About 'lincoln university employment'|Reflections on the Firing of Michael Pahl from Cedarville University – James McGahey
If you're looking to move to Durham, North Carolina or already live here and need free or low cost medical services, you're probably going to end up seeking services at the Lincoln Community Health Center (AKA Lincoln). When I first moved to Durham, NC from New Jersey, I was 7 months pregnant with no car, and my husband was working in NJ. I had private insurance, but after investigating the local health care scene, decided on going to the Lincoln Community Health Center for my prenatal care. Lincoln is also the place you have to go for WIC and other health services like prescriptions, dental, optometry, behavioral health, pediatrics, etc. They mostly serve a Medicaid clientele. If you don't have Medicaid, and you have private insurance, make that point known several times, because they are not accustomed to billing private insurance and they'll put you in their system on the sliding scale services. Sliding scale means that they bill you a fee according to your income. If you're income is low enough, you may not have to pay anything. I remember that I had to keep offering to give the lady my card to photocopy and even after she did, it still came up in the computer that I was sliding scale. They had to copy my insurance card again. Be vigilant so you don't have to deal with a billing nightmare later on. If you have private insurance, you may still qualify to get Medicaid as a secondary insurance to pay for what your primary won't. I didn't know about this when I moved here because the woman at my husband's local benefits office falsely told me that I wouldn't be able to get Medicaid because I had insurance already. One of the employees at Lincoln was nice enough to inform me after looking at our income and family size that we would be eligible. I still didn't pursue it and I regretted it later after I had to pay $500 in co-payments to Duke University Hospital for admittance for me and my baby and $80 in co-payments for doctors that saw him in the hospital. Needless to say, I later applied for Medicaid for my children to see if they would be eligible even though they had primary coverage. Two of them (under age 5) were accepted. That was truly a blessing because my husband's coverage recently started paying less for my son's well baby visits. I used to only have to pay a $20 copay for each visit. After the change in coverage, I always get a bill from the doctor. Now that he has Medicaid as a secondary insurance, Medicaid picked up the tab from the first day of his coverage as well as 3 months prior to that. Now when I take him to the doctor or need a prescription, I don't have to pay anything. The main benefit of going to Lincoln was a convenient trip on the number 5 bus. I just had to waddle myself up the hill to catch the bus and put my $1 in and it was a 25 minute trip that allowed me to get to my appointments on time. Another thing that some newcomers might experience that's different here is that ALL the OBGYNs (as far as my knowledge) practice in groups. This was a strange thing to me because in NJ, most are in private practice or at a clinic. Even at the clinic, you can choose to see a particular midwife, doctor, nurse practitioner, etc. When you see a group, you may not know who you'll get next visit and more than likely there'll be a man in that group of which I did not want to see. A friend told me that it'd be easier to see a female and always a female at Lincoln. The main problem about Lincoln is that you wait and wait and wait some more for appointments. In the waiting room they have a big sign saying that you may wait for 2-4 hours in the prenatal area. I never had to wait 4 hours, but 1 1/2 to 2 hours wasn't uncommon. The problem is that they serve a very large area to be only one place and the growing Mexican population is a large part of the community it serves. As far as the quality of care, it was okay. What I didn't like was the fact that it's VERY difficult to call for an appointment. It seems like no one ever picks up the phone. It's best to go there to get an appointment card, hold onto it (for dear life as you probably can't call to confirm the date) and mark your calendar. You do NOT want to have to reschedule as you may have to wait a long time. To illustrate this fact, when I was close to my due date, the midwife or nurse asked me if I don't go into labor by a certain date, if I'd like to schedule my induction at the hospital, because they had no appointments available for me to come in to be seen the next week for my regular appointment. Having had an overdue baby previously, I jumped at the offer. When you first go to Lincoln for ANY services you MUST register to get a Lincoln card. Keep this card in a safe place. It's like a flimsy business card. You must show ID, proof of address, (use your lease if you don't have a utility bill or any other mail yet) and either a Medicaid card or check stub (for sliding scale services). Also bring the social security cards for everyone in your family or write the numbers down if you haven't memorized them. You will need to get a card for each member of your family. I'd suggest as a time saver, you get Lincoln cards for them even if you don't plan on using any services for them now or in the near future. Sooner or later, (depending on what type of insurance coverage you have) more than likely someone is going to end up going to Lincoln. Many employment based insurance plans are cutting back on coverage they provide or how much they are willing to pay to the provider. I'd suggest you pick one morning to only do registration for the Lincoln card especially if you have a large family. You'll have to take a number and complete forms for each family member while waiting for your name to be called. Depending on what time of day, you may have to wait a long time. I think they open at 7:30, so try to be there early. Don't be surprised if you see a line of people out front waiting for the doors to open. After everyone is registered, more than likely you'll be too tired, hungry, aggravated and wanting to return home to want to do anything else there that day. However, if you are in need of an appointment, you should go and make that appointment while you're there Also to note, there are some nice vending machines and a microwave there. You can bring some leftovers to heat up or heat up a sandwich from a machine. Make sure you check your wallet to make sure you have some small bills for the machine. No, they DON'T take debit! Technically, they don't allow you to eat there (as the sign says), but yet they make it easy for you to get food with the machines. This is not enforced. I figure, if they make you wait in here for 4 hours or so, they can't have the audacity to tell me I can't eat. They have janitors working there to keep the place clean. As far as WIC is concerned, be prepared to wait some more. You will have to wait a long time if you call for the next available appointment. If you want to be a walk-in, be prepared to be there as soon as the doors open at 7:30 even though the WIC office doesn't start seeing people until 8am. There will be people there waiting, so get in line. The number of nutritionists they have determines how many walk-ins they'll take. When I was there it varied between 25 and 35 people. If you're sure you're going to miss an appointment for something important (ex. Going out of town, another important appointment), call the WIC office (they always answer the phone there) and ask to reschedule. Don't just miss your appointment because you want to sleep in or you want to go shopping and you could do that any day. The earlier you do it the better. If you wait until you come back from vacation or shopping, you may have to wait 4-6 weeks for another appointment! I know I've simply forgotten about an appointment. Make it a habit to write down your appointment date and time in a visible location when you pick up your checks so you won't forget. Trust me, you don't want to be a walk-in as you'll have to rush to make the daily cutoff number. If you're moving from another state, make sure you bring your VOC (verification of certification) from your state you're leaving. It's a printout stating the time you last certified and some other stuff. It's important to have this so there won't be any interruption of your checks. Simply walk in your local office and ask them for it. You'll have to surrender your ID folder and whatever remaining checks you have. Put this on your moving to do list so you won't forget. When you go to the office make sure you have your VOC (or current WIC folder), ID (license, passport), proof of address, proof of income or Medicaid card, immunization record, and Lincoln cards for whoever you're signing up. If you DO NOT have the Lincoln card, you will not be able to get your checks. Make sure you double and triple check your paperwork. Also as an important note about newcomers to NC, you will be signing all the checks once in the office and again at the store. The proxy system is different here than in NJ. I was able to go to the store or my send my husband or another designee (like a grandmother or babysitter). I cannot do that here. I can have my husband as a proxy to pick up the checks, but he would ALWAYS have to go to the store to redeem them. Whoever signs the checks in the office must be the one who redeems them in the store. Another important point regarding the farmer's market checks here is that they only are good for 30 days after you get them in the office. In NJ, I could use them until the last market closed down for the year or December 31, whichever came first. You have to use all the checks within 30 days which was impractical for my family. Navigating services for low income families can be a headache, but with the proper information, it makes it much more manageable. |
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