Cancer Medicaid Snafu

Having cancer is bad enough. But then to find out your Medicaid coverage got cancelled, very bad. So then Carol DiGrazia couldn't use an ambulette service to get to her twice weekly oncologist visits. Which meant no way to get up and down the stairs by herself. Carol was forced to get creative. But the whole thing has been a pain in the b--t..literally.
Carol DiGrazia has cancer. She'd been complaining about back ache and thought it was sciatica.
"They sent me to a hematologist who gave me a bone marrow test, said Carol, "and they discovered that I had multiple myloma."
And she had a hole in her hip.
"They did radiation treatments, every day for 12-15 days, I was released and told no walking, no steps, nothing."
No walking, no steps, no nothing, not easy when you live on the second floor of a two-family home.
And when you're treatment includes two visits a week to your doctors office for injections and chemotherapy drugs and other medications. It's a big problem.
Carol figured she'd be able to use an ambulette service.
"Supposedly an ambulette service would be able to carry me down on a transport chair, carry me down the two flights because I'm not allowed to walk or put any pressure on it for the simple reason the bone around the lesion is so thin, they're afraid it will shatter the entire pelvis," said Carol.
The cost of ambulette service is about $253. Round trip but twice a week that adds up.
Hopefully Medicaid would cover it.
But it turns out her Medicaid was no longer activated.
Carol would have to figure out a way to get up and down the stairs on her own. She enlisted her whole family to help her.
The day we were there it was her granddaughter Diana who pitched in. Carol improvised a way to use her wheelchair, walker and her butt to get up and down the stairs.
It's hard and it's not pretty and by Carol's own admission, it's embarrassing.
"It's embarrassing, it's degrading," says Carol. And it's painful. "I have to usually stop three or four times because my arms get tired, the hip that's affected, this leg; my son-in-law what he does is, as I pull up, he picks up the leg at the ankle, so it doesn't drag along the steps."
In the meantime her sister made a dozen trips to the Coney Island Medicaid office for her sister but got nowhere.
Carol made dozens of calls. Nothing concrete.
That's when she reached out to Help Me Howard.
We called the Human Resources Administration and finally got some answers.
It seems anyone on Medicaid is sent forms every year to recertify. They are verifying their status, their income, any change of address, etc.
Carol doesn't remember getting those forms this year. She didn't think anything of it until it was too late.
HRA agreed to reactivate her. They have sent her the necessary forms to recertify and in the meantime, her caseworker will speak to any agency, in this case the ambulette service, to verify she is covered by Medicaid until her update information clears the system.
Now Carol only has to concentrate on getting better. We have no doubt she will give give it her all when it comes to fighting her cancer.
"I try my best," says Carol, "there are times I get down, I sit and say, why, all the questions everybody else asks, but if I had to have it at least it's something that hopefully they can cure. My doctor feels he can get me into remission."

Comments: 4
hi, sad story! not only does the woman have to put up with cancer and worry if she'll be cured from it now she has to worry about bumpin her butt up and down the stairs. so much for the radiation treatments, guess that went out the window. they say every year medicaid sends out forms, its only march, so what they are sayig is in a matter a month if u dont send your papers out they cancel your coverage. im assuming this happened about a month ago, given sometime before she contacted you. she shouldnt have to hope if they cover it. shouldnt they? isnt that what health insurance is for? isnt that what we all pay so much money for? so if she hadnt come up with the idea of bumping her butt up and down the stairs, i could just imagine, that must be painful, how would she get her chemo and all her shots? with all the phone calls she made and even her sister has gone down several times to find out information and still no answer's.Thank god you helped her Howard you are her angel, its a shame that this company is like this. Should there be a time in their lives that they are in the same situation i hope they find someone with the compassion they should have gave this woman. what a disgrace! they should all be asshamed of themselves!
This is very unforutunate and UNFORTUNATLY very common. I'm a unemploeyd single mom who too had medicaid, I was laid off some time ago. I too never recieved any recertification notices from medicaid. I did get a letter in the mail in January to recertify my son. I went and recertified him and reapplyed for myself. The case manager told me I wasn't the only one complaining of never recieving the recert. forms. He also told me my son medicaid wasn't going to expire until the end of January but since he just recertified him my son would be ok. Well in feb. my sons dr. called me to let me know his medicaid was declined. When I called medicaid they told me my sons medicaid was discontinued, to call back at the end of Feb. I called back and still not recertified.... I called back last week and nothing still. Last week the lady told me it takes between 30 -45 days, that does not include holidays or weekends. I told her my son has asthma what am I supposed to do about his medicine.... well she said to pay for it and then get it reimbursed. I have a $300.00 emergency room bill to pay because of his asthma plus I had to pay $70.00 for his medicine.... and still nothing. This has never happened before nor has it ever taken this long before. Anyway all his appointments have been postponed and i haven't been able to get any of his medications since January.
Hi this story is about my grandmother. I think she is very strong and courageous. Her situation is very difficult and i am proud to be her granddaughter. I am very proud of her in many ways. I love you grandma!!
Carol is my grandma and she is the most strongest person you will meet(inside and out)..i know she will win this fight...God is always on my familys side..i know God will help [: i am proud to be her grandson and i am proud of her...i love you grandma [: