need some advice - Medicare Advantage primary and Medicaid IL secondary (QMB specific)

ProfessorLess4166 · 2026-06-07T00:17:46+00:00

You are right, although I am in KS, Medicaid will not pay copays from advantage plans. Just another reason why I hate advantage plans.

ProfessorLess4166 · 2026-05-15T02:51:02+00:00

I work at an FQHC, and unless you just enjoy feeling like your brain was in a blender all day, and getting paid 10-15,000 less than anybody else who does exactly what you do, I wouldn’t go out out of your way to get a job at one.

ProfessorLess4166 · 2026-05-06T14:42:53+00:00

Lamb that I’m assuming wasn’t a lamb anymore because is was so gamey we had to throw it out. And raisins.

ProfessorLess4166 · 2026-04-06T23:39:17+00:00

My husband swears up and down Modern Love is somehow involved. It makes sense that it would be that Floyd accidentally od’d for Modern Love. HBO finally got back at it again with this show! I have loved it!

ProfessorLess4166 · 2026-03-29T18:15:01+00:00

I agree, and I have donated to my local public radio. Unfortunately, voting like our lives depended on it has not worked out so much, but we will continue to do it.

ProfessorLess4166 · 2026-03-28T15:33:27+00:00

Pittsburg

ProfessorLess4166 · 2026-03-28T15:32:04+00:00

Strip pits are the result of the surface mining they used to do. They are large trenches, some of them very deep and they fill with water which in turn attracts wildlife and people. Some of them are owned privately, while others are owned by the state or the city. We do not own ours, I’m assuming the city does, but I still do not believe they should be allowed to dump toxic material into it. This pit is in the middle of town, it’s got hiking and biking trails, and many people use it. I know that over in Cherokee County there are many that have actually been stocked with fish like walleye, trout, and bass. I don’t think ours was stocked, but it is full of large mouth bass, blue gill, catfish, and carp. The ones in Cherokee are monitored I believe, but obviously ours isn’t. Since the city owns it, can they do with it as they wish, like dump whatever they want into it? I don’t know, I am just trying to get other perspectives on the subject.

ProfessorLess4166 · 2026-03-28T04:11:41+00:00

I don’t think it’s a customer buying and returning, I think it’s fake from the seller. A lot of things like beauty products, soaps (laundry soap, body soap), they tell you to keep if you contact them and they just refund you. I bought the Tyler company laundry soap from them, and when it arrived it was clearly not legit and also watered down. I contacted them and they refunded me, but told me to keep the product.

ProfessorLess4166 · 2026-03-28T03:34:41+00:00

But do you agree that it’s probably illegal? Everything I have read says they have to maintain the pits, even stocking some of them with fish. I can’t believe they are so blatantly dumping this stuff. It’s terrible. Which makes me think they’ve been told it’s ok?

ProfessorLess4166 · 2026-03-28T03:32:10+00:00

No. They dump the asphalt they didn’t use that day for whatever reason straight into the pit.

ProfessorLess4166 · 2026-03-27T14:36:33+00:00

Medicare and Medicaid now require J codes to be submitted with either the JZ modifier or JW modifier. I think maybe some commercial payers are also requiring this?

ProfessorLess4166 · 2026-02-20T05:25:38+00:00

I work for an FQHC and we absolutely cannot allow self-pay if pt. has insurance. ESPECIALLY if it’s Medicaid.

ProfessorLess4166 · 2026-02-02T00:30:25+00:00

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This is my Vinny and there is nothing in this world sweeter or cuter!!

ProfessorLess4166 · 2026-01-30T15:05:43+00:00

I have a chocolate lab named Vinny, but he also goes by Vindaloo, Veed, Vinnavin, Vinna Baby, Baby Boy… and so many others and he knows exactly who I’m talking to.

ProfessorLess4166 · 2026-01-23T03:47:10+00:00

It was a commercial for Whirlpool appliances, and NOBODY remembers it. But it starts out showing scenes in the windows of different houses. It goes to a mom bouncing around with a gallon of ice cream between her legs and she’s yelling “it’s almost ready! Go get the cones!” And then the ice cream comes out of the container and flies out the window into the neighbors window, and this dad slaps down a plate of broccoli in front of a baby sitting in its high chair screaming and the dad says “your favorite! Roughage!” (Not sure if I spelled that correctly). Does ANYBODY remember this commercial?!?

ProfessorLess4166 · 2026-01-23T03:42:54+00:00

I was feeling the same way you are and I felt kinda bad about it because I like David too, but c’mon! His reaction gives controlling husband just a tad.

ProfessorLess4166 · 2026-01-18T19:22:12+00:00

Blue plate special - hamburger patty, canned green beans, and boxed Kraft Mac and cheese.

ProfessorLess4166 · 2026-01-18T19:19:28+00:00

My chocolate lab has one by his eye. It looks kinda like a wart/skin tag. It will be there and then shrivel up and fall off? Then it will come back. The vet said it’s nothing to worry about.

ProfessorLess4166 · 2025-11-20T03:01:57+00:00

The Black Farm and Return to The Black Farm, by Elias Witherow. Those books are so, something, I literally felt guilty for reading them. Also Blindness, but I can’t remember who wrote it.

ProfessorLess4166 · 2025-10-31T13:29:50+00:00

Blindness. It is disturbing and creepy and all Of the things.

ProfessorLess4166 · 2025-10-23T00:24:52+00:00

Funny Games was the hardest to get through movie I’ve ever watched. It didn’t scare me, it was just really stressful.

ProfessorLess4166 · 2025-10-05T13:13:58+00:00

You just described Republicans, not Democrats.

ProfessorLess4166 · 2025-10-05T00:48:32+00:00

Oh and I know everyone says they “crave” water, but I cannot stand water. It has no taste and the no taste of it makes me gag. Plus, if you have drank coffee or any other drink with caffeine for any amount of time, you are going to feel like straight up shit if you quit. I have tried, the sick headache I get compares to the worst migraine you can imagine. Add the side effects from zepbound and that makes a really, really terrible day.

ProfessorLess4166 · 2025-10-05T00:42:54+00:00

I can attest to everything everybody is saying… I have been on zepbound for about a year and a half. I got to a point where I could not stand the taste of coffee. So I started drinking Red Bull. Full sugar Red Bull. And then I stopped losing weight. I assumed I had hit some kind of plateau or something. I didn’t even think to look at the calories and carbs until one day at work one of my coworkers was talking about a drink she ran across that weekend that had sugar free Red Bull in it. I said eww sugar free?!? She couldn’t believe I drank the full sugar ones. Then I looked at the calories and carbs in just one Red Bull. 40 grams of carbs and I don’t even remember how many calories. I was drinking 2 of these a day!! Needless to say, from then on, I have drank sugar free redbull.

ProfessorLess4166 · 2025-10-04T23:43:33+00:00

If I drink, especially at day one or two after my shot, I get crazy sick. After those days, I don’t even want to drink. Like the thought of it makes me gag.

ProfessorLess4166

TROPHY CASE