Mothering › Forums › Natural Family Living › The Mindful Home › Frugality & Finances › the financial side of a chronic illness
New Posts  All Forums:Forum Nav:

the financial side of a chronic illness

post #1 of 15
Thread Starter 
I'm in the process of getting a diagnosis, but whatever happens, it looks like we're staring down the barrel of a chronic illness diagnosis. My muscles are affected, making it difficult to walk, drive, and complete basic chores some days, much less work.

So...this is a problem.

If this becomes a long-term thing, I'd love some ideas, shared experiences, resources, etc., on how to handle the financial strain of having one partner unable to work as much (or at all) and carrying increased medical bills.

At this point, I have cut back majorly on my two sole proprietor businesses. I work at home as an editor and doing needle felted designs while homeschooling our two children. I also teach part-time for some local homeschooling co-ops. While I pay taxes on my earnings, nothing comes out for Social Security, so I probably won't qualify for disability through that program (I'm assuming -- I know I need to do more research on that topic).

We're in the process of modifying my desk and home office space so that I will be able to do at least some work when I'm not having a major flare. Compared to what I used to be able to do, though, my earning potential is going to be cut by around 75-85% if things keep going the way they are. DH is employed full-time, and makes enough that we don't qualify for WIC or state health insurance, but our current insurance (the only option available through his employer) is basically catastrophic insurance -- $5,000 deductible for each individual, $15,000 family deductible, etc.

DD had surgery last year that wasn't really covered, and DS was diagnosed with a speech disorder and SPD, neither of which are covered, so we paid 40% of our take-home income last year toward health care costs (some of which had to go on the dreaded credit cards, so we're still paying those off). We're on track to do the same this year with my testing and DS's occupational therapy. So we have credit card debt, one student loan left to pay off, and ongoing medical bills. Clearly, that's unsustainable.

DH is looking for a new job with higher income and better insurance, but in this economy, it's tough. On the bright side, we have a low mortgage (under $700/month), so if we put off our plans to move by a few years, which obviously we need to do, we can keep our housing costs low. We don't have cable, newspaper, etc. Our vehicles are both 10-20 years old and in good repair, with low insurance premiums and low taxes. We live pretty frugally. Some of that is taking a hit, as well, though. I find myself unable to keep up with the gardening to the extent that I usually do and am using the dryer rather than the clothesline because it's so much less strain on my muscles.

What can I do in the short-term to help manage my medical bills and reduced work ability and not place a huge burden on my family? Are there any strategies for the long-term that will help? Are there resources or ways to work with insurance/the health care industry that will maximize any help I might be able to get?

TIA~
post #2 of 15
Do not be afraid to ask doctors for assistance. Some will reduce what they charge you a significant amount or eliminate much of the unnecessary visits. Most larger offices and pretty much all hospitals have social work nurses who help families who have catastrophic medical costs. Seek out those services early.

If I were you, I'd look into other health options when you can.

DH has a chronic illness. Though it doesn't keep him from working, we do have massive medical bills. We've had to just adjust over time to account for them in our budget. He gets more frustrated than I do staring at that line item that we've worked to reduce as much as possible but isn't going away.

I don't know about the job. I have a friend who owned a dance studio until she developed fibromyalgia. That was 15 years ago, and she doesn't work at all now. She has taken up some intense hobbies - I think to fight off the boredom - but she just couldn't sustain working when she didn't know when she'd feel like getting out of bed.
post #3 of 15
Yes, I hear you. My dd has chronic illness.. sometimes it feels as if the co-pays and the 10% of everything is chipping into my grocery money.
post #4 of 15
Thread Starter 
Fibromyalgia is a strong possibility. I suspect it's at the top of my doctor's list right now. I can totally see why your friend made that choice (and then developed some hobbies). I've read at least 30 paperbacks in the last month because sometimes all I can do is sit, and even that hurts.

That's a good idea, to see if the doctors can reduce some fees or minimize the number of visits I'm making. Thanks!
post #5 of 15
Even if you have not paid into Social Security you could still qualify for SSI (not SSDI). I would start looking into it now because it can take months/years. If there are perscriptions involved do an internet search on perscription assistance. There are a lot of programs and you can have a fairly high income and still qualify ($75,000 on one I looked at). Does your kiddo qualify for Early Intervention? I would contact their office if your kiddo with OT needs is under 3 or the school district if over 3.
post #6 of 15
Thread Starter 
Quote:
Originally Posted by 34me View Post
Even if you have not paid into Social Security you could still qualify for SSI (not SSDI). I would start looking into it now because it can take months/years. If there are perscriptions involved do an internet search on perscription assistance. There are a lot of programs and you can have a fairly high income and still qualify ($75,000 on one I looked at). Does your kiddo qualify for Early Intervention? I would contact their office if your kiddo with OT needs is under 3 or the school district if over 3.
I will start looking into that, and thanks. Currently I've got three prescriptions, plus the two my daughter has. It does add up. Most of our scrips have a $20 copay; one has a $50 copay. All get filled monthly. We would definitely qualify for any program with a cap of $75,000. Holy cow. I wish.

