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pain pump and medicare

stevenrsstevenr Posts: 1
edited 01/10/2016 - 9:23 AM in Chronic Pain
Well i was going to have a pain pump implanted recently but i had to have the trial canceled because my wife died. i am on ssd and i made to much for her to get her ssi. we were receiving food stamps and because of her death they cut them by almost 80%. I was also getting medicaid witch made me especially telling everybody they just wan me to hurry ueligible for extra help in witch they covered my medicare premiums and my part D prescription drug insurance . but now i've been in formed i am losing that to. so what the heck do i do now i cannot afford to pay 20% of the trial and the surgery.and are the refills covered by medicare or the part d.i have hade the epidurals and i am getting bills for those that i cannot afford especially now. i didn't want to ask for anything stronger, before i got my ssd my only relief was to going to the ER and i cannot have nsaids because my heart doctor said no because my heart is in to bad a shape and they didn't help anyway. so i was labled a drug seeker and i never asked for drugs i just wanted them to figure out what was wrong.but no insurance meens no test(i have 2 hernaited disk L3-L4 And L4-L5,spinal stenosis and moderate to severe arthritis L1-L5 and when i had my open heart sugery it just seem to make it worse.) i take about 14 pills a day with one of them that will now cost me $500 a month ok enough of my ranting my question is does medicare cover the refills(dillaudid) or do i need the perscription plan and the doctors office was absolutely no help.everthying has been down hill since my wife died.i keep telling everybody they just want me to hurry up and die too.


  • LizLiz Posts: 8,835
    Please take the time to read this post and refer to it when you have questions

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    Liz -Spine-health Moderator

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • PlumbTuckeredOutPlumbTuckeredOut Philadelphia, PAPosts: 325
    If you receive Social Security disability (SSDI) the federal program, you are eligible for Medicare, part A is covered and is the catastrophic component. Medicare Part B is the component that covered doctors appointments up to 80% after meeting the initial deductible which is, I think, $170 at the beginning of each year. Medicare part D is the prescription component which the patient usually pays for the coverage, the deductible, the co-pays.

    If you receive SSI which is supplemental security insurance. This is run by the state in which you live and right now this varies greatly from state to state. If your state bought the Federal option your part B and part D would be covered. If your state did not, I'm not sure what individual states are providing.

    My best suggestion is calling your state Social Services Agency and each state calls this something different too. Do not give up. I know it is extremely frustrating because I've dealt with these offices for years in different states. Often a state representative will have staff who can help you with forms and getting those forms into the right hands.

    Good Luck

    Two roads diverged in a wood, and I took the one less traveled by...... (Robert Frost)
    I still don't know if I should have taken the one that said, "Caution! Dead End" (Me)
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  • SavageSavage United StatesPosts: 7,385
    I'm so sorry for the loss of your wife.

    Even under the best circumstances, so much of Medicare and options can be difficult to understand.
    And trying to understand while in grief, I can't imagine.

    I work with my local Social Services.,..as mentioned above by Sheila.
    I work with a social worker who not only helps me navigate through decisions I need to make, but also, informs me of benefits I'm eligible for that I would not have known otherwise.

    In my experience, your questions about the medications and cost would also depend much on the plan you are on.
    The social worker could help you with that, also.

    You mentioned Medicaid. They would help you with that, also. I have no experience with that one, yet.

    I have found the social workers extremely kind, easy going...patient with my slow responses...and knowledgeable.
    Do you think grief support of some kind would benefit you?
    It's not unusual to become angry, or other emotions, after loved one dies.

    In the past, my anger would at times, make it difficult for me to understand the options and help being offered.
    I was struggling with my chronic..out of control, who knows what is happening, ...pain.
    Adding grief to what you're dealing with, more difficult.

    Hopefully, knowledgable professional can help you learn about how to get your pain pump plans underway.
    And that you get the relief you need.
    Honorary Spine-Health Moderator
    Please read my medical history at: Medical History

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