M.L. asks from Hazleton, PA on April 17, 2007
In Need of Health Insurance!
I'm in the middle of a divorce and my ex had been ordered to maintain health insurance for myself and our 2 children. I immediately had Medicaid put in place to back up the kids which helps with any prescriptions or copays they've had. My ex informed me that he was letting the coverage drop as it was going up in cost and he's just going to let it go and he was trying to "be nice" by letting me know ahead of time. I called the welfare office to see what I needed to do to be sure the children were taken care of regardless (however, I do not qualify for Access with them because I collect alimony, I guess.) I was told to have the letter stating insurance was dropped copied to them so that they could make sure to change their records and the kids' access coverage would kick in. When I called the insurance company a couple weeks ago to see that I would receive a copy of the letter I was told the insurance had no change at that point but that a notice would be sent should the change occur. Well...I have not rec'd a letter yet, however, when I went to refill my birth control prescription today I was informed that the insurance would no longer go through. I had to pay $35 for my pills. fine. So I called the insurance company yet again to ask about the letter and was informed that something should be getting to me soon, that in fact the insurance was dropped, that they just rec'd notice from the "employer" (this would be my ex since he is self employed) and that the notice was to drop dating back to may of 2006!!! Which- leads me to believe that anything that has gone through in the past year will quite possibly be rebilled to me??? Needless to say, I wasn't pleased to know I'd have to be without coverage indefinitely, but I'll be even more displeased if I start getting bills for things that were court ordered to be covered. This divorce has been in the works for coming up on 2 years and the Master's hearing for domestics has been pushed back so many times that it should finally happen in May. I am wondering if anyone out there that might have any suggestions with regard to health insurance for individuals or families. I don't work right now because the cost of daycare would basically defeat the purpose, so instead I try to live modestly on what we do get in support and alimony. Obviously it won't be this way forever and once the kids are in school I'll be able to work full time and hopefully attain health insurance that way, but in the meantime- what do I do?
1 mom found this helpful
So What Happened?™
Well, thank you all for your responses. Some of you asked if I'd looked into CHIP for the kids and I had already and apparently don't qualify due to the fact that my only income is child support and alimony. They told me that Medicaid was the way to go in my case. They did give me the info about Adult Basic for myself but that waiting list is said to be a year and a half long- if need be, I'll get on it though. In the meantime, I did let my lawyer know about the fact that the insurance did indeed terminate and was informed that they will likely be filing a petition for contempt. So that's that for the moment. We'll see how it works out. Thanks for all your suggestions and support!
Featured Answers
R.R. answers from Reading on April 17, 2007
http://www.hhsc.state.tx.us/chip/index.html
theres a site I found for it its called CHIPS & will probably help you out, good luck:)
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W.C. answers from Williamsport on April 18, 2007
Dear M.,
I'm a little confused on whether you need health insurance for the kids or just for you. If for the kids, luckily PA has CHIPS to cover all children. If your problem is finding insurance for you, Blue Cross/Blue Shield offers programs for individuals, including special rates for people with lower incomes. They may have family plans too. (I think it's Blue Cross; it's different in different areas. Try contacting your local representative or google something like "individual health insurance PA".
Good luck!
W.
D.S. answers from Albany on April 18, 2007
I'm guessing this is one of those things that differs from state to state. I'm in NY and in a similar situation. I live with my boyfriend but since we aren't married and I don't work, financially I'm seen as a single, unemployed mom. I qualify for Medicaid and my daughter (who's 2 1/2) is covered by Child Health Plus. He COULD cover us, the option is availiable thru his employer to cover domestic partners and of course, his own daughter, but the portion they'd expect him to pay monthly towards the "family plan" is astronomical. He only insures himself. A lot of working parents in NY still earn low enought o qualify for the Child Health Plus for their children. I think the cutoff is around $60k; higher incomes pay towards it and lower incomes get free....graduating scale. I hope you get responses from PA people who know more. I got the most info here by contacting the benefits coordinators at a local hospital and at my Doc's office. They are the most up-to-date on these topics!
S.P. answers from Hartford on April 20, 2007
If the court ordered your ex to pay for health insurance, thenhe doesn't have a choice. He has to cover you all regardless of the cost or he will be held in contempt of court. You need to talk to the court and tell them what is happening. He can't just do what he feels like when the court has ordered him to do something.
A.B. answers from Albany on April 18, 2007
You need to go to your county's Department of Social Services as soon as possible and fill out an application for Medicaid for both yourself and your children. If the only income you recieve is alimony then you should qualify. If you apply for Child Health Plus or family health plus, you will just be told that you have to go and apply for Medicaid. I have the number for the different counties that I can give to you if you need it and you can make an appointment and apply directly. If you have a lawyer than I would talk to the lawyer about it as well but I know how scary not having health insurance can be so that is the first step that you should take. Also... if you do want and need to gain employment then you should have able to get your soon to be ex to have to pay at least half and if you do not want to try that than there are programs that will help pay for daycare for your kids so that you can work and will be able to actually survive. (Daycare costs are silly if you are one family income, i know). If you need info on any of that let me know as well. My husband is going to school full time so I am the only income in my family so I know the struggles of health insurance, day care and the like. Let me know if I can be of any help. Good luck. Let us know how it all works out.
E.P. answers from Buffalo on April 18, 2007
Make sure you keep a written record of ALL correspondance from both the insurance company and medicaid! I'd also call your lawyer and see if the hearing can be moved up, since it is urgent. The court may order your husband to reinstate the insurance; he also should be responsible for the costs over the last year. I don't know what state you live in, but New York State has a program called Child Health Plus, that is free to those who qualify-There is an adult health program also... Good Luck! E.
D.S. answers from Burlington on April 18, 2007
R.R. answers from Reading on April 17, 2007
http://www.hhsc.state.tx.us/chip/index.html
theres a site I found for it its called CHIPS & will probably help you out, good luck:)
J.L. answers from Albany on April 18, 2007
Check into child health care plus through the state. It will at least cover your children. I think families who make less then $40,000/yr can get health insurance for there children at little or no cost depending on your income. Go to http://www.healthplus-ny.org/en/index_ENG_HTML.html
I think they also offer family plans. Good luck.
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