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| | Joined: Sep 2009 Posts: 63 Supporting Member (50+ posts) | OP  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
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 8 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | 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?
ChristineSCC 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  | | |
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