Wednesday, April 20, 2016

Disappearing

63


As May Nineteen Eighty-Nine came, so too did my Social Security Disability back payment check. A lump sum for the year and a half I had been out of work, it made my savings account very happy as I considered what I most wanted to do with it. But with it, also came notice that my newly granted Medicaid coverage had been canceled.
As it turned out Medicaid coverage was tied to Social Security's Supplemental Security Income, SSI, a disability welfare program for those who had not worked long enough to have earned the 'better' Social Security Disability Income benefits. As SSDI didn't kick in for the first few months of the disability period, everyone deemed to be qualified for benefits first started out with SSI which included Medicaid coverage. Then, as I had worked enough in my lifetime, I had earned the upgrade to SSDI which included forty dollars more a month and no healthcare benefits... At least not for the first two years. This was nonsensical and I decided to appeal the loss of the Medicaid coverage out of necessity. Yet for the brief moment, on paper, that I had Medicaid coverage it did retroactively cover my two emergency room visits earlier in the year. Everything else had been handled by my own continuing work health insurance until the extended COBRA coverage period had expired.
As the appeal wheels turned, I decided to get my ducks lined up for my apartment move in June. Obviously everything I had in my little bedroom at the mobile home would be going with me, but taking it from a sixty-four square foot space to a an apartment around ten times the size meant I had space to fill. Further, in my emaciated state, sitting and lying down constantly hurt as bone pressed down against veins and nerve tissue with only one's skin for comfort. So on my wish list for the apartment was a new bed, a couch of my own, and a television. I could have easily exhausted all of my new saving to buy each one of these as new, but I saved that for the most important item. So for the couch and television I was off to our local Goodwill thrift store to see what they had.
To my surprise, they had a long green couch, long enough so I could completely lay down on it if I wanted to, something I hadn't been able to do in a decade since I reached just shy of six feet in my earliest teenage years. I sat on it and it was evenly firm all the way across, no caved in portions that many used couches could have. And the price was right, so I reserved it. They had a selection of used color televisions, none had a great picture, but rather than using up my bus pass punches going to other Goodwill locations in search of a used television in perfect condition, I just took the best one they had available and also reserved it to be picked up later.
For my new bed, I decided to buy myself a brand new water bed! Why? Well my not as older brother had one as his first bed when he moved to Colorado in Nineteen Seventy-Eight and I had always been curious. Not a good enough reason? Well, having seen years of advertisements about how the waterbed form fitted your contours, evenly distributing your body weight without any pressure points, I thought this was a great solution for my painful bone against nerve issues. Was this a better reason? I say 'yes', given that my tests of waterbeds at two different stores were much more comfortable than anything I'd lain on in years. Of the two stores, one didn't seem to care if I bought a bed or not, the other one was very interested and was willing to throw in a sheet and comforter set and padded railings. Given my pressure point pain response, the padded railings made tremendous sense for when I'd get in & out of bed, so I bought the package. It would take them a week to get everything ready, but by that point I only had a week and a half left before I could move into my apartment, so the timing was spot on.
As losing one's healthcare coverage was deemed an urgent issue, the Medicaid appeal was scheduled promptly and I arrived to represent myself at the hearing. Given my perfect track record of two wins for both times I represented myself, I had high hopes for this outing. Oddly enough, this hearing had the most representatives of any of the hearings I had been to, I can't say why. When the judge noticed I was without a lawyer, he told me we could reschedule the hearing for later and I could get a lawyer at Legal Aid. I assured him my luck with Legal Aid had been poor, in part, due to their budget cut backs. Then we could postpone until I found a private lawyer to represent me. I assured him I didn't have the money to spend on a private lawyer and I wanted to proceed. And so we did.
The facts were simple, I needed some sort of health coverage and SSDI health coverage wouldn't kick in for another year. And the law was simple, if someone received one dollar more than what SSI paid, then one was 'too financially well off' to qualify for Medicaid coverage. I said that I'd be willing to pay the difference of my 'higher income level' in return to keep the coverage, they told me it didn't work that way. I noted that Medicaid had covered my two emergency room visits even though, technically, my SSI coverage period would have ended in early Nineteen Eighty-Eight. With SSDI taking over from that point forward, why were those visits covered? Because, factually, I hadn't received SSDI yet, thus SSI covered it until the point I received my first SSDI check, in this case the lump sum back payment. And that was that. Nothing more I could say.
But I discovered one of the other people present in the hearing was a representative of the local community health clinic. A program put in to place as the health care system for low income Americans who didn't have insurance. Given my less than five hundred dollars a month, I would easy qualify to see them for a one or two dollar co-pay per visit... So the hearing wasn't a complete loss as I found a new healthcare route I could pursue.
That over, my next task was to schedule the phone company to hook-up a line at my apartment. They could come a few days before the start of June and I asked the manager if they could hook up the phone early. She said they could and she handed me my key then. The silly part was, as I had no significant credit history, in order to get a phone line I had to pay a rare security deposit of over a hundred dollars. While I grumbled about this, given how much of my life involved online connectivity, it was worth it and they promised to pay back the security deposit when I stopped having a phone in town. The good news was, given my disability finding I would receive a discounted monthly fee for my phone service. I would find out years later it was only for those people receiving SSI, not SSDI, but at the time they hooked up my phone the state records hadn't been updated to show I was now upgraded to the 'better benefits'. I guess they felt people on the largess of the full SSDI system had money to spare and could easily afford double the monthly price!
My move day was the first of June and I had asked my best friend in town, Jeff who had a truck, to help. It was a day my mother worked so she wouldn't be there. Jeff was to be at the mobile home by eleven in the morning... By noon I called and he told me he was running late. He finally showed just before two o'clock. Everything in my bedroom, that I was taking, fit right into his truck bed, no return trips needed, so we were at the apartment and emptied out by three in the afternoon. Then came the trip to Goodwill for the couch and television, which was done by four, and finally the drive to the water bed store which was actually only a few blocks away. That trip was done by five and Jeff helped me assemble the bed frame before he had to go for the day and I had to catch the final bus back to my mother's mobile home.
I didn't want to list my car for sale in the local classified ads until I had my new phone number, thus I had to pick up my car and drive it to the apartment. Originally, I had hoped to have all my moving done in time so I could be back and take my car before my mother got home, thus leaving her with the empty bedroom and free parking spot to surprise her when she arrived. But as Jeff was late, I didn't walk home from the nearest bus stop until mother was back from work.
She was agape as I came in the mobile home for the, seemingly, last time and handed her the key. I told her she could keep the old bed. For someone who had been wanting me to move out, and floating stories that I had 'made up' my health issues to embarrass her in front of her coworkers, she was surprisingly interested in where I was moving to. I told her that Social Security had confirmed my health issues and granted me disability payments and as to where I was moving to, I wouldn't tell her. She had been such an ass over the preceding year and a half that the last thing I wanted was to have her being an ass at my new apartment.
But she followed me out to my car begging to know. After all, what if she got some mail for me and I needed to pick it up? Even though I had already filed a change of address with the post office, I concluded that perhaps I should be safe and give her my new phone number, and that was all. I started up the car for the last time I'd drive it and left. I saw her in the rear view mirror, motionlessly standing as she watched me go, my old key grasped in her hands.
I will admit, I was impressed: She was actually able to wait two whole days before calling me! With the day I left and the day she called we had talked more than in the last full year I had lived with her in the mobile home.




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