레이블이 West Chester University Employment인 게시물을 표시합니다. 모든 게시물 표시
레이블이 West Chester University Employment인 게시물을 표시합니다. 모든 게시물 표시

2013년 11월 26일 화요일

About 'lincoln university employment'|Reflections on the Firing of Michael Pahl from Cedarville University – James McGahey







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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