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#128081 01-18-2011 01:05 PM
Joined: Sep 2009
Posts: 63
Patcey1 Offline OP
Supporting Member (50+ posts)
OP Offline
Supporting Member (50+ posts)

Joined: Sep 2009
Posts: 63
Does anyone have any knowledge or experience with NJ medicaid coverage? I was approved last year to get treatment out-of-state and now I am looking for a 2nd opinion (also out-of-state). NJ is telling me I am not eligible. I find that hard to believe. I do hate to stereotype, but government workers have a tendency to be very blase about info; they say whatever comes to the top of their head at any given time and when you call back and talk to someone else, you get a different response every time!
I'd appreciate any feedback or suggestions!

Pat


Pat - 62 yr. old -DX 8/29/09 SCC stage III floor of mouth
Lower teeth& bone removed
Port& Peg
Cisplatin x3; Rad 35 - ended 12/21/09
Fox Chase 2nd opinion-mandibulectomy; tracheotomy; left neck dissection; jaw reconstruction 5/13/10; flap failed;new flap 7/13/10; lipo January 2011
Patcey1 #128105 01-18-2011 05:35 PM
Joined: Jun 2007
Posts: 10,507
Likes: 8
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
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Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)

Joined: Jun 2007
Posts: 10,507
Likes: 8
Pat, are you able to go into the local office and speak with someone in person? Ask for a brochure that spells everything out. When Ive been told no by my insurance company I appeal and magically no turns into YES! Im sorry but I do not know if this would apply to medicaid. Are you allowed to appeal with that?


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile

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