size=3D6>
id=3Darticletitle>Financial Help for Diabetes Care =
-
href=3D"http://www.billend.com/daily/a1204041.htm#1">Medicare=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#2">Medicaid=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#3">State=20
Children's Health Insurance Program=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#4">Health=20
Insurance=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#5">Managed=20
Care=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#6">Health=20
Insurance After Leaving a Job=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#7">Health=20
Care Services=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#8">Hospital=20
Care=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#9">Dialysis=20
and Transplantation=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#10">Prescription =
Drugs and=20
Medical Supplies=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#11">Prosthetic =
Care=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#12">Classroom=20
Services=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#13">Technological=20
Assistance=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#14">Food and=20
Nutrition=20
-
href=3D"http://www.billend.com/daily/a1204041.htm#15">Local=20
Resources
Diabetes treatment is expensive. According to the American Diabetes=20
Association, people who have this disease spend an average of $13,243 a =
year on=20
health care expenses.
Many people who have diabetes need help paying some of the bills. =
It's a good=20
idea to start by looking for an insurance plan that covers as many=20
diabetes-related expenses as possible. A variety of governmental and=20
nongovernmental programs exist to help, depending on whether you =
qualify.
name=3D1>
Medicare
Medicare is a Government program providing health care services for =
people=20
who are 65 years and older. People who are disabled or have become =
disabled also=20
can apply for Medicare, and limited coverage is available for people of =
all ages=20
with kidney failure. To learn if you're eligible, check with your local =
Social=20
Security office or call the Medicare Hotline listed below. Medicare now =
includes=20
coverage for glucose monitors, test strips, and lancets as well as =
medical=20
nutrition therapy services for people with diabetes or kidney disease =
when=20
referred by a doctor. Diabetes self-management training, therapeutic =
shoes,=20
glaucoma screening, and flu and pneumonia shots are also covered.
For more information about Medicare benefits, call the National =
Diabetes=20
Education Program at 1-800-438-5383 and request copies of The Power =
to=20
Control Diabetes Is in Your Hands and Expanded Medicare Coverage =
of=20
Diabetes Services, or read them online at
href=3D"http://www.ndep.nih.gov/" target=3D_blank>www.ndep.nih.gov =
(click on=20
"Control" under "About Diabetes and Pre-Diabetes"). You can also read =
the=20
booklet
href=3D"http://www.medicare.gov/Publications/Pubs/pdf/11022.pdf"=20
target=3D_blank>Medicare Coverage of Diabetes Supplies & =
Services=20
(PDF) online or request a copy from:
Centers for Medicare & Medicaid Services
7500 Security=20
Boulevard
Baltimore, MD 21244-1850
Phone: 1-800-MEDICARE=20
(633-4227)
Internet:
target=3D_blank>www.medicare.gov
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name=3D2>
Medicaid
Medicaid is a state health assistance program for people based on =
financial=20
need. Your income must be below a certain level to qualify for Medicaid =
funds.=20
To apply, talk with a social worker or contact your local department of =
human=20
services. Check the government pages of your phone book.
[
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State Children's Health Insurance Program
The U.S. Department of Health and Human Services has established the =
State=20
Children's Health Insurance Program (SCHIP) to help children without =
health=20
insurance. SCHIP provides health coverage for children whose families =
earn too=20
much to qualify for Medicaid but too little to afford private health =
insurance.=20
Consumers can obtain information about the program by calling toll-free=20
1-877-KIDS-NOW (543-7669), or by checking
href=3D"http://www.insurekidsnow.gov/"=20
target=3D_blank>www.insurekidsnow.gov.
[
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Health Insurance
Because health insurance is meant to cover unexpected future =
illnesses,=20
diabetes that has already been diagnosed presents a problem. It is =
considered a=20
preexisting condition so finding coverage may be difficult. Many =
insurance=20
companies have a specific waiting period during which they do not cover=20
diabetes-related expenses for new enrollees, although they will cover =
other=20
medical expenses that arise during this time.
Recent state and Federal laws, however, may help. Many states now =
require=20
insurance companies to cover diabetes supplies and education. The Health =
Insurance Portability Act, passed by Congress in 1996, limits insurance=20
companies from denying coverage because of a preexisting condition. To =
find out=20
more about these laws, contact your state insurance regulatory office. =
This=20
office can also help you find an insurance company that offers =
individual=20
coverage.
