-cancer-treatment
I'm not sure about foreign exchange students being eligible but starting in January 2014 the new health act might help with getting insurance since no one can be turned down for pre-existing conditions. The registration period begins in October 2013. I'd check to see if you can get insurance under this program. Any health insurance provider should be able to give you info on this. Your hospital/doctor's financial office should be able to help too. They might be able to waive some costs and accept a payment plan for the rest.
As for your current insurance company..if the plan you're currently covered under is no longer available they should be required to transition you into another plan under their company without a lapse in coverage. It should count as continous coverage. Keep going higher up in the company if need be. If it is a well known insurance company like Humana or Aetna they also have social media sites like Facebook/Twitter that people have complained on and they have employees specifically hired to review and resolve problems post there. Those companies have realized that social media can greatly effect how people view their companies and will not want to be seen as heartless.
Sorry for the long post but I wanted to list whatever help I could think of. I hope you can get the financial help you need. Going through cancer treatment is hard enough without added stress.
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Hi Clarecy, if you are able to get a student health plan from another insurer, you will still be with a "group" plan and shouldn't be penalized for a pre-existing diagnosis. You would run into issues if you tried to purchase an individual plan, although with Obamacare, beginning in October, technically, you shouldn't be penalized even under those circumstances, with the plans offered by New York State, although as aaoaao stated, those plans might not go into effect until 2014. I just don't know if you are eligible for those plans. Will your school be offering a different plan for this coming academic year? You may, ironically, need to move the date of your consultation with Dr. Van Zee. I would advise going there immediately to meet with their financial office to discuss the issue. Don't wait until September 3. They may be able to help advise you. If you don't have coverage on September 3, they are likely to make you pay up front.
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I've just gone through this when my COBRA coverage ended on June 30. The insurance company turned me down for continued coverage. What is available now, before 1/1/14, varies by state. Where do you live?
In Minnesota, there is a high risk pool available when you are denied coverage and that's ultimately where I got coverage. It was a scary few weeks before I figured it out. Please feel free to PM me if you have any questions. -
You have more rights as a New York resident than in most other states (until Obamacare kicks in). If you are a NY resident, so long as you arrange and pay for new coverage within 60 days (doublecheck the 60 day time frame but that was the case a year ago) of the termination of your previous insurance plan, you cannot be discriminated against due to a pre-existing condition. So that means you should be able to enroll in private insurance. There are numerous insurance agents who sell private plans from Aetna and similar companies. Unfortunately, the plans can be expensive.
First, however, you should check with your school to see if you have COBRA rights. If you are entitled to COBRA due to termination of your current plan (or termination of your employment or student status), elect that immediately. Be aware you have only a short period of time to elect it ( 30 days I think). It also will be expensive, but your pre-existing condition will be covered. It is also possible that there is a new health coverage plan for students, so definitely check with your school today
Medicaid may also be an option, but it is very unlikely that you can be treated at MSK (a private hospital) with Medicaid.
Take action today to see if you can get COBRA coverage. That likely is your best option. Whatever you do, don't let 60 days ( or the current legal time frame) pass without coverage. The social workers at MSK breast center are very knowledgeable on NY insurance law too. Call your doctor's office and ask for a referral to one of the two social workers at the breast center and speak with them soon.
It is terrifying to face a cancer dianosis without insurance. I am so sorry you are going through this, but your rights as a NY resident are better than in most any other state in the country at this point, but you must not delay in getting COBRA or other coverage arranged. -
Jane, Clarecy is a foreign student. I'm not sure if she has the same access to insurance rights or even some forms of coverage as a NY State resident. I do agree that she meet with the financial people or a social worker at MSKCC, as well as trying to continue with a student plan. I referred her to the bs she is scheduled to see, so I fervently hope it works out.
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Thank you all for your advice!!!
Never expected that I have to deal with this trouble.....as a graduated student with OPT status, I cannot purchase "group" student health insurance plan. I will talk with the insurance office of my university to see if I could get any help. I will also talk to MSKCC.
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Here is the federal web site for insuring pre existing conditions. As I said previously, it varies by state. You qualify even if you're not a US citizen as long as you are living here legally. We also live in FL and there is no program available. It was discontinued when the Affordable Care Act was passed. Minnesota agreed to cover me until 12/31/13 at which time the Obamacare Marketplace will be up and running (I can start shopping for coverage on 10/1/13). It sucks to be caught during this short time period without coverage. BTW, I'm paying $412/mo for a $5000 deductible individual plan.
There is no guarantee of continued coverage in any state except MA which has a type of universal health care.
https://www.pcip.gov/
Edited to add: I found this article about New York state's program. It looks like it might be up and running.
http://www.nydailynews.com/new-york/obamacare-arrives-nys-starts-offering-coverage-uninsured-preexisting-medical-conditions-article-1.200891 -
Clarecy, check with the facility doing your treatment. The social worker in my oncologist's office works with patients to help with funding treatment. And many facilities have funding to assist patients without insurance. There are programs in my area to help patients who cannot get to treatment, etc.
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Clarecy, if you are from a country that has national health care, perhaps you could get treatment there, if that's not possible here.
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