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dballance

(5,756 posts)
Thu Mar 6, 2014, 09:32 PM Mar 2014

A Real Obamacare Success story – Me

As some of you know I've been unemployed on and off (mostly unemployed) for the last couple of years so things have been difficult overall. In December I signed up for Oregon's health care plan because Oregon was one of the states that extended Medicaid. Since I've been paying Social Security Medicare and Medicaid insurance out of my paycheck for over 30 years really don't feel guilty signing onto the plan.

I got my insurance card from the administrator called Family Healthcare in early January. I put the card in my wallet like I always do with insurance cards. Since I'm a relatively healthy non-smoker, non-diabetic I pretty much thought that was last I'd see of that card for some time. Well, the Spaghetti Monster or whatever God, Goddess, demon, etc. decided otherwise.

On January 26 I slipped and fell and broke my left humerus. I did quite a number on it. In the ER they just looked at it, through me in a sling and scheduled me for surgery the next day. The break was so bad there was no chance of just setting it and putting it in a cast or brace to heal. At the ER they took my Family Healthcare card just plug it into the system and I was all good to go.

I had my first surgery on January 28. It seemed to go okay. Except the following Tuesday I was back at the doctor's office because it was oozing pretty bad. They cleaned it up change the dressing and set my next follow-up for one week out. At that follow-up, it was determined that the first surgery wasn't working. So they scheduled me for a revision surgery. That was done on Feb 12. Turns out that didn't go any better than the first one. And to add insult to injury I got a staph infection. The effect of that was they had to schedule a third surgery to rip out all the hardware clean out my wound thoroughly and start me on a 6 to 8 week antibiotic regimen.

On 26 February I had my third surgery. As I said they took out all the hardware, and the top of the humorous that is the ball part. At this time I was officially diagnosed with osteomyelitis – a bone infection. They kept me in the hospital for five nights to give me antibiotics and monitor the cultures they took to see if they grew any new bacteria. I got released on March 3.

Now, I'm on a 6 to 8 week home infusion regimen of antibiotics. When the nurse came to train me how to do the infusion she looked at my insurance and said "You are on Family Care, so you're 100% covered."

You are 100% covered is the theme of my insurance coverage right now. So far, I've had three surgeries, one ER visit, four office visits and the associated pain meds (oxycodone). All with zero expenses to me. Which is great since there's no way in hell I could have paid anyway. I would become yet another person who had to file bankruptcy because of a medical problem.

Here's a pic of my x-ray from 26 January at the ER. Hopefully I got the link to work properly. If you are thinking "OUCH" then you got it right.

10 replies = new reply since forum marked as read
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A Real Obamacare Success story – Me (Original Post) dballance Mar 2014 OP
Good Luck, Hope things get better from here. Grey Mar 2014 #1
That's a nasty break malaise Mar 2014 #2
I hope everything heals well this time. blue neen Mar 2014 #3
So glad you're on the mend! Laurian Mar 2014 #4
That is so good to hear. I'm glad your concern can be on yourself right now and not the bills. Take okaawhatever Mar 2014 #5
Wishing you a full... 3catwoman3 Mar 2014 #6
Glad you got the financial help you needed. bigwillq Mar 2014 #7
Wow.. your poor arm, dballance! Stuff just happens sometimes.. Cha Mar 2014 #8
This same level of care is what all Americans deserve Generic Other Mar 2014 #9
Your poor arm! onestepforward Mar 2014 #10

blue neen

(12,328 posts)
3. I hope everything heals well this time.
Thu Mar 6, 2014, 09:44 PM
Mar 2014

It's good that you won't have the stress of worrying about the bills.

I just went through 5 orthopedic surgeries in 15 months. It's a tough road. Good luck.

okaawhatever

(9,462 posts)
5. That is so good to hear. I'm glad your concern can be on yourself right now and not the bills. Take
Thu Mar 6, 2014, 09:50 PM
Mar 2014

care of yourself and I hope you're feeling better soon.

 

bigwillq

(72,790 posts)
7. Glad you got the financial help you needed.
Thu Mar 6, 2014, 11:30 PM
Mar 2014

Get well soon!



There is no reason for a person to go broke because of an accident. Happy to see the ACA is helping in this matter.

Cha

(297,655 posts)
8. Wow.. your poor arm, dballance! Stuff just happens sometimes..
Fri Mar 7, 2014, 12:17 AM
Mar 2014

bad freaky stuff. All that surgery and antibiotics would have cost thousands and thousands.

Glad you're getting good care and it's not bankrupting you!

Generic Other

(28,979 posts)
9. This same level of care is what all Americans deserve
Fri Mar 7, 2014, 12:24 AM
Mar 2014

I am so glad you can mend without the stress of dealing with the bills. I just hope as more of your type of stories get out, others will see that the new plans are better than the old.

onestepforward

(3,691 posts)
10. Your poor arm!
Fri Mar 7, 2014, 12:39 AM
Mar 2014

I'm so glad that you're covered so you can concentrate on what's important... taking good care of your arm.


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