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Message |
   
Jalsa
Hero Username: Jalsa
Post Number: 19831 Registered: 02-2008 Posted From: 159.53.46.143
Rating: N/A Votes: 0 (Vote!) | | Posted on Monday, October 14, 2013 - 08:33 am: |
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Again, thanks a lot to OT, Anand and others for the guidance. |
   
Whyme
Side Hero Username: Whyme
Post Number: 5483 Registered: 09-2009 Posted From: 107.214.64.27
Rating: N/A Votes: 0 (Vote!) | | Posted on Sunday, October 13, 2013 - 10:26 pm: |
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Jalsa take care bro OT, Anand akka, raju bhayya and others meeru keka |
   
Anand_n
Hero Username: Anand_n
Post Number: 14296 Registered: 02-2008 Posted From: 72.177.241.31
Rating: N/A Votes: 0 (Vote!) | | Posted on Sunday, October 13, 2013 - 03:24 pm: |
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OT, Really admire your persistence and efforts to help others - may the divine mother keep that spirit strong Jalsa, Was going to say come to TX - as all the searches I did showed TX agencies at the top - but H1 is an issue - so Delaware seems like the best option for you .. Pool a group of friends together - share your daughters case details with them and divide who you need to call for information instead of trying to do everything yourself. The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Mental_sachinodu
Hero Username: Mental_sachinodu
Post Number: 12281 Registered: 10-2008 Posted From: 208.85.130.5
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 11:16 pm: |
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OT vunkl, tussi mahaan ho. seriously, chala opika tho help chesthunnaaru. the world of appearances may or may not be real, or both may and may not be real - or may be indescribable; or may be real and indescribable, or unreal and indescribable; or in the end may be read and unreal and indescribable - its all Syadvada |
   
Jalsa
Hero Username: Jalsa
Post Number: 19824 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:50 pm: |
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Onlytruth:
Ok, this also says the same thing. I already applied for SSI AND they said she may qualify when she is in the hospital but not when she comes home due to income. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128936 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:33 pm: |
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Jalsa:The Third link points to something in Texas.
idhi autism ki, but info helps http://www.delautism.org/Portals/0/Documents/Applying%20for% 20Comm%20Alt%20Disability%20Medicaid.pdf |
   
Jalsa
Hero Username: Jalsa
Post Number: 19823 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:23 pm: |
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Onlytruth:
Yes, motham chadivaanu. From that website, anything on the border they favor towards making the kid eligible for medicaid. Eligibility should be of the SSI disability standards, which, I am sure, she is. Costs wise, they cover private duty nursing.
quote:5625 CALCULATION A calculation is made of the total actual or projected cost of all significant, recurring medical services (home health aides & nurses, private duty nursing, Prescribed Pediatric Extended Care, supplies, equipment and therapies).
Insurance cover chesey costs medicaid program cover cheyadhu ani undhi. Did I miss anything? The Third link points to something in Texas. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128927 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:11 pm: |
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Jalsa:
review search results 1 & 3 copy , paste in browser https://www.google.com/search?q=Children's+Community+Alternative+Disability+Program&oq=Children's+Co %20mmunity+Alternative+Disability+Program&aqs=chrome..69i57& sou%20rceid=chrome&espv=210&es_sm=93&ie=UTF-8#es_sm=93&espv= 210&q=%20Children's+Community+Alternative+Disability+Program ++private%20+duty+nursing |
   
Jalsa
Hero Username: Jalsa
Post Number: 19822 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:08 pm: |
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The DE medicaid representative said that from what i told her she doesn't see any reason why my daughter would not be eligible for medicaid. But i cannot take that for granted and i asked the social/case workers at the hospital. Unfortunately they have not seen anyone from DE state but they said that some obvious cases which should have been accepted got denied and vice-versa. May be nuvvu cheppinattu oka saari velli matladali leka medical records pampinchi kanukkovaali. Again, OT, thanks a ton for taking so much time and looking into this. Too many things to take care of at one time. Work kooda chaala negative ga effect avuthundhi deeni valla. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19821 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:04 pm: |
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Phone lo initial discussion ayindhi. I asked them if they could let me know if they saw her medical records and they said may be. But, to apply, we at least need a address in DE. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128924 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:45 pm: |
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Results 1 & 3 refer cheyyi... i think DE border ki move ayyi , current job continue cheyyochu anukuntunnaa...but eligibility own interpretation kakunda in-person(not phone) velli documents chupinchi eligible/not chudu https://www.google.com/search?q=Children's+Community+Alternative+Disability+Program&oq=Children's+Co mmunity+Alternative+Disability+Program&aqs=chrome..69i57&sou rceid=chrome&espv=210&es_sm=93&ie=UTF-8#es_sm=93&espv=210&q= Children's+Community+Alternative+Disability+Program++private +duty+nursing |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128923 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:36 pm: |
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http://regulations.delaware.gov/AdminCode/title16/Department %20of%20Health%20and%20Social%20Services/Division%20of%20Soc ial%20Services/Delaware%20Social%20Services%20Manual/25000%2 0(06-01-12).shtml |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128922 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:17 pm: |
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Jalsa:
* In Newjersey, PDN is NOT covered in obumcare THOUGH insurance plans cannot deny ur kid based on pre-existing * Healthcare.gov lo apply jesina no use for NJ residents * Private insurances lo cover ayyevi unte u can buy, but they will be very expensive in premiums * PA,DE medicaid enti nuvvu aa state lo resident aithe income level restriction lekunda eligible aa ammo type kottalenu ika...........PM me with ur phone number |
   
Jalsa
Hero Username: Jalsa
Post Number: 19820 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:17 pm: |
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Onlytruth:explain this.....is everyone eligible for medicaid ?
Remember, I am applying for my daughter who is a US Citizen. In NJ, while applying for medicaid, they look at parents' income and resources (savings etc). But in PA and DE, they don't. See this: http://dhss.delaware.gov/dhss/dmma/disabledchildren.html
quote:The financial criteria for this program are the same as that of the DMMA Medicaid Nursing Facility program. The child's gross monthly income cannot exceed 250% of the SSI standard. The child's countable assets cannot exceed $2,000. The parent's income and assets are not considered.
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Onlytruth
Legend Username: Onlytruth
Post Number: 128921 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:13 pm: |
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INDIANA kuda covered ,but limitations http://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/ indiana-ehb-benchmark-plan.pdf |
   
Jalsa
Hero Username: Jalsa
Post Number: 19819 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:13 pm: |
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Onlytruth:
nee yenks, nenu annadhi job maaradaaniki OTio. phone kooda chesaa apply chedhaamani, 1 hr wait chesinaa no response on the phone. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128920 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:12 pm: |
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Jalsa: medicaid accept chesey state ki velthey better kadhaa (PA, DE as example)?
explain this.....is everyone eligible for medicaid ? |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128919 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:11 pm: |
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Jalsa:haha!! pachaa card ledhu bhaiyyooo...asalu deeni badhalu medicaid accept chesey state ki velthey better kadhaa (PA, DE as example)? :P
nuvu nannu sampesthannav.......Obum care ki pacha card akkarledhu.....anyone can buy legal residents i think |
   
