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View Full Version : Help help help heeeeelllllpppp!!!


Wiltedrose2394
June 8th, 2012, 09:28 PM
Okay..... So here's my beef.

I don't know if I'm in the right place, but to hell with it! It's an insurance question.
I am currently under WI forwardhealth plan (a.k.a. Badgercare) as my family is and has been under poverty level income for many years. I just turned 18 this February, and recieved notice from the state that, upon turning 19, I would be cut off from state health benefits and would have to reapply. This means potential YEARS of waiting on the list.

I have a gimongous different medical conditions, ergo I have to take a ton of meds. Counting now.... I'm on roughly 12 meds daily. The most important amongst these is ENBRELŠ. This medication is for a condition(s) called psoriasis and psoriatic arthritis. The psoriasis is a painful, itchy skin condition in which the immune system overproduces skin cells and they build up. Prior to starting the ENBRELŠ (p.s.-it's a weekly shot, a lot like an insulin pen), I had this skin condition many years. The summer after my freshman year, I got a strep infection that went untreated; which, through very specific and complicated circumstances, developed into the arthritis. It works much the way skin condition does; every joint in my body overproduces fluid. Once this condition developed, I spent my entire three month vacation bedridden. It was by far the most painful and traumatic experience of my life. I was even hospitalized twice for about a week each time, due too complications directly related to the arthritis. Within a week of starting the shot, I was finally able to walk and use the bathroom (I had been using a bedpan previously) and I could take a real shower instead of taking a spongebath.

The whole point of this story is to show you how essential this medication is to me. Without it, I can't even move. Due to this horrible chain of illnesses, I developed many more irreversible conditions that I am still being treated for. In addition to physical conditions, I have dealt with very serious mental health issues. I almost died twice (suicide attempts) and am in therapy, and am covered in horrible scars from S.I.. I have been in the psych ward eight times. (You get the picture...it's pretty serious).

My problem is that I don't know what to do when I turn 19. I could never afford all the meds I'm on.... The shot I take costs the state $300 a pop. That would be impossible; in fact, that's pretty close to my mothers' yearly income. I know there are programs to help pay for meds......but how can I possibly get aid for 12+ meds?!?

is there anyone who can aid me or advocate for me? I am literally in a panic about this. I have even decided that if something stops me from getting my essential meds.... Well let's just say I'm ready to take drastic measures :-(

Even if I can get help paying for my meds, what of therapy and my regular doctors visits? Isn't there a law that can protect me, or would I have to apply for disability?

It's worth mentioning that, because of frequent illnesses, I missed a hell of a lot of school. I have to repeat my senior year to finish earning my credits. I won't be graduating until at least the end of next year. Getting a job is not in my near future, because my health and well being are sooooooooooo unstable.

Thanks sooooooooooo much if you can help, even in the slightest. Or even have any inkling of who to call. And if you've read this far, thanks for being a good sport. Sorry for writing a wholefreakin' book here lol.

Josiah7
June 9th, 2012, 08:18 AM
Hey Marissa, I feel really sorry for you, you have been through / going through quite alot. Sorry to say I am not from the United States and know very little about medical insurance issues over your end of the world. If it were I, I would look into a alternative insurance program, or even contact the government department responsible for the current plan and ask what options there are for you. There are options out there, you just need to be determined to find them. Contact government departments, hell even a congressman or senator if you fail at finding a solution.

Sorry I cant be much help, but if you need someone to talk to, we are all here :)

Dimitri
June 10th, 2012, 10:37 PM
I am from Ohio but my boyfriend is on the Ohio equivalent and here is what he did.

Contact your parents case worker and start the forms now, they can help you get things rolling quicker than if you get cut off then have to reapply.

You can also start talking to your physician and you will have to meet with them eventually to get reevaluated and such. All of these things need to start moving asap to cut down on time.

But your case worker is your most important person right now, they know what they are doing and know the system and such.