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Old 03-08-2012, 05:19 PM   #1
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Received new info today-seems odd to me...

As you know I was approved just 3 weeks ago (mid Feb) at the ALJ hearing. I have received one piece of correspondence - the confirmation letter last week. (Fully favorable).

Today, my US Senators office called and told me she expedited my retroactive money and that my atty would get his $6K, but she didn't know/couldn't access what my monthly check would be, said to call SSA. So I did.

So here is the part I am totally "confuzzled" about. I didn't get to the ALJ until mid Feb, AND unusually got approved at the hearing, got the confirmation via correspondence of his ruling last week/March 1. Today is March 8 and SSA said that when I get my 1st check in mid April I will be charged for 3 months of Medicare = Feb, March & April @ $99.90 per month or basically $300.00 out of my 1st check. (And I still have not received my medicare card yet, or my statement/correspondence of how much my check will be or the retroactive money) SSA told me, but that is who also said I'll be 'back billed for Feb & March for medicare.

Is this right? How can they do that. They said to me, 'I was eligible in Feb'. I said, yeah, I was aware I would be if I got approved but my hearing wasn't until mid Feb...... and (nicely added) I am eligible to buy a new car too, but I didn't get one and shouldn't be charged for something I didn't have access to. I haven't even gotten my medicare card yet. AND -- I have been paying out of pocket for my insurance thru my former employer this entire time (2.5 years), which included Feb and March.

So, is this right? Had I had an onset date of Jan 2009 and it was granted, figuring in the 5 months waiting + the 2 years would they back bill the medicare all those months - even tho I was still going thru the process and did NOT have access to the medicare insurance?

Something just doesn't seem kosher to me on this.

Thanks again for your expertise!

HUGS

ps: I love the word confuzzled -- its not a real word, I made it up eons ago.

 
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Old 03-08-2012, 05:24 PM   #2
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Re: Received new info today-seems odd to me...

I know it doesn't seem right you couldn't of used Medicare then if you needed to so I think something isn't right.

 
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Old 03-08-2012, 06:49 PM   #3
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Re: Received new info today-seems odd to me...

Jacki, the same thing just happened to me. When I got my first check several hundred dollars were deducted for Medicare premiums for months I didn't even know I had it, and of course had no way to use it (no card). It really ticked me off!

 
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Old 03-09-2012, 08:10 AM   #4
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Re: Received new info today-seems odd to me...

Once I get my 'official letter' saying what my award is & how much my monthly check will be,, I think I will recontact my US Senators office. She has been a God send.

The odd part to this is, if I even had the medicare card today I couldn't complain about beign charged & using it for this month.. but my doctors appts are still going to go on my privately paid insurance from former employer. Its like double dipping in the wrong direction.

 
Old 03-09-2012, 09:06 AM   #5
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Re: Received new info today-seems odd to me...

Quote:
Originally Posted by Jacki345 View Post
Once I get my 'official letter' saying what my award is & how much my monthly check will be,, I think I will recontact my US Senators office. She has been a God send.

The odd part to this is, if I even had the medicare card today I couldn't complain about beign charged & using it for this month.. but my doctors appts are still going to go on my privately paid insurance from former employer. Its like double dipping in the wrong direction.
You can go to the ssa office they can give you a temp. medicare card. When you have the temp. card start calling to get a medicare advantage plan ora supplement plan. Because plain old medicare has no part d drug coverage and since you live in Florida you have a wide selection to choose from.

 
Old 03-09-2012, 09:56 AM   #6
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Re: Received new info today-seems odd to me...

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Originally Posted by vann04 View Post
You can go to the ssa office they can give you a temp. medicare card. When you have the temp. card start calling to get a medicare advantage plan ora supplement plan. Because plain old medicare has no part d drug coverage and since you live in Florida you have a wide selection to choose from.
Hiya Vann
I have spoken to my benefit office (former employer) and they've told me that my current insurance (for retirees) will become secondary to medicare (ie supplimental) and cover the 20% that medicare A doesn't cover; They will reimburse the Medicare Part B and my vision, dental and prescription coverage will remain as it does now. So I won't need the supplemental plan/s after all. My retiree benefits will cover it -- thank goodness.