Jalsa
Hero Username: Jalsa
Post Number: 19818 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:08 pm: |
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ninna night nunchi healthcare.gov lo apply chedhamani choostunnaa...okka saari kooda respond avaledhu website. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19817 Registered: 02-2008 Posted From: 159.14.241.250
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:07 pm: |
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Onlytruth:In Illinois state, it is MANDATORY COVERED...Chicago Vacheyyi Contract jobs ki
haha!! pachaa card ledhu bhaiyyooo...asalu deeni badhalu medicaid accept chesey state ki velthey better kadhaa (PA, DE as example)? :P |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128918 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:06 pm: |
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@ JALSA First hit !! In Illinois state, it is MANDATORY COVERED...Chicago Vacheyyi Contract jobs ki.. $800 Per Month premium Gold plans ikkada ( NJ lo $1400 same plans) http://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/ illinois-ehb-benchmark-plan.pdf |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128917 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 07:57 pm: |
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need help states starting with alphabet A,C,D i will work on ..somebody start next alphabet letters and post here... step 1) http://www.cms.gov/cciio/resources/data-resources/ehb.html step 2) Click on "Summary of EHB Benefits" on a particular state step 3) CTRL+F search for word "private" step 4) You will see "Private Duty Nursing" Covered / Not Covered THere are ONLY TWO STATES in entire USA...we need to find out which two states IF we get two hits we can stop this exercise |
   
Jalsa
Hero Username: Jalsa
Post Number: 19812 Registered: 02-2008 Posted From: 198.228.200.17
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:52 am: |
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Anand_n:
nursing might be affordable but I don't know about any good hospitals for her symptom except indraprastha in Delhi. ikkadaithe at least one state or the other provide some financial help. India lo manamey out of pocket anukunta ga. At least for one year in her recovery US lo untey better ani anukuntunna. |
   
Anand_n
Hero Username: Anand_n
Post Number: 14291 Registered: 02-2008 Posted From: 72.177.241.31
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 10:15 am: |
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Onlytruth: 1) All we need to find out is right insurance plan for ur family which covers PDN 2) I don't think we need to explore for Fiancial assistance
Wow - that is really good news if that works...
Jalsa:1400 per month antey, almost equal amount as rent and other baby's day care - this i might have to find an alternative like sending to India.
Is this an option for you - is the medical care you need for the baby available at an afoordable cost in India ? The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Linkmaster
Legend Username: Linkmaster
Post Number: 38634 Registered: 02-2008 Posted From: 24.1.68.218
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 09:27 am: |
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Jalsa:
very sorry to know all these brother.. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19809 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 09:21 am: |
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Onlytruth:3) If your employer thru insurance doesn't cover PDN , then you will buy individual insurance outside and request employer to increase your salary accordingly ( health premium they need not to bear, so that component they need to add ur base salary)
Again, thanks a ton for all the research OT. aa site pani chestey i can try to get some quotes. but company vallani salary penchamani adagalemu anukunta le One question, oka vela premium is like 1400$ per month (Gold), is this amount tax deductible like the premium amount we pay through employer? (not that it matters, but still a large amount). 1400 per month antey, almost equal amount as rent and other baby's day care - this i might have to find an alternative like sending to India. But if all the other coverage is same, then, it might be worth trying this. I have to sign-up for my company's insurance by 18th of this month - so I have to push my manager to give me a answer soon. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19808 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 09:15 am: |
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Politricks:If still planning to move to PA...look into LANGHORNE which is a good place and close to NJ border and abt 17 miles from PHILA downtown....look at an APT called MIDDLETOWN TRACE!
Thank you brother. Ippudey choosaanu. Door-door it will be close to 1-1.5 hrs on Route 1. If planning to move, DE better emo anukuntunna so that i can be a little closer to home, in case we need to take the baby to a hospital in emergency situations. |
   
Politricks
Hero Username: Politricks
Post Number: 15098 Registered: 03-2008 Posted From: 98.26.64.168
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:34 am: |
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Jalsa This is not the thread to post...but...If still planning to move to PA...look into LANGHORNE which is a good place and close to NJ border and abt 17 miles from PHILA downtown....look at an APT called MIDDLETOWN TRACE! Waiting for a good one..
|
   
Jalsa
Hero Username: Jalsa
Post Number: 19807 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 08:29 am: |
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Healthcare site down. Enni saarlu try chesina fail avuthundhi. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19805 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Saturday, October 12, 2013 - 12:15 am: |
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sample plans in nj ani choosaanu. for gold coverage the monthly premium is 1250+ |
   
