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IowaCowboy
Lost in the Supermarket
Premium Member
join:2010-10-16
Springfield, MA

IowaCowboy

Premium Member

Medicaid eligibility in Maine

I'm currently eligible for Medicare and MassHealth (Medicaid) in Massachusetts but once mom is done with cancer treatment I'm seriously thinking of moving to Maine with the family before the casino opens in the not immediate future but within the next two years. I currently get Social Security Benefits for adults disabled before 22. Medicare is federal but Medicaid eligibility is by state. I'm not going ask the state agency because they're as reliable for information as the IRS.

Id like to know if I'll likely be eligible for full Medicaid in Maine.

»www.ssa.gov/dibplan/dqua ··· tm#age22

The state pays my $104.50 Medicare premium and I don't have the doughnut hole in part d coverage.

SuperNet
Go Ninja,Go Ninja Go..
Premium Member
join:2002-10-08
Hoffman Estates, IL

SuperNet

Premium Member

I have to ask this... I see in the home improvement forum that you do a lot work around your house/apt, why are you worried about disability, can't you just find a job? You seem pretty normal to me..
If you can do work around your place, I think you should be able to get a real job.
I am not trying to start a war, it is just an honest question.

IowaCowboy
Lost in the Supermarket
Premium Member
join:2010-10-16
Springfield, MA

IowaCowboy

Premium Member

The thing is that I take medication that I'm normal with the medication and therapy sessions. Unfortunately I only get the level of coverage I get through Medicare/Medicaid and if I work I lose my eligibility for that coverage. Happens a lot with people with disabilities that are capable of working, they only get the level of coverage they need through Medicare/Medicaid and they are trapped into not working for fear of losing that coverage. I looked at the slip from Walgreens for one of my prescriptions (Invega) and it was $1,500 before insurance.

I'm training for a CDL but Massachusetts has an Autism coverage law that requires private health insurance to cover Autism so if I get a bus driving job with health insurance than I should be covered. But again it depends on the grade of coverage.

Right now if I were to get a minimum wage job id lose SS benefits as the cutoff is $1,040 a month and and Medicaid would be cutoff with any additional income above SS benefits. It would have to be a job with at least $18 an hour and health benefits. Most CDL jobs come with union benefits so I should be all set.

I'm not sure if Maine has the same Autism coverage law as Mass does.

My dream job: Own a Chick-Fil-A franchise at the Maine Mall.
nonymous (banned)
join:2003-09-08
Glendale, AZ

nonymous (banned)

Member

But isnt the expensive med you are taking off-label use? That may add another wrinkle into it more so than the cost?
nonymous

nonymous (banned) to SuperNet

Member

to SuperNet
said by SuperNet:

I have to ask this... I see in the home improvement forum that you do a lot work around your house/apt, why are you worried about disability, can't you just find a job? You seem pretty normal to me..
If you can do work around your place, I think you should be able to get a real job.
I am not trying to start a war, it is just an honest question.

As he responded they make it very cozy to stay unemployed sometimes. Not for everyone mind you. So I am not making a blanket statement.
But for him to equal what he now has he himself says "It would have to be a job with at least $18 an hour and health benefits. Most CDL jobs come with union benefits so I should be all set. " ? That seems a little more than comfy for most areas of the country.

IowaCowboy
Lost in the Supermarket
Premium Member
join:2010-10-16
Springfield, MA

IowaCowboy to nonymous

Premium Member

to nonymous
said by nonymous:

But isnt the expensive med you are taking off-label use? That may add another wrinkle into it more so than the cost?

So wasn't Risperdal when I was put on that as a teenager and then when Janssen Pharm was about to lose patent protection they knew all along that it was good for irritability in children with autism and they submit a supplemental new drug application to get autism added to the label. Then they get an additional 6 months of patent protection called pediatric exclusivety. It's off label for adults with autism but autism doesn't stop at high school graduation.

I'm sure Janseen will do the same thing with Invega to save their patent on Invega. I think the pharmaceutical industry has some dirty tricks up their sleeves. They know these drugs are good for a lot of things, they just don't add it to the label until the patent is going to expire. Same in the tech industry. It's like Apple patenting rounded corners or swipe to unlock except they want to keep generic drugs off the market. I'll tell you the nice thing about Invega is you only take it once a day and it has fewer side effects (mainly less hunger, antipsychotics do make you hungry).