 
Old 03-09-2012, 10:16 AM   #7
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Re: Received new info today-seems odd to me...

Quote:
Originally Posted by Jacki345 View Post
Hiya Vann
I have spoken to my benefit office (former employer) and they've told me that my current insurance (for retirees) will become secondary to medicare (ie supplimental) and cover the 20% that medicare A doesn't cover; They will reimburse the Medicare Part B and my vision, dental and prescription coverage will remain as it does now. So I won't need the supplemental plan/s after all. My retiree benefits will cover it -- thank goodness.
I went with optimum i don't get my part b back because i went with there platinum plan. With that plan i have no copay to see a specialist also all of my generics are free and my tier 2 meds are only $20.00 co pay but if i get 90 day supply i use there mail order and then it only cost me $40 for my tier 2 meds.Plus no copay for the first 50 days in the hospital. Had no copay for blood work also.

 
Old 03-09-2012, 10:38 AM   #8
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Re: Received new info today-seems odd to me...

Sounds great Vann.

My retiree insurance, just as a retiree premiums only cost me $13.97 a month total - for all of it (vision, dental, experimental treatment, medical/doctor & hospitalization). Up until 3 years ago, it was all free to employees. Anyway, they now tell me that this premium amount will be reduced to less than 50% and they will reimburse the Part B that SS takes out.. I think that's the monthly $99.90 (?) So I'm expecting to pay like $6.50-ish.

Shoot, I can't be that with a stick. ya know?

Last edited by Jacki345; 03-09-2012 at 10:39 AM.

 
Old 03-09-2012, 11:23 AM   #9
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Re: Received new info today-seems odd to me...

Quote:
Originally Posted by Jacki345 View Post
Sounds great Vann.

My retiree insurance, just as a retiree premiums only cost me $13.97 a month total - for all of it (vision, dental, experimental treatment, medical/doctor & hospitalization). Up until 3 years ago, it was all free to employees. Anyway, they now tell me that this premium amount will be reduced to less than 50% and they will reimburse the Part B that SS takes out.. I think that's the monthly $99.90 (?) So I'm expecting to pay like $6.50-ish.

Shoot, I can't be that with a stick. ya know?
That's nice what kind of job did you do? My fiancé works in st Pete her friend just got a back in Chicago at a company that has there headquarters in st Pete her friend is making $95,000 a year trying to get my fiancé in at st Pete , starting at $60,000 . She use to work at a company like this before. Man I have my fingers crossed. That will be a $10,000 pay raise.

 
Old 03-09-2012, 01:52 PM   #10
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Re: Received new info today-seems odd to me...

I do not think it sounds ightfor your medicare to start billing you before you even have it, that wouold make me very upset. I got my medicard right away and the state helps pay for the premiums, and I also have Medi cal which is the same as medicaid in other states. It does not make sense tome they are charging you that much money for medicare those thress months when you cannot even start using it . LIke a poster said you can get a temporary meidcare card through the social security office, maybe that is the best way to go, especially if they are witholding your money and making you pay for it, you should be covered then .

 
Old 03-10-2012, 01:31 PM   #11
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Re: Received new info today-seems odd to me...

