Monday, April 12, 2010

Medicaid Drops Coverage For Mom With Cancer

http://cbs4.com/local/Diana.Smith.Woman.2.1623788.html

Diana Smith has gone through six months of radiation and chemotherapy -- one week out of every month. She fears she will die without the bone marrow transplant scheduled for Tuesday.

FORT LAUDERDALE (CBS4) ― Click to enlarge1 of 1
Diana Smith has gone through six months of radiation and chemotherapy -- one week out of every month. She fears she will die without the bone marrow transplant scheduled for Tuesday.

A woman battling a cancer battle was dealt a surprise blow by Uncle Sam this month.

Diana Smith has gone through six months of radiation and chemotherapy -- one week out of every month. She is in remission and had a donor for a transplant; being in remission is prerequisite for the transplant.

But her hopes of receiving the transplant were dashed in March, when she says, the Social Security Administration contacted her –without her soliciting it -- and told her that her three year-old son was entitled to receive Social Security disability payments. Even though she didn't ask for it, she signed the form and received her son's first check check.

In April, Medicaid canceled her universal health care policy because her income level had risen with her son's payments – making her ineligible for the insurance program.

The problem is Jackson Memorial Hospital cannot provide the procedure because the risk is too high. The universal policy from Medicaid helps shield the hospital from liability in this kind of case. Without it, they are subject to liability issues.

Even though Smith offered to cancel her son's disability benefits, she was told it's too late.

"She's gone through six months worth of radiation and chemo, her body can't take anymore. If they don't allow her to have this transplant coming up right now next week, they're in effect signing her death warrant," said her friend Tom Noonan.

"I want to live to see my son grow up and get on with my life," Smith told CBS4's Ted Scouten.

As a result of the WFOR CBS 4 report, State Sen. Dave Aronberg is prepared to take action over the weekend. Social Security officials are also looking into the case to make the surgery happen on Tuesday as had been planned.


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Here's another often-occuring scenario that happens and one that gets no publicity

Joe six-pack has worked his whole life at various jobs. He is now 70, won't get hired by any one, and is forced to live on his social security.

One day, he gets a notice from the SS Administration: It says his payment is being cut because he earned too much last year.

Joe knows there is an error, but it will take the effort of rebuilding Hoover Dam to correct it.

What happened?
Jose DeLeon-Mendoza, AKA Juan Garcia-Lopez, AKA Miguel Castro-Hernandez, sneaked into the US. The Man at the Landscape company told him that he had to have a Tax Number (Also known as SSN). Jose made one up, or bought one from a fake ID seller, --which just happened to be Joe Six Pack's same number.

In investigating Worker's Comp Fraud in California, I found this to be the norm. Every time, I notified the SS Administration. The only time I reveived any call for further information was from the FBI when the perpetrator's name was similar to Haji Hassan.

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