Jalsa
Hero Username: Jalsa
Post Number: 19803 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 11:56 pm: |
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em website saami healthcare.gov. user account creation ki 30 mins. login avuthuntey some unexpected error ani vasthundhi. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19802 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 11:02 pm: |
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great help OT. I will check out this tomorrow. |
   
Gandhiguevara
Legend Username: Gandhiguevara
Post Number: 41582 Registered: 10-2009 Posted From: 142.136.137.10
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 10:42 pm: |
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Matter ardham kaledhu...very sensitive matter ani matram ardham ayyindhi |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128879 Registered: 01-2007 Posted From: 98.226.57.134
Rating:  Votes: 3 (Vote!) | | Posted on Friday, October 11, 2013 - 10:38 pm: |
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This should clear all your worries about possible financial burden : http://www.hhs.gov/healthcare/rights/pre-existing/childrens- pre-existing-conditions.html In my opinion, 1) All we need to find out is right insurance plan for ur family which covers PDN 2) I don't think we need to explore for Fiancial assistance 3) If your employer thru insurance doesn't cover PDN , then you will buy individual insurance outside and request employer to increase your salary accordingly ( health premium they need not to bear, so that component they need to add ur base salary) |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128878 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 10:33 pm: |
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@ Jalsa obamacare a) BANS lifetime maximum limits on insurance plans b) Should not deny pre-existing conditions aa rendu conditions lo nuvvu ye private insurance(who covers PDN) daggaraki poyinaa should not be a problem at all... While talking to them a) use " Private Duty Nursing(short form PDN )" word cautiously. "Skilled Nursing Care" is different from PDN though functionalities sound similar... b) How many hours per week/month AND how many such months per year are allowed anedhi key |
   
Jalsa
Hero Username: Jalsa
Post Number: 19801 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 10:06 pm: |
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correct OT |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128877 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 10:05 pm: |
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Jalsa:full time
ur current h1 sponsor is ur employer & also client where u work & whatever ....and u dont have greencard yet...correct ? |
   
Jalsa
Hero Username: Jalsa
Post Number: 19800 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 10:02 pm: |
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full time |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128876 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:59 pm: |
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Jalsa:
r u fulltime or contractor ? |
   
Jalsa
Hero Username: Jalsa
Post Number: 19799 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:57 pm: |
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Onlytruth:
oh!!! may be certain plans anukunta. company nunchi only cigna or united health care undhi. may be I should try getting a quote directly from aetna. one concern is if tjey would take a patient with preexisting conditions. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128875 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:48 pm: |
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@ Jalsa private insurance vallu cover chesthaam antunnaru ga....? http://www.aetna.com/cpb/medical/data/100_199/0136.html |
   
Jalsa
Hero Username: Jalsa
Post Number: 19798 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:47 pm: |
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Onlytruth:
yes low income ayithe chaaala coverage undhi government nunchi, at least NJ lo. PA,DE lo medicaid is not dependent on parent's income ata. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128873 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:46 pm: |
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vallaki cover jeyyochu tappu ledhu..kani middle income vallaki kuda ivvaliga... PDN is covered in medicaid |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128872 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:45 pm: |
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medicaid lo ghoram ga cover jesthunnaru huge dollars...but u will not eligible for medicaid.....india kanna ekkuva unnattundhi ikkada low income vallaki benefits |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128871 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:41 pm: |
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Jalsa:60 visits per year and there is no mention of skilled nursing care.
saw that.... i am trying to find what are those two states which cover private nursing duty |
   