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Managed Care
Most HMOs keep costs down by limiting the choice of doctors to those =
who=20
belong to the network, restricting access to specialists, reducing =
hospital=20
stays, and emphasizing preventive care. In most managed care plans, =
especially=20
Medicare HMOs, you select a primary care physician who will be =
responsible for=20
directing your care and referring you to specialists when he or she =
feels it's=20
necessary. Some plans also cover extra benefits like prescription =
drugs.
For more information on managed care organizations, particularly the =
quality=20
of care offered to patients, you may want to contact the National =
Committee for=20
Quality Assurance (NCQA) at 1-888-275-7585 or see
href=3D"http://www.ncqa.org/" target=3D_blank>www.ncqa.org on the =
Internet.
Medicare also has many publications to help you learn more about =
managed=20
care. Go to
target=3D_blank>www.medicare.gov on the Internet or call =
1-800-MEDICARE=20
(633-4227) for more information.
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Health Insurance After Leaving a Job
If you lose your health coverage when you leave your job, you may be =
able to=20
buy group coverage for up to 18 months under a Federal law called the=20
Consolidated Omnibus Budget Reconciliation Act or COBRA. Buying group =
coverage=20
is cheaper than going out alone to buy individual coverage. If you have =
a=20
disability, you can extend COBRA coverage for up to 29 months. COBRA may =
also=20
cover young people who were insured under a parent's policy but have =
reached the=20
age limit and are trying to obtain their own insurance.
For more information, call the Department of Labor at 1-866-487-2365 =
or see=20
href=3D"http://www.dol.gov/dol/topic/health-plans/cobra.htm"=20
target=3D_blank>www.dol.gov/dol/topic/health-plans/cobra.htm on the=20
Internet.
If you don't qualify for coverage or if your COBRA coverage has =
expired, you=20
can still seek other options:
- Some states require employers to offer conversion policies, in =
which you=20
stay with your insurance company but buy individual coverage.
- Some professional or alumni organizations offer group coverage for =
members.
- Your state may be one of 29 with a high-risk pool for people =
unable to get=20
coverage.
- Some insurance companies also offer stopgap policies designed for =
people=20
who are between jobs.
Contact your state insurance regulatory office for more information =
on these=20
and other options. Information on consumer health plans is also =
available at the=20
U.S. Department of Labor's website at
href=3D"http://www.dol.gov/dol/topic/health-plans/consumerinfhealth.htm" =
target=3D_blank>www.dol.gov/dol/topic/health-plans/consumerinfhealth.htm<=
/A>.
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Health Care Services
The Bureau of Primary Health Care, a service of the Health Resources =
and=20
Services Administration, offers health care for people regardless of =
their=20
insurance status or ability to pay. To find local health centers, call=20
1-800-400-2742 and ask for a directory, or visit the bureau's website at =
class=3Dart href=3D"http://www.bphc.hrsa.gov/" =
target=3D_blank>www.bphc.hrsa.gov=20
on the Internet.
The Department of Veterans Affairs (VA) runs hospitals and clinics =
that serve=20
veterans who have service-related health problems or who simply need =
financial=20
aid. If you're a veteran and would like to find out more about VA health =
care,=20
call 1-800-827-1000 or visit their website at
href=3D"http://www.va.gov/" target=3D_blank>www.va.gov.
Many local governments have public health departments that can help =
people=20
who need medical care. Your local county or city government's health and =
human=20
services office can provide further information.
[
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Hospital Care
If you're uninsured and need hospital care, you may be able to get =
help. In=20
1946, Congress passed the Hospital Survey and Construction Act, which =
was=20
sponsored by Senators Lister Hill and Harold Burton and is now known as =
the=20
Hill-Burton Act. Although the program originally provided hospitals with =
Federal=20
grants for modernization, today it provides free or reduced-charge =
medical=20
services to low-income people. The program is administered by the =
Department of=20
Health and Human Services. For more information, call 1-800-638-0742 or =
visit
class=3Dart href=3D"http://www.hrsa.gov/osp/dfcr"=20
target=3D_blank>www.hrsa.gov/osp/dfcr on the Internet.
[
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name=3D9>
Dialysis and Transplantation
Kidney failure is a complication of diabetes. In 1972, Congress =
passed=20
legislation making people of any age with permanent kidney failure =
eligible for=20
Medicare. To qualify for Medicare on the basis of kidney failure, you =
must need=20
regular dialysis or have had a kidney transplant, and you must have =
worked under=20
Social Security, the Railroad Retirement Board, or as a Government =
employee (or=20
be the child or spouse of someone who has), or you must already be =
receiving=20
Social Security or Railroad Retirement benefits. Every American needing =
dialysis=20
for chronic kidney failure is eligible for dialysis assistance. For more =
information, call the Centers for Medicare & Medicaid Services at=20
1-800-MEDICARE (633-4227) to request the booklet Medicare Coverage of =
Kidney=20
Dialysis and Kidney Transplant Services. This booklet is also =
available on=20
the Internet at
target=3D_blank>www.medicare.gov under "Publications."
