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Medicare plan B or how my brother has ended up with no

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HysteryDiagnosis Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jan-17-08 07:23 PM
Original message
Medicare plan B or how my brother has ended up with no
insurance, no hope of getting any for a affordable rate, and no love for the people who didn't inform him that his application that "wasn't completed in time" was returned to them as they had mailed it to his old address.

He is in dire straights with the health issues he has, stands the chance of losing his home if something were to happen, and the people who shut him out of the plan for being "late" to join seem to not have a care.

My brother paid into the system for 36 years, was never delinquent in paying any premiums, and generally doesn't expect this sort of treatment from the system that some say they have spent 35 years helping to "CHANGE".

If anyone knows of anyone, perhaps a lawyer, perhaps a health plan that will cover him for 6 months or so until he can once again "sign up for medicare plan B" with penalty of course, 139 am month instead of 89, please relate. He's in trouble and any and all advice will be greatly appreciated. Anyone else who has had similar experiences, please share, I will forward this thread to him so that he may benefit from the knowledge and experience of others who have had similar situations.

Thanks in advance, 4mor.
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jan-17-08 07:28 PM
Response to Original message
1. I don't understand. If he's over sixty five they shouldn't deny him.
I would contact your Congressman or Senators about this. They can be helpful in resolving these issues with the Federal government.
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HysteryDiagnosis Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jan-17-08 07:30 PM
Response to Reply #1
2. The MAJOR company he worked for for 36 years forced him into
medicare..... he is 63 and needs coverage TERRIBLY, but not for 1000 a month.
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jan-17-08 07:34 PM
Response to Reply #2
3. I was under the impression that Medicare wasn't available for
anyone under sixty five unless they had specific conditions that aren't covered by private insurance like renal failure. You need to talk to both the human resources department of that company and Medicare directly to find out and as I said your elected officials are supposed to help you with these matters or at least listen. It seems you need an ombudsman of some type.
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HysteryDiagnosis Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jan-17-08 07:40 PM
Response to Reply #3
4. Medigap, what I found...
http://www.medicare.gov/medigap/under65.asp

Medigap Policies For People Under Age 65 With A Disability or End-Stage Renal Disease (ESRD)

You may have Medicare before age 65 due to the following:

* A disability, or
* ESRD (permanent kidney failure requiring dialysis or a kidney transplant).

If you are under age 65 and disabled or have ESRD, you may not be able to buy the Medigap policy you want until you turn 65. Federal law doesn't require insurance companies to sell Medigap policies to people under age 65. However, some states require insurance companies to sell you a policy, at certain times, even if you are under age 65.

During the first six months after you turn age 65 and are enrolled in Medicare Part B, you will get a Medigap open enrollment period. It doesn't matter that you have had Medicare Part B before you turned age 65. During this time:

* You can buy any Medigap policy (including those policies that help pay the cost of prescription drugs), and
* Insurance companies cannot refuse to sell you a Medigap policy due to a disability or other health problem, or charge you a higher premium than they charge other people who are 65 years old.
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jan-17-08 07:47 PM
Response to Reply #4
5. Well, I hope you can get some resolution to this matter. No one
should be without access to the health care that they need. It's really time to send the insurance companies packing. They really have screwed up the system and don't supply coverage to the people who actually need health care.
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HysteryDiagnosis Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jan-17-08 08:00 PM
Response to Reply #5
6. It's amazing how the people on the other end of the line simply
say, "Well sir, you missed the deadline and there is nothing that can be done about it". I'm wondering if a lawyer isn't the answer to this sort of treatment. I think it might be time to start considering this option. He is so stressed out over all of this that his BP is now through the roof. Have I told you how much I hate these people?? Ya know, the ones who can't bend the rules even though they are the ones who mailed the stuff to the wrong address.....
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