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malokvale77

(4,879 posts)
Wed Oct 7, 2015, 12:26 AM Oct 2015

Cross posted from the Texas Group

I'm putting this here because the State of Texas is f*#king with our lives.

I arrived home from work today to find my brother (legally blind) in a panic. He had received a phone call from his glaucoma specialist saying they could not keep him as a patient because they were no longer reimbursed under his new health plan. His last test and treatment was denied by Medicare.

After many phone calls (and waiting, waiting) I found out that, midyear the State of Texas, without prior authorization had switched my brother off of Medicare Original to a funky privatized Medicare+Medicaid program that didn't cover his disability or the specialist needed for his glaucoma (the only thing saving what limited sight he has).

It took me a few hours, but I got him back on his Original Medicare. I was told to watch for this sneaky shit daily throughout the year.

I understand that the state has the right to run their own Medicaid program (a mistake in my book), But what the hell right do they have to change his Medicare preference?

I hate what's going on in this state.

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Cross posted from the Texas Group (Original Post) malokvale77 Oct 2015 OP
Sorry Sabrina... malokvale77 Oct 2015 #1
I'm so sorry marym625 Oct 2015 #2

marym625

(17,997 posts)
2. I'm so sorry
Wed Oct 7, 2015, 12:33 AM
Oct 2015

I know that government has never been wonderful with healthcare but the recent stuff is just horrific

I'm glad you were able to fix this for your brother. I hope it doesn't happen again, though I wouldn't hold my breath

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