For information on financing an organ transplant, contact the =
following=20
organization:
United Network for Organ Sharing (UNOS)
P.O. Box 2484
Richmond, =
VA=20
23218
Phone: 1-888-894-6361
Internet:
href=3D"http://www.unos.org/" target=3D_blank>www.unos.org
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Prescription Drugs and Medical Supplies
If you can't pay for your medicines and supplies without help, you =
should=20
tell your health care provider. Your doctor may be able to direct you to =
local=20
programs or even provide free samples.
You or your doctor can order a free filament to check feet for nerve =
damage.=20
The filament (with instructions for use) is available by calling the =
Bureau of=20
Primary Health Care's (BPHC's) Lower Extremity Amputation Prevention =
Program=20
(LEAP) at 1-888-ASK-HRSA (275-4772) or by accessing
href=3D"http://www.bphc.hrsa.gov/leap" =
target=3D_blank>www.bphc.hrsa.gov/leap on=20
the Internet.
The Medicare program offers a searchable database of prescription =
drug=20
assistance programs at
href=3D"http://www.medicare.gov/Prescription/Home.asp"=20
target=3D_blank>www.medicare.gov/Prescription/Home.asp. This website =
gives=20
information on public and private programs offering discounted or free=20
medication. You can also learn about Medicare health plans with =
prescription=20
coverage.
In addition, drug companies that sell insulin or diabetes medications =
usually=20
have patient assistance programs. Such programs are available only =
through a=20
physician. The Pharmaceutical Research and Manufacturers of America and =
its=20
member companies sponsor an interactive website with information on drug =
assistance programs at
href=3D"http://www.helpingpatients.org/"=20
target=3D_blank>www.helpingpatients.org.
Also, since programs targeted at the homeless sometimes provide aid, =
try=20
contacting a local shelter for more information on how to obtain free=20
medications and medical supplies. Check your phone book under Human =
Service=20
Organizations or Social Service Organizations for the number of the =
nearest=20
shelter.
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Prosthetic Care
If you've had an amputation, paying for your rehabilitation expenses =
may be a=20
concern. The following organizations provide financial assistance for =
people who=20
need prosthetic care:
Amputee Coalition of America
900 East Hill Avenue, Suite =
285
Knoxville,=20
TN 37915-2568
Phone: 1-888-AMP-KNOW (267-5669)
Internet:
class=3Dart=20
href=3D"http://www.amputee-coalition.org/"=20
target=3D_blank>www.amputee-coalition.org
Easter Seals
230 West Monroe Street, Suite 1800
Chicago, IL=20
60606
Phone: 1-800-221-6827
Fax: (312) 726-1494
Internet:
class=3Dart=20
href=3D"http://www.easterseals.com/" =
target=3D_blank>www.easterseals.com
Prosthetics for Diabetics Foundation
323 Reed Way
Monroe, GA=20
30655
Phone: (770) 267-0019
Fax: (770) 395-7487
Internet:
class=3Dart=20
href=3D"http://www.expage.com/page/pfdfoundation"=20
target=3D_blank>www.expage.com/page/pfdfoundation
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name=3D12>
Classroom Services
Public agencies that provide assistance to children with diabetes and =
other=20
disabilities and to their families are listed on the State Resource =
Sheets=20
published by the National Dissemination Center for Children with =
Disabilities=20
(NICHCY). These free resource sheets, which list the names and addresses =
of=20
agencies in your state, are available by contacting:
NICHCY
P.O. Box 1492
Washington, DC 20013
Phone:=20
1-800-695-0285
Fax: (202) 884-8441
Internet:
href=3D"http://www.nichcy.org/" target=3D_blank>www.nichcy.org
College-age students who have diabetes-related disabilities may be =
faced not=20
only with the costs of tuition, but also with additional expenses =
generally not=20
incurred by other students. These costs may include special equipment =
and=20
disability-related medical expenses not covered by insurance. Some =
special=20
equipment and support services may be available at the institution, =
through=20
community organizations, through the state vocational rehabilitation =
agency, or=20
through specific disability organizations. The names and addresses of =
these and=20
other agencies are also listed in the State Resource Sheets.