We've pretty much exhausted our resources for help for ds, outside of just paying out-of-pocket for services. He was evaluated by Birth to Three when he was 2, but because of budget cuts, they said that since he didn't have a physical deformity causing his speech issues, we'd have to go to a private speech therapist. They didn't catch his sensory issues. Once the SPD was diagnosed, we tried going through the school system (since he was then 3 and aged out of Birth to Three), and after the IEP evaluation they said that if we enrolled him full-time in their preschool program, they might be able to provide half an hour of group OT a week, but no promises. That's not at all what the neurodevelopmental doc recommended. She said that he needed at least an hour of one-on-one OT a week and supported our feelings that at that point, due to anxiety, ds would not thrive in a school setting. So rather than make things worse in the hopes of possibly receiving services that weren't adequate for his needs anyway, we opted to keep him home and go with a private OT. He's done *really* well with her and has made huge strides. So that's where we're at there.
post #7 of 15
I'm glad you posted this because we are dealing with it also. Neither one of us is sick, but my husband quit working to stay home with our chronically ill son. It's like everything we did to adjust to one income is cancelled out by the medical expenses. So frustrating. I have no solutions but just wanted to sympahtize. One thing I have found though is that when it's super tight, even just paying 10-20 bucks on a medical bill will keep it from going to collections.
post #8 of 15


I have a chronic illness as well, been dealing with this for 4 years & I'm terrified of the prospect of not being able to work at all because I provide our family's health insurance! Which is also a high-deductible plan & we're halfway to the deductible already -- annoys me so much because I've worked hard to keep our expenses low and now I'm constantly going for tests & spending hundreds of dollars on pills that don't even help...

I am still working part-time, 20 hours a week (from home, while DS sleeps, which means I'm missing out on sleep I really need). I have a laptop & a laptop stand so I'm able to work from my bed with a few pillows propping me up. It occured to me the other day that I spend 16-20 hours a day in bed. It's a very depressing realization. :sigh:

I am not able to keep up with the house at all. What we are working toward is DH getting a permanent position with good health insurance & hopefully a bit more $$ so that I can quit my job, but that's likely 6-12 months from now & very up-in-the-air. I'm hoping that not working will allow me to do basic upkeep of the house (dishes, vacuum, etc.) but right now, DH is doing those things, and the house is a disaster. I'm not really sure what our next step is. I'm reluctant to dig into savings to pay someone to take care of the house & yard, and that doesn't seem sustainable long-term. My main focus is getting my illness properly diagnosed & treated so that I can function at least on a minimal level... but I'm not having much luck in that department.

Make sure you are keeping all your medical bills & receipts, you can deduct those on your taxes if it exceeds a certain amount of your income (7% maybe???) which it sounds like yours would. Also look into SSI... I haven't looked into it myself yet because I am not ready to admit I can't keep working much longer. Also negotiate with the doctors/labs/hospitals, they might be able to reduce or postpone your payments.
post #9 of 15
Please talk to a social worker at your local hospital. My dh is terminally ill. They recently found him a program that pays 100% of all of his prescription and hospital copays so we have no out of pocket costs. One of his meds would have cost us $700 a month out of pocket! He takes 13 different meds. They also deliver cases of the nutritional drink Ensure to him for free, and they are now planning to pay his Cobra payments for him when his employer insurance ends next month. They know of programs the average person does not. My dh is very ill and constantly hospitalized. We never get a bill for anything, they take care of it all. Dh has good hospitalization through his employer that pays 100% of his medical bills but it will end next month as he is no longer able to work. The social worker told me not to worry, there is a program that will pick up the Cobra payment and will keep me insured also.
post #10 of 15
I, too, have a chronic illness. I was basically crippled and prepared to file for long term disability when I met with a dr. that gave me most of my life back. I still have reduced functioning, and take things slowly, but with my current medication regimen, I am "back in the game". I work part time at a position that provides health and other benefits. I can work 2 or 3 days a week, but, could never do 5. My advice? Make sure that you get good medical care through a specialist - I see a pain management specialist who does amazing things with medication - not the most desired route, obviously, but I've accepted that I have to do what I have to do to take care of my kids and family. Also, slow things down. For me, I haven't been able to keep up the pace I was at before I got sick. I've had to let some things go, lower my expectations, and remind myself to be grateful for what I still can do. I'm happy you posted this - I'll be reading for others financial tips - we're still paying off medical bills and could use some advice, too!
post #11 of 15
And this is why such a high percentage of people with disabilities, including chronic illness, live in poverty.
post #12 of 15
Thread Starter 
We did itemize our expenses last year and filed that way. We got a bit more back than we would have, but honestly, it just doesn't match $1 per $1 spent. Any money spent up to that 7% of your income isn't deductible, only money spent after that first 7%. And after that you get pennies back per dollar spent. It did help, a bit. But it's not a panacea, unfortunately. However, we will be doing the same again this year.

