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Hello all,
I'd like you input on a rough draft of guidelines I have established for CARING. Eligibility does NOT depend on income alone except for very few circumstances. Rather it depends on falling within eligibility categories. Within these categories family size and income influences percentage of montly cost covered. Here is what I have so far:
Parent of 2 or more special needs incontinent children without Medicaid=100% coverage 50,000 or less
Parent of 2 or more special needs incontinent children without Medicaid =75% coverage 90,000 or less
Parent of special needs child or adult WITHOUT Medicaid help UNDENIED eligibility
100% of monthly costs covered in this category:
2 parent home plus 1 child earning less than 30,000 anually: 100% of monthly needs met.
2 parent home plus 2 children earning less than 35,000 anually:100% of montly needs met
2 parent home plus 3 children earning less than 40,000 anually: 100% of monthly needs
2 parent home plus 4 children earning less than 45,000 anually: 100% of monthly needs
2 parent home plus 5 children earning less than 50,000 anually: 100% of monthly need met
Single parent home 1 child less than 35,000 anually:100%
Single parent home 2 children less than 40,000
Single parent income 3 chidlren less that 45
Single parent home 4 children less than 50,000
Single parent home 5 children less than 55,000
Any family with 6 or more than children regardless of income: 100%
Incontinent adult with disability without Medicaid,
Employed, single, without children, making less than 30,000 per year 55% of cost
Employed, single, with children making less than 50,000 per year 75% of cost
Employed, single with children making less that 30,000 per year:100 of cost
Unemployed single with children 100% of costs
Unemployed, single without children 100% of costs covered
Incontinent adult with disablilty with Medicaid
If Medicaid provides products, and products are overall adequate for quality of life, then NOT eligible.
If Medicaid product are NOT satisfactory, but somewhat useable, eligible for 75%
If Medicaid products are not satisfactory but not usesable 100% of monthly expense
Incontinent adult without disability, no Medicaid
Grieving the loss of a loved one: 50% cost covered for 3 months
Persons with heavy incontinence requiring premium products:
Employed, single making less than 30,000 per year 50% of costs covered
Employed single making less than 60,000 per year 20% of costs covered
Employed, married 1 income making less then 30,000 75%
Employed married dual income no children, not eligible unless less than 30,000
Employed, married 1 income with children: 55% of cost, increasing 10 percent with each child in household)
Employed, married dual income with children: 35% of cost increasing 10 percent with each child in household
Persons with moderate to heavy incontinence who can use midrange products:
Eligible if single with income less than 30,000, 50% of cost covered
Eligible if married with income less than 45,000, 50% of cost covered
Eligible if married with children and income less than 50,000 75% costs covered
College students diagnosed with incontinence:
Heavy incontinence requiring the use of premium products: 100% coverage per month each semester
Moderate to heavy incontinence allowing for use of midrange products: 55% coverage per month during the semester
Retired individuals
Single: 55%
Married no children: 60 %
Married with dependent children:100%
What do you all think?
I haven't yet delineated every percentage of every category but this is a start. I think these categories are quite generous and should meet every need. I know how hard times are.
_________________
"We cannot do great things. We can only do small things with great love" Mother Teresa
"THERE ARE FOUR LIGHTS!" - Captain Picard from Chain of Command, Part II
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