Jalsa
Hero Username: Jalsa
Post Number: 19797 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:40 pm: |
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NJ state required benefits lo under home care it says only 60 visits per year and there is no mention of skilled nursing care. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128870 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:32 pm: |
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got it.......mana unde state ni batti obamacare lo ESSENTIAL Benefit coverage differences vunnaayi......two states lo PRIVATE DUTY NURSING KUDA COVERED........they cannot deny as preexisting required essential benefit coverage will include bariatric surgery in four states, bone marrow transplant in five states, chiropractic care in 10 states, infertility treatments in nine states, and private-duty nursing in two states http://www.heritage.org/research/reports/2013/04/obamacare-s -essential-benefits-regulation-creates-disparities-among-sta tes |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128869 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:29 pm: |
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Jalsa:OT I don't think I will qualify for obamacare as it has some income restrictions
income restriction is ONLY to get REBATE ON MONTHLY PREMIUM, but not for straight buying ANY ONE CAN BUY THOSE PLANS . I am on verge of buying..OK ? |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128868 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:27 pm: |
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i read one controversy some time ago...let me pull it back...thats interest which depends on which state u live in |
   
Jalsa
Hero Username: Jalsa
Post Number: 19796 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:26 pm: |
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OT I don't think I will qualify for obamacare as it has some income restrictions. I will check the document you posted |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128867 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:25 pm: |
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my logic is simple autism ki applied behavioural therapy treatments which cost hundreds of dollars cancer ki chemotherapy which costs thousands.. cover ainappudu ee skilled nursing care cover avvakapovadam emito chudaali |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128866 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:21 pm: |
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NJ State quote teesukunnaa dummy data tho....Refer PAGE 9 : Skilled Nursing is covered http://www.scribd.com/doc/175475895/SBC1-19-3498-English?sec ret_password=2ac834z5flfaylsagzkc |
   
Jalsa
Hero Username: Jalsa
Post Number: 19795 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:11 pm: |
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eti avunaa. naa insurance kooda adhey cheppindhi coverage policy notes lo. when I called them to confirm they said its covered for 200 visits per year each visit limited to 2 hrs. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128865 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:05 pm: |
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skilled nursing care is covered |
   
Jalsa
Hero Username: Jalsa
Post Number: 19794 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:03 pm: |
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and yes, I think it comes under long term care. for now I kn o w she needs this care at least fir 2 years. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19793 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:01 pm: |
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OT, I doubt any insurance would cover this. It is called Private duty home nursing. |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128864 Registered: 01-2007 Posted From: 98.226.57.134
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 08:57 pm: |
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@ JALSA new plans lo 01/01/2014 nunchi ivi cover aithaayi , they cannot exclude pre-existing conditions..lowest deductible, highest monthly premimum $1,000 or so per month tho nadipinchocchu my only concern is some plans are showing longterm care excluded...is this come under longterm care ? give me technical name( term insurance terminology) for ur kids required service |
   
Jalsa
Hero Username: Jalsa
Post Number: 19792 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 08:53 pm: |
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Anand_n:
Rajusk:
replied to both of you.  |
   
Rajusk
Megastar Username: Rajusk
Post Number: 27420 Registered: 02-2008 Posted From: 172.56.37.241
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 06:44 pm: |
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Jalsa:
aa damager evvadu.. peru senduko. |
   
Anand_n
Hero Username: Anand_n
Post Number: 14290 Registered: 02-2008 Posted From: 72.177.241.31
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 06:07 pm: |
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Jalsa:
Check your email The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Jalsa
Hero Username: Jalsa
Post Number: 19791 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 05:54 pm: |
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Anand_n:
Done. Right, some states seem to have lenient rules than others. |
   
Anand_n
Hero Username: Anand_n
Post Number: 14288 Registered: 02-2008 Posted From: 72.177.241.31
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 05:44 pm: |
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Jalsa:
Send me a PM with your contact details - I will give you the friend's contact number and let them know you will call..they may be able to help you with some advice on how to navigate the system as they would have had the same income issue though TX seems to have more support.. The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Jalsa
Hero Username: Jalsa
Post Number: 19790 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 04:41 pm: |
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because I am not a GC holder not many options. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19788 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 04:39 pm: |
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Gotcha:
yes untai. Delaware better for ke due to my company's presence there. Manager and his boss should be willing to do this. |
   
