How do people survive on disability?

@TessWhite (3146)
United States
November 18, 2008 6:50pm CST
I've been on SSDI for about 6 years now. Its hard enough to survive on the amount of income I receive. But, I've always been grateful for my Medicare benefits that pay most of my costs - especially since I take some really expensive drugs every day. Well today I had to say no to picking up one of my medications. Why? Because I've apparently reached the Part D "gap" where I now have to pay 100 percent of my drug costs until I reach over $4000 spent. Get real. How do they think we can live like this? I've already done without one of my medications for two weeks now because I didn't have the money to pay my copay amount. Now I'm told I have to pay full cost????? Yep, I'm freaking out. Elderly people can get Medicare supplements that pick up this "gap" in coverage. But, since I'm only 49 I cannot get, nor afford, a Medicare supplement. So now I apparently have to do without my medications. Whats next, my oxygen and breathing medications? I worked hard all of my life until I became disabled. I didn't ask for this. Its hard enough to live with disabilities as it is. Now I have to do without medications?? Ok, since I have to turn my rant into a discussion.... .how do the rest of you on disability manage? And what do we do when we reach that gap in drug coverage?
4 people like this
11 responses
• United States
19 Nov 08
HI Tess: Boy I could write a book on this subject, I've been on disability since 1999 and its been a long hard road ( money wise) and I'm still struggling but I am hopeful that things will improve a bit for me ( moneywise) per month now that I found this place and a few legit writing places, thank The Lord; I guess Texas and Missouri are some of the DUMB STATES because thanks to our idiot Government here in Missouri aka state of MISERY...they too have changed and done away with so many things that medicaid used to pay for me too, Dental being one I lost count of how many years its been for me since I last went, can't afford it and I need to go badly; I'm not sure what all is wrong with you but it sounds like you've more than enough to qualify for LTD...did you get a disability lawyer to help you, if you try to do this on your own, you are in for a long drawn out battle, I believe; Sounds to me like you need to change Doctors too Tess, I have the worlds best Doctor and I just love that man, he is a rare breed of those kind of Doctors that "CARE" about you and your health and he is moves heaven and earth to fill out form after forms for your disability, and for your medications and he is up to date on stupid medicare changes and medicaid so much, I myself can't keep up but he has so many of us on disability, and so many of with our monthly spenddowns to get our prescriptions and so on; Talk to your doctor again ask him for his help to get the ball rolling here, if he won't or has no interest change doctors search around for a good one, if you are leaving Texas then I'd just wait until you get settled where ever it is you are moving too; There's no way I could pay for my monthly round of meds even if I had to do a major payment on them, I'd just have to roll over and wait to die. They've changed crap on my oxygen too, I am hoping the newly elected people in my state make some good changes for us because so many here are suffering and have no help at all. its just really sad; but try again for your LTD...maybe once you get moved it will go through this time; good luck to you!!
@TessWhite (3146)
• United States
21 Nov 08
I'm not sure when I'm moving. My Dad just arrived tonight to take the first trailer load of my stuff to the house I've bought. I'm still trying to sell my place here in south Texas. Dad's first words tonight when he got out of his truck were "Its beautiful here, why do you want to move back where its cold again!" LOL I said because you are there, as is the rest of my family. I don't like the cold either, and I know I'll miss this weather in the winter time here. I'm moving to northern missouri, about 2 hours NE of KC. Its a small town, but thats fine by me. I haven't lived there for 30 years though so it will seem strange. I lived most of my adult life in Iowa, and really consider it more home than MO. But as long as I'm in the midwest I'll be happy.
@TessWhite (3146)
• United States
19 Nov 08
Thanks Jan. I'm actually already on SSDI - I was approved about 6 years ago after a 3 year battle. My LTD application was back in 1999, and I wasn't smart enough at that time to get an attorney to fight the denial. I wish I had, because I should have been awarded those benefits. I'm going to call my doctor's office and see if they can give me samples or something on the two main medications I can't afford. The rest are generics and aren't too costly. As for the state of "misery" LOL I know what you mean. That is my home state, and the one I'm moving BACK to soon. I hate to hear that you can't get Medicaid benefits you need because that means I probably won't either then. Great.
• United States
20 Nov 08
HI Tess: So you are from Missouri?? Cool! When are you moving back and where? well who knows what sort of changes will happen when the "newly elected" take over offices there but I am hopeful but yet not holding my breath either...its been awfully cold here the last few days, seems like the stinking wind never goes away any more, in fact its been cold enough all day to snow, UGH!! Supposed to get down to about 13 degree's tonight, YEAH RAH!!! I hate the Cold!! I really do!!
@Opal26 (17679)
• United States
19 Nov 08
Hey tess~I don't quite understand. I have just applied for SSDI benefits. I am on temporary emergency benefits and have Medicaid and an HMO supplement. When I reach my threshold Medicaid sends me a letter that I send to my doctor to increase the amount of prescriptions and he faxes them the letter saying that I need more coverage and they do it. Can't your doctor say that you must have them? I take 6 prescriptions a month and I go over my amount for the year really quickly. My doctor has increased the amount necessary twice for this benefit year that I am on Medicaid. I also get free transportation to and from my doctors appointments. I also have free dental coverage. And I get one pair of glasses per year. I get better coverage now then when I was paying $600 a month for my regular insurance. Have you ever checked with Medicaid about having the prescriptions extended by your doctor? That is how it is in NY.
