Utopia Talk / Politics / USians healthcare

Habebe rank	Sun Mar 01 20:50:46 1. Has anyone here ever had county assistance HC? What did it cover? What were co-pays? What were scripts? What state? Because, I basically got everything covered, a double hernia surgery, twice a year dental cleaning/polishing, had some cavaties drilled and filled and had ny wisdom teeth pulled at the oral.surgeon, had spinal tap, when I got sick Id go to my Dr. Or hospital and it was all covered. For reference I have Philadelphia UPMC. My scripts cost $1 max, about half are.free.
Habebe rank	Sun Mar 01 20:56:05 https://medicaid.upmchealthplan.com/learn/whats-covered/
Habebe rank	Sun Mar 01 21:00:49 I also get free gym/suana/pool access. Just not at the Germantown branch, for that you need health partners. But Roxborough and all other YMCAs are free.
Habebe rank	Sun Mar 01 21:15:55 My jobs HC hasn't kicked in, but considering that basically anything a Dr. Calls medically neccesary is covered, i dont really care. And also, my new insurance is through the AFL-CIO is free as a benefit, Im sure its pretty good too, maybe? Better (cosmetic surgery being the only thing UPMC really lacks) My old job insurance covered 80% of cosmetic surgery/treatment.
williamthebastard rank	Sun Mar 01 21:19:57 "county assistance HC" So you are getting some form of disabled welfare to pay your medical bills "If you’re 21 or older and receive long-term supports through Medicaid because you need help with everyday personal tasks, you may be eligible for enrollment in Community HealthChoices (CHC)."
Habebe rank	Sun Mar 01 21:22:47 Ugh, I was making less than $50k/a year, because when I mocvd back up to Philly I didnt have a job. Thats all you need to get it. Even if you exceed that, if you have kids/pay child support etc. You can get it in PA.
williamthebastard rank	Sun Mar 01 21:23:32 Since youre getting help with medical bills because youre considered handicapped, and on top of that apparently have filed for medical bankruptcy, I think I should let you think what feels best for you
Habebe rank	Sun Mar 01 21:25:15 Are you drunk?
williamthebastard rank	Sun Mar 01 21:26:01 "because you need help with everyday personal tasks, you may be eligible for enrollment in Community HealthChoices (CHC)."
obaminated rank	Sun Mar 01 21:29:15 He isn't drunk, his brain doesn't work properly
Habebe rank	Sun Mar 01 21:30:23 Here's what you need to know about qualifying for UPMC for You (Pennsylvania Medical Assistance/Medicaid) in Philadelphia: Who Determines Eligibility UPMC itself does not decide if you qualify — that's done by the Pennsylvania Department of Human Services (DHS) through your local County Assistance Office (CAO). General Eligibility Requirements You typically need to meet criteria in these areas: Income — Must fall within Pennsylvania Medicaid income limits (generally up to 138% of the Federal Poverty Level for adults, which is roughly $20,000/year for a single person) Residency — Must be a Pennsylvania resident Citizenship/Immigration status — Must be a U.S. citizen or qualifying immigrant Age/Category — Eligible groups include low-income adults, children, pregnant women, elderly, and people with disabilities Well, I claimed 0 income when I applied like a year ago... been working since October 8th. Still have coverage. I guess its if you make less than $20k. So I asked what happens if I make $1 21k At $21,000/year as a single person in Pennsylvania, you're just slightly over the Medicaid income limit (138% FPL is roughly $20,783 for a single person in 2025). What this means: You would likely be just over the limit for Medicaid/UPMC for You, but that's not necessarily bad news — you'd fall into what's called the "coverage gap bridge" zone where you'd qualify for heavily subsidized marketplace insurance instead. What you'd likely qualify for: Pennie (Pennsylvania's health insurance marketplace at pennie.com) — at $21k/year you'd receive significant subsidies that could bring your monthly premium down to as little as $0–$50/month Plans through Pennie can include UPMC coverage options You may also qualify for cost-sharing reductions that lower your deductibles and copays What to do: Go to pennie.com and run a quick quote — it's free and shows your exact subsidy amount Call 1-844-844-8040 (Pennie helpline) for free enrollment assistance You can also get free in-person help through a navigator — Pennie's website can find one near you in Philadelphia The good news is at $21k you'd get very affordable coverage.
williamthebastard rank	Mon Mar 09 22:52:55 This is so weird. Im watching the movie "Site" (2025) about a boy who injures his eyes in an accident and needs surgery. The doctor asks the parents: "Do you have catastrophic insurance?" Silence. Dad says: "No." Dangerous music, doctor gives them a sad look. Outside, the wife is distraught: "With our insurance, we're at the bottom of the waiting list!" Father desperately tries to sell his boat, his bike, get extra shifts at work. His wife is falling apart, their marriage crashing. Dont know how bad it'll get yet, only halfway through, but its bad already. But the strange thing is Ive learnt on UP that this doesnt happen in the USA. Rugian taught me that long waiting lists only happen in Europe, Habebe that its all dead cheap etc etc. I guess it must be a German film or something that theyve dubbed with American voices.
Habebe rank	Mon Mar 09 23:12:41 Uhm, you should gp and get some legot info. If you need surgery, go to the hospital, even if you dont have health insurance they treat you and mail you a bill that most ppl dont pay. Unlike what Ive heard about canada....take that info with a grain of salt, Ive not verified it but I heard you need to verify insurance for non citizens.
williamthebastard rank	Mon Mar 09 23:13:33 lol
williamthebastard rank	Mon Mar 09 23:36:10 They couldnt make a film with that plot in any other developed country because in every other rich country on Earth, the audience would be going, huh? Wtf? This makes zero sense.
williamthebastard rank	Tue Mar 10 00:23:40 Heh, now Im watching Screamboat (2025). 10 mins into the film a young girl is helping an old man sitting on a bench. Girl: "You need to see a doctor" Old man: "And who's going to pay for it? You?"
Habebe rank	Tue Mar 10 00:31:25 I'm not surprised this is what you base your info on.
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