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How To Reduce or
Eliminate Drug Cost

 August 19, 2009

By  Brian

As we all hold our breath and await some miraculous health care reform, envisioning that time and common sense will prevail, and that true reform emerges, in an ideal form making full coverage available for all, including all the disabled and veterans,  with no worries concerning denial of service.  If you need a $60, 000 procedure which attempts to save or prolong your life, then you shall have it.

Quite possible a true pipe dream.

I hate to be pessimistic, but time and experience leads to that path.  Our adversarial political system, while intended as a balanced effort toward a truth, has evolved into a battleground driven by private capital and greed.

What possible collective good can come from that sort of behavior?

Regardless of how the health care issue gets resolved—-my guess is that any reform will be difficult, given the obvious power the dollar has over the decision making processes of many elected officials.  As long as that business arrangement is allowed to continue—-you know, downright back-room, smoke filled images of  deals benefiting the few, and punishing the many.

This needs to stop.  No more lobbyists.

In the meantime, there are methods you can use to reduce the cost of, say, your costs of visiting an orthopedist, or your dental expenses.    You know, all those items which never seem to be covered, and which you need the most?

And because it is important to stay as healthy as you can, especially if you have a disability.

So here’s an overview of the program.   Think of it as a tool you can use to lessen the expenses you need pay out of pocket, involving pro-active bargaining approaches to your provider, and auditing medical bills to check for over-billing or unwarranted charges.

And for those who would rather have the work done for them,  there are several large firms which, for a fee, will thoroughly audit your financial records and who have stellar reputation in saving money (in some cases, a lot) for a large percentage of their clients.  Links to these firms are included in this article.

This just shows how much of a problem medical records, and, say, hospital bills are:  we have all heard of the $6.00 aspirin or the $39.00 bandage.  Suffice it to say the faulty charges in the medical billing system seem to be built in, they are so prevalent. It pays to be diligent.

The correct procedure to try and reduce your costs to various medical providers requires your willingness to make an appointment with the front office manager, or billing department in order to explain your financial hardship.  Tell them how much you can afford, offer to pay in cash, and offer to fill out all paperwork in advance.  Be open to late appointments.  Be honest and agreeable.  Tell them you need them to work with you financially.  Many times, the providers are more than happy to accommodate you, as long as you keep your end of the agreement.  However, do not make the mistake and try and negotiate directly with the doctor.

Physicians typically do not handle that end of their business, and any attempt to bargain with them is considered an insult—–instead, deal with the people who attend to the charges—the front office or the hospital billing department.

David Whelan, a well known and respected writer for Forbes Magazine  has published an article in he which annotates and gives specific examples of the above outline.  I would encourage each of you to read this well thought out article. The links to the companies who will work with you on evaluating your medical bills are included in the article.

http://www.forbes.com/2009/07/21/health-medical-bills-lifestyle-health-doctor-bills-debt.html

As inflation is likely around the corner, if one can effectively predict the eddies and currents of the economy, it is always good to discover possible ways to save your much needed money.

Best of luck to all.

Advocate

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Understanding Continuing Disability Reviews: Key Updates and Guidance


Welcome to our latest blog post where we delve into the critical topic of Continuing Disability Reviews (CDRs), which are essential for individuals receiving disability benefits. The focus today is on recent statistics and personal anecdotes that highlight the ongoing importance of staying informed about CDRs.

What is a Continuing Disability Review?
A Continuing Disability Review is a routine process for individuals who have been approved for disability benefits. The Social Security Administration (SSA) conducts these reviews to determine if the health of a beneficiary has improved to the point where they can return to work, and thus no longer qualify for benefits.

Recent Case and Discussion
Recently, a case surfaced involving a person who had been receiving Social Security Disability Insurance (SSDI) for end-stage kidney failure since they were 20. Despite their condition remaining unchanged, they received a notification of health improvement at age 50 and were at risk of losing their benefits. This situation underscores the unpredictability and significance of understanding the CDR process.

How CDRs Work
During a CDR, beneficiaries might be asked to complete a short or long form detailing their current health status. The forms are then reviewed, and if further information is needed, a full medical review may be initiated. It's crucial for recipients to respond promptly to any communications from the SSA to avoid complications or cessation of benefits.

Statistics and Trends
In 2022, approximately 1.5 million of the estimated 9 million disability recipients underwent CDRs. Of these, about 125,000 had their benefits terminated. These statistics reflect a consistent review rate, with an apparent annual increase in the number of reviews conducted, emphasizing the necessity for beneficiaries to stay vigilant.

Key Takeaways
Stay Informed: Always keep your contact information up to date and pay close attention to all correspondence from the SSA. Missing a notification or failing to respond can lead to benefit termination.
Understand the Review Frequency: Depending on the expectation of medical improvement, reviews may occur more frequently. Typically, conditions considered likely to improve are reviewed sooner and more often.

Prepare Adequately: If a review is scheduled, ensure all medical documentation is current and complete. Understanding the review process and preparing accordingly can significantly affect the outcome.

Seek Expert Advice: Engaging with professionals who specialize in disability rights and CDRs can provide crucial support and guidance. For instance, next week, we will feature an in-depth discussion with Attorney James Mitchell Brown, a veteran in the field of social security disability.

Conclusion
Continuing Disability Reviews are a standard part of the disability benefits process, but they can be daunting. By staying informed, prepared, and proactive, beneficiaries can navigate these reviews successfully. Remember, the goal is not only to retain benefits but also to ensure that the support aligns correctly with the individual’s current health needs.

Stay tuned for more updates and expert insights in our upcoming posts, and don't hesitate to reach out with your questions or for further information.

Brian


My name is Brian Therrien, and I'm a professional researcher. So when a number of my friends went through unexpected downturns in their life and required disability assistance, I left no stone unturned to try and help them.

At first, I was concerned with how to qualify for disability, ... but as I learned more about the system, I realized that people also really needed help with getting approved, maximizing their benefits, and most importantly, supplementing their income without losing their benefits when they were ready to transition back to the work force.

That's why when you subscribe to my FREE disability newsletter you'll get concrete help with ALL the issues you'll encounter in the disability system

Brian Therrien

related posts:


The Spoon Theory: A Real-Life Guide to Managing Energy with Chronic Illness


What To Do If SSA Surveillance Leads to a Mistake — And You’re Blamed for It


 Documenting Every Condition, Head to Toe

Questions? Comments? Get in touch... we're happy to help!