Quote:
Originally Posted by mscat40 View Post
I do not think it sounds ightfor your medicare to start billing you before you even have it, that wouold make me very upset. I got my medicard right away and the state helps pay for the premiums, and I also have Medi cal which is the same as medicaid in other states. It does not make sense tome they are charging you that much money for medicare those thress months when you cannot even start using it . LIke a poster said you can get a temporary meidcare card through the social security office, maybe that is the best way to go, especially if they are witholding your money and making you pay for it, you should be covered then .
Yeah, I have to agree mscat -it just didn't make any sense to me. So, I did call SSA they made worse sense.. so then I called the US Senators office again. (I swear that woman was sent from God - she is WAY to helpful for todays society!.. I mean that in a good way. She must be there coz she loves her job and to help people).. She explained that your monthly check is paid in arrears and the medicare is paid in advance & the amount being taken on the 1st check will just catch me up. Then last nite in the mail I got my letter (our street is the last one on the route) and it basically said the same thing, adding that if I had not received my medicare card yet, to use 'this' letter if I needed medical attention. So, the money they are taking for Feb is covering March etc. etc.

So, that pretty much explains my mystery.. (SSA told me the Feb $99 was to cover the month of Feb, which of course was very wrong)

Last edited by Jacki345; 03-10-2012 at 01:35 PM.

 
Old 03-10-2012, 01:39 PM   #12
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Re: Received new info today-seems odd to me...

Quote:
Originally Posted by vann04 View Post
That's nice what kind of job did you do? My fiancé works in st Pete her friend just got a back in Chicago at a company that has there headquarters in st Pete her friend is making $95,000 a year trying to get my fiancé in at st Pete , starting at $60,000 . She use to work at a company like this before. Man I have my fingers crossed. That will be a $10,000 pay raise.
The original job to when I started it eons ago to what it became as I left really morphed. But at the end, the kind of job I did was work on computer systems - clearing input errors/order flow. Debugging problems so no jam up in the system. Also there were times I did research on accounts that may have required me to go back years.

Last edited by Jacki345; 03-10-2012 at 01:40 PM.

 
Old 03-10-2012, 02:23 PM   #13
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Re: Received new info today-seems odd to me...

mscat --

PS: remember, they also take out for your atty/representative if you had one. And the maximum amount now for representation is $6000.00.

In my letter it didn't say how much he got only that he got a copy of this letter.

 
Old 03-10-2012, 02:57 PM   #14
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Re: Received new info today-seems odd to me...

Quote:
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mscat --

PS: remember, they also take out for your atty/representative if you had one. And the maximum amount now for representation is $6000.00.

In my letter it didn't say how much he got only that he got a copy of this letter.
You could probably figure it all out after you recieve your award letter how much was paid to your attorney. I did not have to have one, I won at the reconsideration level, however as fully prepared to obtain a lawyer if denied. I understand they always get paid first, and what is left is paid to the claimant. I also think that f a person was on welfare or using any state income they have to pay it back too. Iam not sure if that is correct for all states but i've heard about it. They do this when a person dies too, take all their assect to pay off any money owed to the state. I know my brothers mother is very sick and they talked to her about going on SSI and she refused.

 
Old 03-10-2012, 03:37 PM   #15
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Re: Received new info today-seems odd to me...

Quote:
Originally Posted by mscat40 View Post
You could probably figure it all out after you recieve your award letter how much was paid to your attorney. I did not have to have one, I won at the reconsideration level, however as fully prepared to obtain a lawyer if denied. I understand they always get paid first, and what is left is paid to the claimant. I also think that f a person was on welfare or using any state income they have to pay it back too. Iam not sure if that is correct for all states but i've heard about it. They do this when a person dies too, take all their assect to pay off any money owed to the state. I know my brothers mother is very sick and they talked to her about going on SSI and she refused.
Yeah, I thought the award letter would make sense,.. and just after I posted about an hour ago.. I pulled it again (it came last evening) I pulled it out because it dawned on me that the back pay figure in the award letter and the amount that was deposited yesterday morning was not a $6000.00 difference (max atty fee), nor is it the 25% difference. Its more like only a 10% difference.

Go figure that one!

The medicare in arrears will come out of my 1st check that I will not receive until April. So, I'm not sure what happened, but it looks like it happened in my favor.


 
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