@TessWhite (3146)
• United States
19 Nov 08
Unfortunately Opal Medicaid is state coverage, rather than nation wide. So here in the state of Texas there is no Medicaid coverage for those of us disabled. Thankfully I have Medicare that helps with some things. But no amount of information from my doctors about needing these things is going to make a difference, since there is no coverage for me here. This is just one of the many reasons I'm leaving this state soon.
@TessWhite (3146)
• United States
19 Nov 08
Anyone who goes on SSDI becomes eligible for Medicare after a waiting period. I think the time period is two years - but its been so long I don't remember. After that if eligible in your state you get Medicaid as a back up to Medicare. Those who are on straight SSI, get Medicaid. I know its confusing - I used to work with both programs before I was disabled. Medicaid however is strictly state coverage, so some states have it, some don't. I didn't know when I moved here in 2005 that my health would worsen to the point that I needed additional help. I know Leenie is struggling too. The sad thing is we aren't the only ones.
@Opal26 (17679)
• United States
19 Nov 08
Gee Tess, I'm so sorry to hear that. I don't understand because it's so different here in NY. I know about leenie's problem too. She and I were talking yesterday about her problem and it is the same where she lives. I thought Medicare was only for Seniors over 65. It is that way in NY. It is so confusing and sad that neither one of you can get any help with your medication. It's just plain disgraceful because you both really need them! I find it cruel and disgusting that both states don't have some sort of emergency funding to help people in dire need of at least medication temporarily.
@1grnthmb (2055)
• United States
25 Nov 08
You should still be able to get the supplement. I am 52 and on disability. My part D supplement only cost $32 a month. Considering this wont even pay for one of my medications it is well worth it. Just call medicare up and they set it up for you. And then you will not have to worry about the Gap. They will ask you exactly what medications you are on and find the coverage that will help you the most. Also with being low income we qualified for medicaid supplement on top of the medical. Make an appoint at your welfare office and they can help you get any additional aid you need.
@1grnthmb (2055)
• United States
4 Dec 08
As well as just having part D you need to have a supplement that covers the gap. That is what the worker who helped me said. So she figured it all out for me and found a company that covered the GAP amount where you have to pay the additional coverage. Therefore it becomes covered. So it is not just part D it is a supplement to part D. I hope that helps explain it.
@TessWhite (3146)
• United States
26 Nov 08
Hi, thanks for the post. But I'm not sure I understood it. See I already have Medicare part D. And yes it pays (or did anyway) most of my medication costs. But then I reached what they call the "donut hole" where I have to pay 100 percent until I pay $4500.00 out of pocket, then it kicks in again. As for Medicaid - its not available in the state of Texas for those of us on SSDI - I've tried. I did have it in Iowa, but lost the coverage when I moved. The local welfare office told me there is nothing they can do to help me. I'll be moving soon, to Missouri, and I'm hoping maybe I can get some help there. But for right now I'm doing without medications I've been on for years.
• United States
20 Nov 08
My grandparent are retired, have medicare and still fall into the "gap", they call it a "donut hole". My grandfather takes alot of heart medications and they spend several thousands for a few months a year. Luckily they worked all their life and have the saving to spend on the medications (grandpa takes like over 15 pills a day) and grandma has her own set of medical issues. Not sure how long they can do this though.
@TessWhite (3146)
• United States
20 Nov 08
I'm surprised they don't have a Medicare supplement that picks up that portion for them. Most supplements do these days. The sad part is I can't get or afford a supplement thanks to my age and health.
• United States
20 Nov 08
I am not sure how medicaid/medicare supplements work but they might have too much money to qualify for any help. They started off with a good amount of money but paying thousands of dollar in just medication plus the usual stuff mortgage, electricity, bills, taxes, ect.... they are running out.
@hildas (3031)
19 Nov 08
I cannot live well on it. I live in the UK and my husband has to pay for most of my medications. It is unfair. He has an average paid job and I recieve no benefits, just some disability at a low rate. I am on oxygen also as I was a severe asthmatic and I now have COPD. We can pay for a monthy presciption, but it is still expensive. I can work on the internet sometimes, but other times I cannot breath bad. The money I get is nothing. Yes we worked hard and this is how we get paid. You rant away cause I am listening.
@TessWhite (3146)
• United States
19 Nov 08
You sound like me. Yea, I too have the severe asthma and was diagnosed with COPD this last spring. After checking my O2 levels at night they discovered that my oxygen levels were getting into the danger zone. So, I got put on oxygen. Like you I can't work because there are times when my breathing is really bad. Just two weeks ago I thought about calling an ambulance because I couldn't catch my breath. You are so right - its so unfair - regardless of what country we live in. What many people don't realize is we struggle enough as it is with just living with our health problems on a daily basis. But then you add the stress of trying to keep a roof over our heads and the bills paid, it sometimes just becomes too much.
