Medically Fragile, Stages of Life...
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Each rare disease diagnosis comes in stages. Rett Syndrome is no different. Rett Syndrome presents itself in children through four stages. Stage 1: Early Onsite. Stage 2: Rapid Destructive. Stage 3: Plateau or Pseudo-Stationary. Stage 4: Late Motor Deterioration. Each of these stages has its own devastating effects on the person. Without a cure, the family is forced to watch these stages impact their child. Consistent therapy sessions can often protect against further destruction and recover lost skills. Most therapies are covered by private insurances, but with a limit. Others are not covered, forcing parents to pay reoccurring out of pocket costs. |
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Items Not Covered by Private Insurance...
Below are examples of therapies not covered by private insurance. However most, if not all, of these services are covered by Social Security Disability Insurance(SSDI).
Services |
Description |
Possible Company |
Payment Method Acceptance |
Hippo/Horse Therapy |
Equine Assisted Activities and Therapies |
Healing With Horses Ranch |
StarKids, Cash |
Aquatic Therapy |
Restorative movements performed in water which allows low impact and high resistance |
Spero Rehab |
Cash Only |
Music Therapy |
The use of musical engagement to address physical, emotional, cognitive, and social needs |
Music Therapy Services of Austin, LLC |
Cash Only |
Private Duty Nurse |
Nurse Assistances in the home and at Public School |
Thrive Skilled Pediatric Care |
StarKids, SSDI, (Limited Private Insurance), Cash |
Medical Equipment |
Equipment used for therapies, and other medical equipment |
National Seating and Mobility (NSM) |
StarKids, SSDI, (Limited Private Insurance), Cash |
Experimental Robotics* |
Provides assistances with weight bearing, functional stretching, strength training, core workout, rhythm training, ands building independence & confidence. |
Trexo Robotics |
Cash Only |
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Quality of Life...
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A medically fragile child requires a number of reoccurring services to provide the highest level of quality of life. If a child can remain healthy, he or she might live to see a cure. For Rett Syndrome, scientists are close to finishing the development of a cure; in fact, some of the components of that cure are in human trials. We must provide these children the opportunity to have a normal life. |
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SSDI & Cash Funding...
When a medically fragile family gets the notice from private insurance that services rendered by a medical provider are not a covered benefit, yet the services are required to keep their child well, it becomes financially stressful. Money that was allocated for groceries, vacations, education, upkeep on house and car, or other children in the family, now must be reallocated to pay for medical services not covered. The results can be less groceries, no way to decompress from life and a job, no repair funds for a house or car, but most importantly, other children cannot be spoiled. There are no big Christmas gifts, no big birthday gifts. At the end of the day if a car breaks down and requires an expensive repair or appliances in the home need to be replaced, it is financially unaffordable. Most medically fragile families use credit cards to pay for medical services not covered by private insurance, however once they have the credit card maxed out, they have a new problem. Bankruptcy is very common within the medically fragile community.
Medically fragile families often need to host fundraising events, like garage sales, and other events. Some families qualify for grants for medical reimbursement. This is the life of families who do not qualify for SSDI. For those families who do qualify for SSDI, they often receive additional benefits not covered by private insurance. When families have a medically fragile child, the child should be a qualifying factor, thus allowing the child to receive the required medical services and allowing the parents to work.
Those who qualify for SSDI is in the hands of politicians. No major changes have been made to social programs for decades. The only changes that have been made consistently is who qualifies, effectively forcing citizens off such programs. When used appropriately social programs aren't a handout. What they are is financial assistance to those who need it the most, medically fragile children. |
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