Gotcha
Hero Username: Gotcha
Post Number: 12778 Registered: 02-2008 Posted From: 8.19.193.14
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 04:18 pm: |
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Jalsa:Apparently, Pennsylvania and Delaware are much more lenient in giving medicaid. Hence, the thread few days ago about good places in PA.
ee places ki emaina move ayite options ekkuvu untayi emo kada brother. This Andhra real estate is for sale. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19787 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 04:16 pm: |
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By the way just got off the call with the waiver program lady and she confirmed it will be max of 10 hrs nursing coverage and also she can't say when a slot would open up. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19786 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 04:12 pm: |
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Anand_n:
Just went through the document and again, it's for low income families. I got tired of explaining to all these organizations about expenses but they do not care. |
   
Anand_n
Hero Username: Anand_n
Post Number: 14287 Registered: 02-2008 Posted From: 72.177.241.31
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 11:47 am: |
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Jalsa: talked to the united way people last night and they said I would not qualify for any program because of my incom
Hmm- I was reading a texas state doc just now and they said you could show the medical bills as deductions from income - but I guess since you are not yet incurring those bills they don't show up on your tax return..but it might help to put that out as projected expenses when you talk to the people Did you check the places listed in this resource guide? http://specialeducation.rutgers.edu/resource_dir.pdf Yeah by residency - I was asking if you are on H1 on GC The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Jalsa
Hero Username: Jalsa
Post Number: 19785 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Friday, October 11, 2013 - 09:20 am: |
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Anand_n:
Anand_n:
talked to the united way people last night and they said I would not qualify for any program because of my income. they did not know about the catastrophic relief fund. Pennsylvania and Delaware do not have any minimum stay requirements. By residency status do you mean H1B or green card? |
   
Anand_n
Hero Username: Anand_n
Post Number: 14286 Registered: 02-2008 Posted From: 72.177.241.31
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 11:24 pm: |
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Jalsa:
You are welcome hope you feel better soon .MDCP may be specific to Tx then- my friend said it was a fed program - but she may have been mistaken . The waiver program sounds like another tx prog she said they got in thru a lottery., United way - www.211.org has alt numbers - did you try those ? Persist till you speak to someone there .. PA has more aid ante it may definitely be worth the move for you.. But check residency rqmts too - do you all know how long the care will be needed? And a lot may depend on your residency status too  The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Jalsa
Hero Username: Jalsa
Post Number: 19783 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 07:12 pm: |
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Apparently, Pennsylvania and Delaware are much more lenient in giving medicaid. Hence, the thread few days ago about good places in PA. |
   
Jalsa
Hero Username: Jalsa
Post Number: 19780 Registered: 02-2008 Posted From: 47.16.89.110
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 06:44 pm: |
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Oh wow!!! Thanks Anand garu, thanks a lot for looking into this! Thanks to everyone. Sorry I could not post earlier as i was really sick. Let me tell you who I have approached so far: 1) NJ state medicaid - Denied 2) NJ state "Split" application medicaid - Denied 3) SSI (federal) welfare benefits - Denied All three denied based on income and resources like checking accounts. 4) Anand garu, i couldn't find what is MDCP - but I think it's similar to a program called NJ Waiver program (CRPD). http://www.state.nj.us/humanservices/dds/ohcs/waiver/crpd/ This program has limited number of intake per year (~300). As of today, there are still lot of others in front of us. From the above website quote:Private-duty nursing is limited for each beneficiary to a maximum of 16 hours per day from all payment sources. As mentioned earlier, it will be provided only when there is a live-in primary caregiver (adult relative or significant other adult) who accepts 24-hour responsibility for the health and welfare of the beneficiary.
We were hoping to qualify for this program, but one of the representative from the above called us and told us that they are not covering 16hrs of nursing anymore. They might cover at most 10 hours a day. Again, as I said, as of today, there are quite a few applicants ahead of us and we have to apply every year. For the remaining 8-6hrs of nursing a day has to be paid by us, which is like 50$ an hour for a registered nurse ($12K-$9K per month). The CICRF link you posted has to be applied at the end of every year. Now, I am trying to find out from them if I would be eligible for this and if there is a cap in the amount they would refund. Anand garu, i called the NJ family care number and they said they will not be able to help in our situation. I called Unitey Way number and had to leave a message. |
   
