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<blockquote data-quote="witzend" data-source="post: 622665" data-attributes="member: 99"><p>Janet - I have Medicare Part A only - for hospitalizations. So essentially, "no". I don't even want to get anywhere <em>near</em> that place where BCBS denies every claim because I have Medicare and I have to write them a letter of explanation as my credit crashes.</p><p></p><p>BCBS says that they're not local and just administrate, so they would have to assign a nurse to me first and then that nurse can coordinate with me to see if anything fits my needs. I'm <em>very </em>concerned that <em>their</em> idea of local and my idea of local won't be the same. It takes everything out of me for the day to make it to a doctor's appointment. I'd poke my eyeballs out before I let someone actually <em>schedule</em> outpatient PT for me on any kind of a regular basis. There's no way I could manage if I <em>have to </em>get up, get dressed, drag everything with me, get to where I'm going, do what I have to do, pack everything back up, drag it back home, clean myself up, do all the things around the house I missed for the 4 hours that takes, and not be ruined for 2 - 3 days. I know for certain I <em>don't</em> need to manage a nurse who doesn't know what's available that meets my needs along with my appointments and prescriptions. And honestly, I'm terrified that a nurse will say, "Well I fixed her up with swim therapy three times a week in Charlotte and she said it was "too hard" - she's uncooperative."</p><p></p><p>There is a YMCA 12 miles away and a YMCA 29 miles away. Their "special deal" for disabled people is that you can go to their onsite clinic for the only referral they will accept, and they're hospital sponsored so it applies to my $2,500 deductible a year. After I've paid that it's only $50 a swim. I tried that last year and before I even checked into the clinic they told me that my copay that day would be $380 until I paid the deductible down. Or I could join the Y for $400 registration + $50 a month like everyone else and swim at "free swim" with the children. The local college has no pool.</p><p></p><p>There are several private outdoor pools in the County that will open Memorial Day - Labor Day. They are outdated cement things with 10 foot tall cyclone fences and tiny cinder block toilets that you can use as a dressing room. They use buzzwords like "safe family environment" and have a $600 initiation fee, plus a $500 Annual fee, and you must be nominated by an existing member. Being in NC, I'm pretty sure I know what they mean when they say "safe family environment" and you must be nominated by a existing member. "Health club"? Why would they have a pool at the health club when there is a Y in town? Health clubs in this area are for running indoors when it's too hot.</p><p></p><p>I met the new County manager at Rotary yesterday and he's very proud of their new "Priority Funding System". He was very specific that there was no reason to offer yoga classes or swimming when there are health clubs and the Y in the area that people can join. He's none too pleased that 22% of our residents are on SNAP, either.</p><p></p><p>I think you might be thinking of "FirstHealth" Centers? They're up by Raleigh. And they're hospital affiliated, so that would be my $2,500 deductible again.</p></blockquote><p></p>
[QUOTE="witzend, post: 622665, member: 99"] Janet - I have Medicare Part A only - for hospitalizations. So essentially, "no". I don't even want to get anywhere [I]near[/I] that place where BCBS denies every claim because I have Medicare and I have to write them a letter of explanation as my credit crashes. BCBS says that they're not local and just administrate, so they would have to assign a nurse to me first and then that nurse can coordinate with me to see if anything fits my needs. I'm [I]very [/I]concerned that [I]their[/I] idea of local and my idea of local won't be the same. It takes everything out of me for the day to make it to a doctor's appointment. I'd poke my eyeballs out before I let someone actually [I]schedule[/I] outpatient PT for me on any kind of a regular basis. There's no way I could manage if I [I]have to [/I]get up, get dressed, drag everything with me, get to where I'm going, do what I have to do, pack everything back up, drag it back home, clean myself up, do all the things around the house I missed for the 4 hours that takes, and not be ruined for 2 - 3 days. I know for certain I [I]don't[/I] need to manage a nurse who doesn't know what's available that meets my needs along with my appointments and prescriptions. And honestly, I'm terrified that a nurse will say, "Well I fixed her up with swim therapy three times a week in Charlotte and she said it was "too hard" - she's uncooperative." There is a YMCA 12 miles away and a YMCA 29 miles away. Their "special deal" for disabled people is that you can go to their onsite clinic for the only referral they will accept, and they're hospital sponsored so it applies to my $2,500 deductible a year. After I've paid that it's only $50 a swim. I tried that last year and before I even checked into the clinic they told me that my copay that day would be $380 until I paid the deductible down. Or I could join the Y for $400 registration + $50 a month like everyone else and swim at "free swim" with the children. The local college has no pool. There are several private outdoor pools in the County that will open Memorial Day - Labor Day. They are outdated cement things with 10 foot tall cyclone fences and tiny cinder block toilets that you can use as a dressing room. They use buzzwords like "safe family environment" and have a $600 initiation fee, plus a $500 Annual fee, and you must be nominated by an existing member. Being in NC, I'm pretty sure I know what they mean when they say "safe family environment" and you must be nominated by a existing member. "Health club"? Why would they have a pool at the health club when there is a Y in town? Health clubs in this area are for running indoors when it's too hot. I met the new County manager at Rotary yesterday and he's very proud of their new "Priority Funding System". He was very specific that there was no reason to offer yoga classes or swimming when there are health clubs and the Y in the area that people can join. He's none too pleased that 22% of our residents are on SNAP, either. I think you might be thinking of "FirstHealth" Centers? They're up by Raleigh. And they're hospital affiliated, so that would be my $2,500 deductible again. [/QUOTE]
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