In my area, regardless of type of insurance - even cadillac plans where you can see anyone, it can be very hard to get in to see doctors. For some, the waits can be 6 months or more.
The kids coming out now don’t want to work long hours, want 9-5. Want the best bang for the buck. Want higher paying fields and want to be employed by the hospital systems. This is all against what was happening 25 years ago.
It’s a good thing to want home and family to be a priority. I do not begrudge a doctor that. I have never had to wait more than a few days for an appointment with a specialist. I suppose we are not dealing with a doctor shortage in my area.
I met a friend of my daughter’s this weekend, an intelligent guy who graduated from college in May. He has a job with AmeriCorps for the year. He has no health insurance. He was a first generation college student and his family is not able to help him figure out how to get insurance. So I told him I would do what I can. I hope he follows through after I tell him what he needs to do.
The AmeriCorps guy should be eligible for Medicaid if he’s in an expansion state, or, if he has a bit of income, for insurance premiums that make his insurance very very cheap.
If he’s eligible for Medicaid, he can get it anytime. For ACA plans, he has to be within a time period of some transition in life.
Or during the Open Enrollment period, which may be coming up for many plans.
OK, thanks. Is there a list of expansion states I can find?
Thanks!
Open Enrollment for ACA insurance starts Nov. 1 for most states. In California it starts next week. If this person is eligible, he should sign up then, for insurance starting Jan. 1 2020.
If a young adult with a low income is living at home, I assume Medicaid eligibility is based on household income?
After the cutthroat competition of pre-med, the grinding workload and debt of medical school, and sleepless weeks of residency, is it surprising that physicians want what most consider a “normal” working life with time for rest, family if desired, and other non work activities?
All states except TN, AL GA FL WY SD KS OK TX WI MO MS SC NC
ID UT NE have not yet implemented
What does post 133 mean?
It was in response to post #127
@thumper1, I am guessing expansion states.
As @TatinG says
The system gives low (or no) payment for the time it takes to get a thorough history, find the root cause of problems, or manage the complex interaction between different issues. High payment for doing stuff, especially surgery.
For example, my mom is having intermittent back pain and sciatica. She is very active for a woman in her 70’s and the pain is scaring her and slowing her down a bit. Internist immediately sends her to orthopedist. Orthopedist orders expensive scans which show spinal stenosis. Orthopedist wants to do invasive procedures, possibly surgery, despite lack of evidence that this would help, and risk of complications.
Meanwhile, spinal stenosis is par for the course when one is older, and Mom may actually need yoga, PT or a change in her exercise routines. Frustrating.
The first thing that needs to be determined is that he, himself is a household. That he is not a dependent of his parents. When my kid was in the program, they had info that helped members get SNAP , transportation cards and other benefits as a household member of one even if they lived with family or others. So the household income would be just his. There might be an issue here if the young man just graduated this year from college and is under age 24. In that case, his parents might be claiming him as a dependent on their taxes.
Open enrollment begins Nov1 for ACA next year.
@cptofthehouse, thanks a lot.