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Old 03-27-2016, 05:05 PM
 
Location: NY-> AZ-> NC->PA->Clayton, NC
640 posts, read 1,757,385 times
Reputation: 248

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My fiancé suffered mental distress that has him now in the WakeMed hospital, waiting (for several days since he was medically cleared) to be transported to a psychiatric hospital.

He's under 65.

He was able to sign the application, which the hospital will fax over to Johnston County (where we live), which still needs his financial info, which I'll be sending in this week. A lawyer helped us with the "spending down" aspect of applying for Medicaid.

My fiancé has a lifelong history of severe ADHD, wasn't diagnosed until 1997. He's not able to keep a job, but he's a good man, has a great heart.
The event which triggered his hospitalization is very severe.

I'm being told he won't be approved for Medicaid if he doesn't have an appointment scheduled with Social Services Administration for SSI (Supplemental ?.... Insurance ).

I don't get this at all. The hospital rep. Said if they don't see a scheduled appointment for an interview to determine he's disabled, Medicaid will automatically denied. The rep also said if he is denied disability, he is automatically denied Medicaid.

This is all so confusing. I keep hearing other things from different people in the hospital, like it doesn't matter about SSI, if he wants to apply, he can do so anytime, if he decides to.

Are Medicaid and Disability in NC intertwined like the rep said? We have no money, he had no job, although he was trying to find one. I'm terrified of what might happen to us, having to pay probably around $20-$25,000 in medical bills. We barely make it through each month. I can't talk to him about this due to his fragile mental state right now.

Oh, and this interview , one interview, will determine his eligibility? I just don't get it.

Any feedback, suggestions, other ways of getting financial help will be appreciated. Thanks!
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Old 03-27-2016, 07:02 PM
 
Location: Sneads Ferry, NC
11,224 posts, read 19,670,603 times
Reputation: 5062
Quote:
Originally Posted by Jane0218 View Post
My fiancé suffered mental distress that has him now in the WakeMed hospital, waiting (for several days since he was medically cleared) to be transported to a psychiatric hospital.

He's under 65......
I'm being told he won't be approved for Medicaid if he doesn't have an appointment scheduled with Social Services Administration for SSI (Supplemental ?.... Insurance ).
....
Oh, and this interview , one interview, will determine his eligibility? I just don't get it.
The interview is one step in getting him SSI after the paperwork. The last I knew, they could have a teleconference set-up. Ask about it, because it sounds like he is unable to leave the hospital.

Yes, unless you have kids, adults have to be disabled (under SSI rules) or over 65 to qualify for Medicaid. I believe that mental disabilities are the most common reasons for qualifying currently. So, please continue to be his advocate.

I don't know of financial help other than government programs like Medicaid. Does he have any 401k savings or other assets that could be liquidated?
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Old 04-04-2016, 07:33 PM
 
Location: NY-> AZ-> NC->PA->Clayton, NC
640 posts, read 1,757,385 times
Reputation: 248
Quote:
Originally Posted by goldenage1 View Post
The interview is one step in getting him SSI after the paperwork. The last I knew, they could have a teleconference set-up. Ask about it, because it sounds like he is unable to leave the hospital.

Yes, unless you have kids, adults have to be disabled (under SSI rules) or over 65 to qualify for Medicaid. I believe that mental disabilities are the most common reasons for qualifying currently. So, please continue to be his advocate.

I don't know of financial help other than government programs like Medicaid. Does he have any 401k savings or other assets that could be liquidated?
No, no assets to be liquidated. No 401k, no pension.

I read online last night there is dental and prescription help for low income residents. He has no income, so he should qualify
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Old 04-05-2016, 03:49 PM
 
Location: Raleigh, NC
10,389 posts, read 19,348,367 times
Reputation: 11266
Here's the link to the Division of Medical Assistance--the "horse's mouth" as it were.

It is very difficult to get Medicaid under 65 unless you are a single mother or Blind/Disabled, which may be why they say the two are "intertwined". You have to qualify by both income (which it sounds like he does) and medical need (Disabled). There are no shortcuts, and NC has still chosen not to expand Medicaid as many (most) states have done.
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Old 04-19-2016, 12:04 PM
 
Location: NY-> AZ-> NC->PA->Clayton, NC
640 posts, read 1,757,385 times
Reputation: 248
Quote:
Originally Posted by Francois View Post
Here's the link to the Division of Medical Assistance--the "horse's mouth" as it were.

It is very difficult to get Medicaid under 65 unless you are a single mother or Blind/Disabled, which may be why they say the two are "intertwined". You have to qualify by both income (which it sounds like he does) and medical need (Disabled). There are no shortcuts, and NC has still chosen not to expand Medicaid as many (most) states have done.
Thanks. I think MC is the worst place to live if you need help financially with medical bills. There may be other states where you have to be disabled to qualify for Medicaid, but I don't know of any. It makes no sense. Medicaid, I thought, was to help those with low or no incomes or insurance get medical treatment.
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