Rajusk
Megastar Username: Rajusk
Post Number: 27386 Registered: 02-2008 Posted From: 208.54.45.173
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 06:37 pm: |
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Rajusk:
mail sent to him about kwalling thread |
   
Rajusk
Megastar Username: Rajusk
Post Number: 27385 Registered: 02-2008 Posted From: 208.54.45.173
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 06:33 pm: |
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Anand_n:
I will call him and ask him to take a look.. thanks for the info |
   
Anand_n
Hero Username: Anand_n
Post Number: 14285 Registered: 02-2008 Posted From: 167.24.24.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 05:15 pm: |
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Cinejeevi:
Jalsa's daughter will be needing in-home nursing care once she is discharged from the hospital - and that is an expensive proposition - so just trying to help find some agencies/foundations that will offer financial support for this kind of health care needs not covered by insurance. The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Cinejeevi
Side Hero Username: Cinejeevi
Post Number: 3452 Registered: 09-2010 Posted From: 69.147.191.23
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 05:11 pm: |
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deniki ee thread? Just wanted to know if it helps someone I know for a different problem involving kid. Thx |
   
Anand_n
Hero Username: Anand_n
Post Number: 14284 Registered: 02-2008 Posted From: 167.24.24.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 04:49 pm: |
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Jalsa, Here's a New Jersey resource guide - ivvi meeku hospital lo case worker already icchi undochu ..but if not, try calling the children or health services lines here. http://specialeducation.rutgers.edu/resource_dir.pdf The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Anand_n
Hero Username: Anand_n
Post Number: 14283 Registered: 02-2008 Posted From: 167.24.24.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 04:35 pm: |
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Twitter:andy this doesnt account middlesex country where jalsa lives
General instructions for UW.. I need help with medical issues, or other services. The best way to find available resources in your area is by calling our 2-1-1 help number. It's a 3-digit number like 9-1-1, but for access to health and human services. Calling 2-1-1 will get you a trained resource and referral specialist, who will know what services are available in your area. Sometimes the 2-1-1 line can be a problem from a cell phone, or may not yet be available in your immediate area. If you can't get through on 2-1-1, you can go to www.211.org and type in your zip code. It will usually provide an alternate number. If you are having medical issues, you might also want to check with the case manager/social worker at your local medical facility. They are often very helpful in accessing available resources. If you have trouble, you can call your local United Way and they may be able to point you in the right direction. To find your local United Way, return to the liveunited.org home page and type your zip code in the top right. The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Twitter
Legend Username: Twitter
Post Number: 30222 Registered: 10-2009 Posted From: 192.193.171.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:27 pm: |
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Anand_n:But the kid is citizen..since she is born here:-)
i think this clause is for bill payer and not for the beneficiary(papa) |
   
Anand_n
Hero Username: Anand_n
Post Number: 14282 Registered: 02-2008 Posted From: 167.24.24.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:27 pm: |
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Twitter:middlesex country where jalsa lives
Akkad kuda unde untundi - probably a different number and contact - will look for it when I get some time. The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Twitter
Legend Username: Twitter
Post Number: 30221 Registered: 10-2009 Posted From: 192.193.171.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:26 pm: |
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Onlytruth: temp residents kinda rakapovachu taxpayer kabatti
hmm i still doubt ...neways call chesthe chebtharu ga |
   
Anand_n
Hero Username: Anand_n
Post Number: 14281 Registered: 02-2008 Posted From: 167.24.24.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:25 pm: |
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Twitter:Migrant workers may be eligible, temporary residents are not.
But the kid is citizen..since she is born here The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128737 Registered: 01-2007 Posted From: 64.94.26.254
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:21 pm: |
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Twitter:Migrant workers may be eligible, temporary residents are not.
temp residents kinda rakapovachu taxpayer kabatti |
   
