Who's on First?

By alwaystryin Latest Reply 2009-07-24 14:35:34 -0500
Started 2009-04-24 12:45:40 -0500

What's on Second! Well, you may know the old Baseball parody. But all of us know in some way how Medical Coverage, or lack of, is a part of our daily lives.

We got a letter from the State (CA) saying my Wife's most recent app. for State Medi-cal was referred to a Disability Determination Service Division within the state that "help determine if California residents are eligible for disability benefits from the Social Security Administration (SSA)", a Federal Program.

The letter also states that "Federal law requires that eligibility be determined within 90 days, except where unusual circumstances exist. In your case, that is the situation".

The letter goes on to say among other baffling things that… all the needed info has not yet been received…final review of your case is pending…it is not necessary to respond to this letter. And that it will be "reported back to the County level".

This letter came about two day's after another, new App. for SSI had been done online. We were also contacted the day after the Letter from someone at our local SSI Office.

Now I am one that can appreciate 'good' technology, even on the Web, but I also know because I have seen government workings BEFORE technology for the most part, other than punch cards etc. and 'it', never moves in this way.

Voice Mail has produced no results. Has anyone had any specific experience like this in the state of CA? Or in my case right now, the state of Confusion.

9 replies

apanda 2009-07-24 14:35:34 -0500 Report

I know this post is several months old now, but was wondering how you are making out with the SSDI people? Were you able to get your wife accepted yet?

cyncyn 2009-04-24 17:21:09 -0500 Report

I feel your headache. i also have had the same responses here in my state(W.VA.)and yes they make decisions about your life, without your presence. here in WV, they even try to put an age on disability. they tried to tell me, i was not old enough! what does age have to do with it. i finally got it 10 yrs. later. and as far as worker comp., in this state, it's a joke. since i have been fighting them since "95", my case was turned over to a sub- insurance co. well i have had to fight for all medical coverage and drs. fees. my so called attorney, has been suspended, he took lots of folks money,and ran. this can be confirmed. check of web sites on C.Patrick Carrick. so now i have to find a new one. and nobody wants to touch you, because of the way comp is.
so yes, i feel your pain! good luck

alwaystryin 2009-04-24 17:35:40 -0500 Report

Hi Cyndi,

I sometimes get stuck not with the numbers, but in the numbers. And you know you are an Angel in my eyes. But if I were a Horoscope kinda Guy, the way all these things have aligned with this whole situation, I feel will it all will have a positive outcome, this time.

We have been turned down going on four time's. We are owed, so to speak, the 'third time is a charm' factor!

cyncyn 2009-04-24 17:48:49 -0500 Report

i also was turned down several times. gave up, found new attorneys and let down again. they kept saying i was too young to be disabled. finally found a good, strong attorney, and won on the fourth time. and yes they owe you.
in your state, do they pay back from the time you sign up for disability? ours used to, but now they only pay you one year back!!! no matter how many years it takes you. good luck and i wish you well.

Sarguillo 2009-04-24 16:03:25 -0500 Report

Keep all these letters. When in doubt, seek a lawyer who speaks leagaleese as well as these letters speak. Helps if you have a personal friend who is a lawyer.

alwaystryin 2009-04-24 16:19:59 -0500 Report

Good Day Sarguillo,

A Plumber, Electrician, Mechanic, well, you see where this is going. But I am fortunate to have folks like you to give input. And, as I mentioned in an earlier post, you are among my very close Ecircle of Friends here.

On one of my tangents I went off on internally was perhaps I had dualing Applications going on between Agencies. And that led me to my final answer for now, which is, the more the merrier.

One of the things I faced in my technology days was Vendors with dueling stories. I heard things such as "I was the only installation in the World with this configuration.". It must be Hardware, while the Software people swore it was Hardware.

The minute Speakerphone's came into the Workplace, that made that debate easier. But is also normally had me still scrambling for an answer.

I just feel that I have dueling part's of my Government doing the same thing about nothing. And today on ABC's Good Morning America, ther was an interview with the former Senate person Daushle. Probably spelled it wrong but the point is, let's look at the number of Americans un-employed, and the number of un-insured.

Employer based Healthcare has been the dream of most, but when there is no income, that's a high tree to climb. And when no one else has climbed it at this magnitude, where can we start?

Sarguillo 2009-04-24 16:35:00 -0500 Report

One of my best friends works in a law office. His brothers are lawyers. His dad was a lawyer in the contry they came from. He just finished law school and is studying for the bar currently. Hope he passes it this time. He does workmans comp (did you know you dont need to be a lawyer to do workmans comp?) at the moment and we like to bounce hypathetical issuses back and forth. One thing I have learned from him is that anytime a letter from the government comes and says, "dont worry, no replies needed, we will contact you with an outcome", somone somewhere is making a descision about you that will affect you without your presence. Either way. not a good situation. And government is not the only ones who give you the run around. In my office, I have terrible DSL connection. It bounces from being online to loosing connection from second to second. I can loose connection 40 tiems a day and have connection as little as 10 seconds then loose it again. ZNot a way to run an office that depends on being in contact with our main office in another city. ATnT has admitted that the issue is in their lines. They cant seems to fix it. They say, speak to the DSL techs who forward me to the line techs who forward me back to the DSL techs. Thank God im getting a T1 line at the end of this month.

alwaystryin 2009-04-24 16:49:01 -0500 Report

There two things here I need to also state. The part of how it is not needed to have any response from me was the ONLY part that was is ALL CAPS ALL BOLD.

So yes, I mentioned that part of it and maybe should have stated that first, however, I was not surprised. The Legal aspect is another. I contacted a Legal Firm one time about a year ago, and since my Wife had no medical records recently (then), they really could not help at that time. That has all changed.

And as far as your Technical issues go, I will respond in a message to you.

Thanks, as always.