1 person likes this
@hildas (3031)
19 Nov 08
Yes we do not need more stress. Sorry you have this too. It is an awful disease. Yes my oxygen goes down at night when I sleep. I could not breath really bad every night so I use oxygen then. We are not to bad with healthcare here now, they are giving us free presciptions for lung diseases in the new year. Money is hard to come by though. It is not fair.
• United States
26 Nov 08
Medical Symbols - These are a couple of medical symbols I thought would make my post look better.
The way I understand it, the more medications you take, the more you will need to take in order to off-set the side effects of the medications you are taking. Have you looked-into herbal remedies or just more natural cures alltogether? The folks at www.communitycures.com might be able to offer some suggestions or you could try reading "Natural Cures They Don't Want You To Know About" by Kevin Trudeau Happy MyLotting!
@TessWhite (3146)
• United States
26 Nov 08
While I appreciate your response and suggestion, I'm not taking any kind of medication that needs to help offset other meds. Unfortunately, several of my medications I have to have or I could end up in the hospital. But I will discuss all of this with my physician when I see him again.
@marciascott (25529)
• United States
19 Nov 08
I think a person can survive as long as they have some help. I know that it is very hard to pay for Meds. but don't you pay 80%? I thought that is how it went?
@TessWhite (3146)
• United States
19 Nov 08
Right now, as of yesterday, I'm paying 100 percent of my meds, rather than a very small copay. Some people might think no big deal to pay for the meds. But, I take 14 different medications daily, including my breathing meds. My breathing meds alone cost over $700.00 a month. My one prescription I needed yesterday, but couldn't afford, is $193.00. Now, consider I only get $911.00 income from disability each month. And like everyone else have to pay rent, utilities and buy food. Now you see the problem.
• United States
19 Nov 08
Some of my friends are on SSI, and I do not know how they do it? I would think that they would have to live with friends just to make ends meet.
@irishidid (8687)
• United States
19 Nov 08
My daughter has been on SSI since she was four. Medicaid has always paid for her medical needs. Now she works part time and receives SSI and SSDI. I was told that she would be receiving medicare in about two years. It makes me rather anxious thinking about it. You can work and make up to a certain amount without it affecting your SSDI. SSDI is more lenient than SSI in the amount you can make. If there is something you can do at home that isn't stressful on you to make money it might help your situation.
@TessWhite (3146)
• United States
19 Nov 08
Thanks. Yes, I actually had a part time job that I worked at for ten months. On SSDI you can make up to $940.00 (in 2008). They don't consider that "gainful employment." Anything over that and you can lose benefits after their 9 month trial work period. I never made that much so it didn't affect my SSDI benefits. However, my health got worse this last spring and I lost my job in May. I've been trying to find legitimate work that I can do from home part time (I must be home since I'm on oxygen now) and I haven't found anything that makes me real money. I'm going to be moving in the next few months and I'm hopeful that I can find something there, or even qualify for Medicaid in that state. With your daughter she may be eligible for Medicaid as a back up to her Medicare. She will have to talk to the local office and see if they have coverage in your state. Good luck!
@leenie50 (3992)
• United States
19 Nov 08
Hi Tess, Wow are you ever barking up my tree. I have only been on SSDI since March 2008 and I'm still wondering how we are suppose to survive!! My Medicare doesn't kick in till Sept. 2009. I'm 58 and trying to survive on $758.00 a month. Worse yet, my hubby has been out of work for over a year now. In Fl. Medicaid stops if your husband or wife gets unemployment because you are making too much money. Can you believe that? Last week I almost had a nervous breakdown because I didn't have the money to buy my anti-depressants. I went without for a few days. I'm suppose to be on oxygen and inhalers but have no money to pay for it. We are the honest ones. It's because of the rip off scam artists taking or I should say abusing the systems that we have to pay with our lives. How do we believe in anything, much less the Government system that is suppose to help us? Didn't we work all our lives to cover these very times in our lives? God help us. leenie
@TessWhite (3146)
• United States
19 Nov 08
Awww Leenie, I know just how you feel. Have you talked with the doctor and oxygen company about getting assistance for those things? I told my company that if I had to pay ANYTHING after Medicare that I would just do without because I have no money. They had me fill out forms, and told me I don't have to pay my copay amounts because of my income limits. It is hard I know. I've been battling my illnesses for over ten years now. I don't think we should have to battle "the system" too!
• United States
19 Nov 08
Hi, I am extremely fortunate in that I am on medicaid so I don't have to pay for medical. However, in general, bills have to be low and I live by the principle of waste not want not. I also have to manage every penny, which is good in a way because it teaches me to manage my budget when a lot of kids my age are using credit cards for everything! Ok, you've got to be kidding? Wow! Btw, I get the frustration. It is sad, but true.
@TessWhite (3146)
• United States
19 Nov 08
Thanks for the response. :)