You can apply for financial aid at the financial aid office of the=20
institution you plan to attend. A free copy of the booklet Funding =
Your=20
Education is available from the U.S. Department of Education by =
writing=20
to
Federal Student Aid Programs
P.O. Box 84
Washington, DC=20
20044-0084
Phone: 1-800-433-3243
Internet:
href=3D"http://studentaid.ed.gov/students/publications/FYE/index.html"=20
target=3D_blank>http://studentaid.ed.gov/students/publications/FYE/index.=
html
The HEATH Resource Center (National Clearinghouse on Postsecondary =
Education=20
for Individuals with Disabilities) offers information on sources of =
financial=20
aid and the education of students with a disability. Contact:
The George Washington University
HEATH Resource Center
2121 K =
Street=20
NW., Suite 220
Washington, DC 20037
Phone: 1-800-544-3284
Fax: =
(202)=20
973-0908
Email:
href=3D"mailto:askheath@gwu.edu">askheath@gwu.edu
Internet:
class=3Dart=20
href=3D"http://www.heath.gwu.edu/" =
target=3D_blank>www.heath.gwu.edu
Information on grants that are available to individuals for financing =
higher=20
education is available at the following nonprofit organization's =
library:
The Foundation Center
79 Fifth Avenue
New York, NY =
10003
Phone:=20
(212) 620-4230
Fax: (212) 691-1828
Internet:
href=3D"http://www.fdncenter.org/" =
target=3D_blank>www.fdncenter.org
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Technological Assistance
Assistive technology, which can help people with disabilities =
function more=20
effectively at home, at work, and in the community, can include =
computers,=20
adaptive equipment, wheelchairs, bathroom modifications, and medical or=20
corrective services. The following organizations provide information, =
awareness,=20
and training in the use of technology to aid people with =
disabilities:
Alliance for Technology Access (ATA)
1304 Southpoint Boulevard, =
Suite=20
240
Petaluma, CA 94954
Phone: (707) 778-3011
Email:
class=3Dart=20
href=3D"mailto:ATAinfo@ATAccess.org">ATAinfo@ATAccess.org
Internet=
:
class=3Dart href=3D"http://www.ataccess.org/" =
target=3D_blank>www.ataccess.org
UCP (a.k.a. United Cerebral Palsy)
1660 L Street NW., Suite=20
700
Washington, DC 20036
Phone: 1-800-872-5827
or (202)=20
776-0406
Fax: (202) 776-0414
Email:
href=3D"mailto:webmaster@ucp.org">webmaster@ucp.org
Internet:
class=3Dart=20
href=3D"http://www.ucp.org/ucp_channelsub.cfm/1/14/86"=20
target=3D_blank>www.ucp.org/ucp_channelsub.cfm/1/14/86
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Food and Nutrition
Food, nutrition education, and access to health care services are =
also=20
available through the U.S. Department of Agriculture's WIC (Women, =
Infants, and=20
Children) program. Pregnant women who meet residential, financial need, =
and=20
nutrition risk criteria are eligible for assistance. Gestational =
diabetes is=20
considered a medically based nutrition risk and would qualify a woman =
for=20
assistance through the WIC program if she meets the financial need =
requirements=20
and has lived in a particular state the required amount of time. The WIC =
website=20
provides a page of contact information for each state and Indian tribe, =
or you=20
can contact the national headquarters at the following address:
WIC at FNS Headquarters:
Supplemental Food Programs =
Division
Food and=20
Nutrition Service--USDA
3101 Park Center Drive
Alexandria, VA=20
22302
Phone: (703) 305-2746
Internet:
href=3D"http://www.fns.usda.gov/wic" =
target=3D_blank>www.fns.usda.gov/wic
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Local Resources
Finally, for help in financing some of the many expenses related to =
diabetes,=20
you may also want to seek out available local resources, such as the =
following=20
charitable groups:
- Lions Clubs International, which can help with vision care
- Rotary Clubs, which provide humanitarian and educational=20
assistance
- Elks Clubs, which provide charitable activities that benefit youth =
and=20
veterans
- Shriners, which offer need-based treatment for children at =
Shriners=20
hospitals throughout the country
- Kiwanis Clubs, which conduct fund-raising events and projects to =
help the=20
community and especially children
- religious organizations
In many areas, nonprofit or special interest groups such as those =
listed=20
above can sometimes provide financial assistance or help with =
fund-raising. In=20
addition, some local governments may have special trusts set up to help =
people=20
in need. You can find out more about such groups at your local library =
or your=20
local city or county government's health and human services office.
Note: This information was accurate as of August =
2004.=20
Contact each organization directly for the most up-to-date=20
information.