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jeaux....please read if you don't mind!

EMTgoneNUTZEEMTgoneNUTZ Posts: 321
edited 06/11/2012 - 8:39 AM in Health Insurance Issues

A quick rundown of my disability history...filed first time in Sept 2005 (haven't been able to work since June 2005-was a paramedic injured 2002, 2004, & 2005) was denied in a couple months. Appealed, denied again. Hired atty, had ALJ hearing (took 2 1/2 years from 2nd denial to ALJ) was denied AGAIN. Atty filed another appeal based on a "bad judgement" in his belief-I ended up homeless (living in a tent) so my parents left FL to go up to Michigan to rescue me & my oldest son (my other 2 now live with their dad b/c of my inability to provide for us-mutual decision there, but my oldest is with me because his father is non-existant). My folks rented an apt for my son and I to live and are currently paying all of our living expenses on their retirement income (talk about feeling guilty!). Went to Congressmans Ofc and they put in a request with ODAR to expedite my appeal and overturn my denial. I have been called twice by ODAR and sent them some information they wanted (one was a statement from my Dr at the FL Spine Institute that stated specifically that I am disabled & unable to work pending back surgery). Received a letter today from the Congressmans Ofc that basically said they are now assessing my case and that if there is no change sooner, they will report back in 60-90 days.

So, I guess my question to you is, my atty back in Mich had told me to go to my Congressman but the ones in Mich didnt apparently give a damn as they never responded or sent "form letter" apologies for why they couldn't help me, but apparently this one here in FL really DOES care and I cant thank him enough for trying to help. Anyway, my atty felt it would bring me a favorable decision by contacting the Congressman-do you have any experience seeing/hearing of this? I am living on whatever child support I get which is SUPPOSED to be over $377 but is rarely even $200 p/month. I'm getting worse and worse-it's been a VERY long road (almost 8 years since my first injury, 4.5 since I couldnt work any longer & over 4 since I filed SSDI). I just need to know if this is another stall tactic that rarely turns out favorable, or does this look like maybe it could finally work?

Also-do they really pay ALL the backpay from the time you apply? Because I was told the most I could get would be 6 months but I applied over 4 years ago-shouldnt I be entitled to ALL of that backpay that I've been waiting on for me and my kids (had them all until this past Sept, now just the one-course had I gotten my SSDI sooner I wouldnt have had to give up my children, nor would we have lived in a tent all summer!). I don't want false hopes anymore, but I'd like to think there could be a little hope at least..? What do you think?

Thanks dear! I'm sorry to bother you but I know you're experienced in this and nobody else I ask seems to have an answer-or else if they do say that I "should" be getting it now, it still doesnt sound believable to me I guess. I suppose being rejected multiple times does that to a person, lol.


  • But, see the PM I sent you.

  • no wonder why you have gone nuts! I had to read this because I know what you have been through. I know that things are getting ready to take a turn for the better for you.

    You are going to be approved soon and I will keep watching for that post.
  • Got your PM Jeaux-will respond in a bit (need to go get milk then lay down w/my best friend the heating pad for a bit). You're a doll!

    JJ-thanks to you too! Yup-I've definitely gone nutz! lol It's been a very long road full of ups and downs (mostly downs, which is why I'm not posting as much as I used to-but I'm trying to come back out of my shell more). Hope things are going well for you-you deserve all the best! :-)
  • Hi Tanya

    It's great to see you here once again. I hope things improve soon. You are certainly a fighter and I feel you will ultimately persevere. I just hope the battle is shorter vs longer.

    Great to see you,

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