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Current Events & Hot Topics Current Events & Hot Topics

Woman with chronic illnesses says Obamacare left her without doctors and medication

Posted by on Apr. 17, 2014 at 8:54 AM
  • 155 Replies

STATEN ISLAND, N.Y. -- After receiving her new health coverage in January throughthe New York State of Health Marketplace, Arden Heights resident Margaret Figueroa, 49, who suffers from two chronic illnesses, went to her pharmacy to fill her prescriptions.

Although her insurance company, Emblem Health, assured her she was covered, her insurance card was denied.

While she had signed up for new health coverage -- because her insurance carrier dropped her old plan.

She also learned that all her long-time doctors didn't accept the new insurance plan.

For Ms. Figueroa, who suffers from a rare neurological disease called Arnold Chiari Malformation and Syringomyelia, this has led to three months of excruciating pain, withdrawal symptoms and immobility.

photo (5).jpgMargaret Figueroa was dropped by all of her doctors, who have treated her through four brain surgeries, and has had extreme difficulty obtaining the medication she needs after signing up for health insurance through the New York State of Health Marketplace. (Photo courtesy of the Figueroa family)


"It's hard," said Ms. Figueroa, through her tears Wednesday at a press conference at Rep. Michael Grimm's (R-Staten Island/Brooklyn) New Dorp office.

"I have been in pain. I've been vomiting. I lost 22 pounds. The pain is unbearable. My medication helps me function during the day," added Ms. Figueroa, who has undergone four brain surgeries for her conditions, which require her to take numerous amounts of medication.

After intervention by Grimm's office, Ms. Figueroa was able to obtain some of her prescriptions on April 1 for which she had refills.

She takes five different medications several times per day, like morphine for the chronic pain and other medications to help slow the affects of her nerve damage.

But some of her prescriptions had no refills, forcing her to go without them for three months.

And Ms. Figueroa can't find a doctor who participates in her new plan to write new prescriptions, give her referrals for pain management care, or treat her for her illnesses. 

"Even though the insurance company cashed your check, it doesn't mean it (the policy) has been implemented," said Grimm. 

"That's the problem -- that the back end of Obamacare hasn't been fully built.You can go on the front end of an application and look at a list of plans, but what they don't tell you is that many of those plans don't have doctors yet."

Ms. Figueroa said only six doctors in the borough accept her new health plan, and she has yet to be able to get an appointment with one.

Grimm says he's dealt with at least one dozen Staten Islanders who have had similar issues as Ms. Figueroa after signing up for healthcare via the NY State of Health Marketplace.

"We didn't solve anything (with Obamacare), all we did was destroy a good thing," said Grimm. "Obamacare wasn't ready for prime time."

Grimm advises his constituents to "test" their new health coverage by calling their doctors and pharmacy to make sure they accept the new coverage.

At the time this story was written, both the New York State of Health and Emblem Health were unavailable for comment about Ms. Figueroa's situation.

Anyone with similar Obamacare-related difficulties can contact contact Grimm's office at 718-351-1062.

http://www.silive.com/news/index.ssf/2014/04/post_783.html



by on Apr. 17, 2014 at 8:54 AM
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Replies (1-10):
klocker21
by on Apr. 17, 2014 at 8:56 AM
2 moms liked this
Its obviously a lie, I mean come on Obama's policies at flawless.

And if this is true its the Republicans fault.

jcrew6
by Gold Member on Apr. 17, 2014 at 8:58 AM

So, will Dems pull the Harry Reid defense? 

jcrew6
by Gold Member on Apr. 17, 2014 at 8:59 AM
1 mom liked this

Well, that is what Dem Leader in the Senate Harry Reid will say... Given some of the naive followers of the Dem Party~ you may be right..(in their dumbass eyes)

Quoting klocker21: Its obviously a lie, I mean come on Obama's policies at flawless. And if this is true its the Republicans fault.


LiveinJoy
by on Apr. 17, 2014 at 8:59 AM
4 moms liked this
It makes me sad that insurance providers are taking advantage of Obama ' s health plan.
jcrew6
by Gold Member on Apr. 17, 2014 at 9:03 AM
2 moms liked this

They are following the 10,000 pages of regulations written by Obama's team.

When government regulates to this extent, companies will react with only offering what the regulations require and nothing more.  Especially when the law is so poorly written and constantly changing.  Hell, Obama is changing the law even when he doesn't have the authority to change.  He had no fucking clue what he signed into law.  He failed the American people. 10,000 pages.  Failure. 

Quoting LiveinJoy: It makes me sad that insurance providers are taking advantage of Obama ' s health plan.



klocker21
by on Apr. 17, 2014 at 9:08 AM
1 mom liked this
Oh wait...either the sick woman is a racist or the author of the article is racist.

Quoting jcrew6:

Well, that is what Dem Leader in the Senate Harry Reid will say... Given some of the naive followers of the Dem Party~ you may be right..(in their dumbass eyes)

Quoting klocker21: Its obviously a lie, I mean come on Obama's policies at flawless.

And if this is true its the Republicans fault.

funny_girl3
by Member on Apr. 17, 2014 at 9:18 AM
5 moms liked this

So she signed up for a plan without checking which doctors and hospitals were accepting it?  Who does that?  And now someone is saying it's an Obamacare fail?

jcrew6
by Gold Member on Apr. 17, 2014 at 9:19 AM

Like this? 

Hank Aaron Compares Republicans That Oppose Obama To KKK


Quoting klocker21: Oh wait...either the sick woman is a racist or the author of the article is racist.
Quoting jcrew6:

Well, that is what Dem Leader in the Senate Harry Reid will say... Given some of the naive followers of the Dem Party~ you may be right..(in their dumbass eyes)

Quoting klocker21: Its obviously a lie, I mean come on Obama's policies at flawless. And if this is true its the Republicans fault.


jcrew6
by Gold Member on Apr. 17, 2014 at 9:21 AM
1 mom liked this

She did check and was told she was good to go.  Then when she went to the Dr. Appt they said no.  

The back end of the ObamaCare bureacracy isn't communicating with Dr offices.  Have you not been following the news? This is happening more than it should. 

Quoting funny_girl3:

So she signed up for a plan without checking which doctors and hospitals were accepting it?  Who does that?  And now someone is saying it's an Obamacare fail?


LauraKW
by "Dude!" on Apr. 17, 2014 at 9:24 AM
1 mom liked this
People need to do their research. Know who is and is not covered on the plan you choose and make arrangements to transfer records and such if necessary before the coverage changes. Don't just assume everything is going to be the same and act shocked when you find out otherwise. Personal responsibility comes into play at some point. What happened to this woman sucks but have some accountability for yourself.
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