We are lucky that our hospital does have a "bed funds" program that we qualified for last year for dd's surgery. We had to give them a ton of personal information in the application, but they waived 55% of all of our bills for a year, which we're still covered under. So that covers tests done at the hospital. Any independent specialists I see, though, are not covered -- that's a separate bill. I'm going to reapply next month when our coverage is up and see if we qualify again (or if the hospital still has funds to run the program!). I didn't know that there are prescription programs to aid people with chronic or terminal illnesses, too -- thanks for that. I'll definitely look into it. Every bit helps, you know?

Things are progressing rapidly enough right now that dh told me the other day that he'd really prefer if I stop working entirely, at least for a while. Stress exacerbates my symptoms, and he's thinking that the physical stress of working is too much right now. I don't like it, but I think he's right. So I'm taking some time off and am going to focus on getting a diagnosis and then getting a good pain management plan in place so that maybe I can work PT again at some point. In the meantime, I'm going to continue to do research into programs and aid that might be available for someone in my situation. Thank you all so much for the ideas and information. Keep 'em coming!
post #13 of 15
Is the SPD "Sensory Proc. Disorder"?

If so I HIGHLY reccomend either buying or checking out ASAP the "Out Of Sync Child" and the "Out Of Sync Child Has Fun". Everything that ever happened in OT for us was in those books and we could do it ourselves.

Also keep an eye on autism spectrum disorders as they sometimes get misdiagnosed as SPD.




Make sure the doc checks for celiac and truly consider a skin prick test (SPT) with an allergist to rule out either which can mimic Fibro. Just to be sure.




I am a fibro homeschool mom of three special needs kids and get you. My best advice is to prep and do what you can now in the event of the worst case scenario... and then try to think positively each day that it will never happen! Minimize, deep clean, extreme decluttering, stocking up, new rules or routines for kids, make a school or desk type area near a couch or bed so you can still lead the "helm" when you cant get off the bed or couch. Hide a few little things for really bad days and you need the kids to be distracted. Have deep talks with DH/SO on "jobs" and help and how things will be divided now before it gets "bad". Brainstorm all you can to cut costs and save money. See if the others in your hs support group would be willing to help out every once in awhile or maybe pick up kids for a field trip if you are having a really bad day. And once you get a dx that is in stone........ find out everything you can about it and start now trying everything that might help!



Good luck! {{{{{{{{{{{{hugs}}}}}}}}}}}
post #14 of 15
I second talking to a social worker to see if you qualify for a discount prescription program. Also, a lot of pharmaceutical companies have programs themselves, so you should try those as well. I know that prospect is kind of stomach-turning but bankruptcy is even more so, you know? It's what my Mom (fibro brought on by silicone poisoning) had to do for years. Luckily, I'm able to cover her expenses now but it was a necessary evil for a long time.

Also, I have several long-term illnesses (lupus, fibro, endo, depression, migraines, hypertension, hyperthyroidism, chronic fatigue, and many more). If you ever want to talk or if you just need to rant to someone about it all then feel free to PM me. I was diagnosed with lupus when I was eleven, but I've been sick pretty much since birth - and I turn thirty in about five weeks. Every day is a battle, I know. So don't hesitate, okay?
post #15 of 15
I've been battling a rare sort of autoimmune disorder since birth. It keeps getting worse because I can't seem to keep the stress in my life to a manageable level.

We are dealing with the financial aspect of this right now. I have never been willing to go the drug route for this because I respond so poorly to medication. But there are several things that I do that keep me functioning most of the time and aren't as costly as doctor's visits and scripts. (I should mention that I understand that some people really need their medications, I'm not against them for others).

Eating an anti-inflammatory diet is essential, and not expensive. Foods that inflame are sugar, white flour, nightshades (potatoes, tomatoes, peppers), and red meat. Also, anything you may be allergic to.

Drinking lots of water helps. And I do take some supplements that keep the inflammation from getting too bad: glucosamine/chondroitan/msm, turmuric (sometimes), and anti-inflammatory teas.

You might also be interested in visiting the health and healing forums where they almost always have a thread on healing the digestive system. People with fibro usually have really poor digestion that plays into the illness.

I hope you find a way to deal with this that works for you. I sounds like from other's posts that there might be a lot of good options that a social worker could share with you. I don't know much about that, but I just thought I would share some of my free/low cost strategies.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: Frugality & Finances
Mothering › Forums › Natural Family Living › The Mindful Home › Frugality & Finances › the financial side of a chronic illness