Twitter
Legend Username: Twitter
Post Number: 30220 Registered: 10-2009 Posted From: 192.193.171.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:17 pm: |
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Onlytruth:http://www.state.nj.us/humanservices/cicrf/home/eligible/
Migrant workers may be eligible, temporary residents are not. ------- GC unte migrant and eligible H1 unte temporary residents anthena ? |
   
Twitter
Legend Username: Twitter
Post Number: 30219 Registered: 10-2009 Posted From: 192.193.171.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:15 pm: |
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Anand_n:http://www.unitedwaynnj.org/gethelp/gethelp211.php
andy this doesnt account middlesex country where jalsa lives |
   
Onlytruth
Legend Username: Onlytruth
Post Number: 128735 Registered: 01-2007 Posted From: 64.94.26.254
Rating:  Votes: 1 (Vote!) | | Posted on Thursday, October 10, 2013 - 01:14 pm: |
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Eligibility : http://www.state.nj.us/humanservices/cicrf/home/eligible/ Online Application : https://njcatastrophicfund.dhs.state.nj.us/cicrf/ |
   
Anand_n
Hero Username: Anand_n
Post Number: 14279 Registered: 02-2008 Posted From: 167.24.24.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 12:01 pm: |
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And here's a thought for the DBers, especially those in NJ...came to me as I was googling this stuff.. Ask around , google , and try to find out about any resources in NJ who can offer these services... It just helps to have many eyes searching ..and if you can apare some time ,call and find out the eligibility requirements, the paperwork that needs to be submitted etc.. There is only so much a pair of parents can do - any prework done will help Jalsa and his wife, so they do not have to spend time chasing things that may not work out.. Consolidate the list ont he DB so people do not call the same place twice ... What do you all think ? The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Anand_n
Hero Username: Anand_n
Post Number: 14278 Registered: 02-2008 Posted From: 167.24.24.150
Rating: N/A Votes: 0 (Vote!) | | Posted on Thursday, October 10, 2013 - 11:36 am: |
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Also if you have not already - talk to NJ FamilyCare call 1-800-701-0710 And since I heard of Any Baby can from United Way - It may be worth giving the NJ wing of United Way a call to see if they can help.. http://www.unitedwaynnj.org/gethelp/gethelp211.php United Way Family Success Center Residents of our North Essex communities of Caldwell, Cedar Grove, Essex Fells, Fairfield, Glen Ridge, Livingston, Montclair, North Caldwell, Roseland, Verona, and West Caldwell can also receive one-on-one assistance at the United Way Family Success Center located at the United Way building at 60 South Fullerton Avenue in Montclair. United Way Family Success Center staff provides residents with the information and referrals necessary to receive support services to help them in their time of need. These families and individuals also work directly with the staff to develop personal goals and action plans to help them work toward achieving financial self-sufficiency. Click here for more information or call 973.746.4235 for an appointment. The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |
   
Anand_n
Hero Username: Anand_n
Post Number: 14276 Registered: 02-2008 Posted From: 167.24.24.150
Rating:  Votes: 7 (Vote!) | | Posted on Thursday, October 10, 2013 - 11:23 am: |
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Jalsa, I posted last night in the other thread after talking to a friend who has needed nursing care for her child fow many years now... Reposting as it might get lost in that thread.. Spoke to a friend who has a child with similar needs .. She said first thing to do is to register for MDCP - it has a long wait list- you probably already have Then she said you should check with your state - they got help from Texas' CWP Any baby can - is the agency I was talking about and she said they got help from them as well..I am not sure if they operate in NJ.. This morning she sent me a link to the NJ state services. I found this page that you might be eligible for http://www.state.nj.us/humanservices/cicrf/home/what/ Try cheyyandi - and if you can get a case worker from an agency like Any baby Can, that will help ani kuda chepparu.. If you would like to talk to her, PM me - I do not have your email so posting here ... The foolish man seeks happiness in the distance; the wise grows it under his feet : James Oppenheim |