HIV positive accompanying on EB3 immigrant visa

[N-o-l-a 7,168]

15 minutes ago, anoras87 said:

 

Thank you for your response. I respect your opinion. but let me point out some interesting facts that you raised by quoting you with your statements, 

 

wouldn't they look carefully at someone who is bringing over a guaranteed high-cost medical condition for the rest of his life?

- No, because, unlike the UK and other EU countries where healthcare is free for its residents and citizen, US does not have a national health service much like here in the UK so government cannot dictate who to bring other than those sited on the Immigration and Nationality act,  He is my husband,  so he qualifies as my dependent  

 

One way or the other, unless something changes, other insured people end up paying for a person's high cost illness, whether it be premiums or drug costs.- It's true, there is a huge possibility that I might be paying my husband's high cost of illness thru premiums, but that is my own money, so I do not see why the government would intervene. 

 

If this nurse loses her job or becomes unable to work (and that happens a lot) he would become an expensive public charge, as would anyone with a high-cost condition. Just wondering if that plays into the decision. accordign to USCIS, they look at the persons totality of circumstances before deciding whether or not he becomes a public charge, as per definition, an alien can become a public charge if he is PRIMARILY dependent on government funds, factors such as age, health, financial status, family, skills, experience are what the Consul are consdering before he decides whether an alien becomes a public charge. 

 

 

It will likely factor somewhat into their decision, but your employer will be providing healthcare that you are obligated to buy into, so it is less so a factor.

 

Just a correction: the US does in fact have government healthcare, in medicaid, medicare, and premium subsidies (ACA) as well as other state plans. You can see here that it accounts for 26% (15+11) of our national budget, not including additional state spending on it.

 

 

Edited August 11, 2019 by N-o-l-a

[jlc201 47]

5 hours ago, anoras87 said:

Im pretty sure his meds is covered by my health insurance but my question is how will i show it to the consul if asked since im not yet in the states ? Will the email from my HR stating that he can be under my insurance suffice? Or does the consul knows thAt my employer will have a private insurance place? Thanks

You *could* provide a letter from HR confirming that you will have health insurance benefits with spousal coverage as part of your job, but I doubt that it would be necessary. The health insurance system in the US is primarily employment-based, so it is the norm for any full-time job to offer health insurance benefits, which are extended to the employee's spouse and/or children (though adding these raise the amounts you have to contribute to the monthly premiums). If you do ask HR for such a letter DO NOT tell them that your husband is HIV+ (and according to HIPAA, they are not allowed to ask about such things), just tell them that you want confirmation of health insurance coverage as part of your employment benefits.

[anoras87 9]

3 minutes ago, N-o-l-a said:

 

It will likely factor somewhat into their decision, but your employer will be providing healthcare that you are obligated to buy into, so it is less so a factor.

 

Just a correction: the US does in fact have government healthcare, in medicaid, medicare, and premium subsidies (ACA) as well as other state plans. You can see here that it accounts for 26% (15+11) of our national budget, not including additional state spending on it.

 

 

what I meant by national health service is a healthcare service free for all. From my undestanding, but i might be wrong, that you have to qualify first before you can avail of the services

[N-o-l-a 7,168]

12 minutes ago, anoras87 said:

what I meant by national health service is a healthcare service free for all. From my undestanding, but i might be wrong, that you have to qualify first before you can avail of the services

 

A huge percentage of the population qualifies. Most births are covered by the government.

 

One of the primary disqualifying factors is an employer who offers insurance that is under a certain percentage of your income, so obviously not pertaining to you all. I'm sure it will be taken into account that you don't qualify for these services. 

 

 

Edited August 11, 2019 by N-o-l-a

[anoras87 9]

1 minute ago, N-o-l-a said:

 

A huge percentage of the population qualifies. Most births are covered by the government. Everyone in my house is covered by our state or the federal government at the moment.  When I'm working, that will all go out the window, despite health costs eating up most of my income. 

 

One of the primary disqualifying factors is an employer who offers insurance that is under a certain percentage of your income, so obviously not pertaining to you all. I'm sure it will be taken into account that you don't qualify for these services. 

 

 

Thanks for your reply. Its bit daunting dealing with health insurance as we do not deal with those stuff here in the UK. im still digesting all bits and pieces about how the healthcare system in America works if im honest

[Love To Teach 161]

18 hours ago, anoras87 said:

If I may, the best comparison would be someone living with HIV and someone living with Diabetes Type 2 or someone with Hypertension, these diseases are incurable but treatable, 

Are the medicine and medical costs similar? I have no idea.

[Love To Teach 161]

18 hours ago, anoras87 said:

 

Thank you for your response. I respect your opinion. but let me point out some interesting facts that you raised by quoting you with your statements, 

 

wouldn't they look carefully at someone who is bringing over a guaranteed high-cost medical condition for the rest of his life?

- No, because, unlike the UK and other EU countries where healthcare is free for its residents and citizen, US does not have a national health service much like here in the UK so government cannot dictate who to bring other than those sited on the Immigration and Nationality act,  He is my husband,  so he qualifies as my dependent  

 

One way or the other, unless something changes, other insured people end up paying for a person's high cost illness, whether it be premiums or drug costs.- It's true, there is a huge possibility that I might be paying my husband's high cost of illness thru premiums, but that is my own money, so I do not see why the government would intervene. 

 

If this nurse loses her job or becomes unable to work (and that happens a lot) he would become an expensive public charge, as would anyone with a high-cost condition. Just wondering if that plays into the decision. accordign to USCIS, they look at the persons totality of circumstances before deciding whether or not he becomes a public charge, as per definition, an alien can become a public charge if he is PRIMARILY dependent on government funds, factors such as age, health, financial status, family, skills, experience are what the Consul are consdering before he decides whether an alien becomes a public charge. 

 

For an example, maybe not just like this, but an example of what can happen. My brother gets about 1400 a month in disability because he has muscular dystrophy to the point he sits in bed all day because moving exhausts him. He is to the point where he can walk with his walker maybe 10 feet. He makes 66 too much a month to get Medicaid. He cannot get home health care because he can manage to get in his wheelchair from his bed (where he stays all day) and can wipe his butt (sorry, but being blunt). So he does not  qualify for any home health care. He must pay over 1000 a month for his medicine. Thank God he can live with his son, but everyone in the family works, so he is alone during the day. If he wasn't able to live with his son (he can't get into my house because of the steps and can't get in my bathtub), a person like him who had no family would be on the streets. I tell you this just as an example of what can happen so easily. When he lived in Florida with his girlfriend, who is also disabled, he could get 30 hours of home health care and had small medicine copays. Both of their disability checks went to pay living expenses. His gf had to go live with her daughter because of health issues, so in just a few weeks time, he had to make a major life change. I am telling this because it shows how quickly life circumstances can change, especially when you have a chronic disease. Health care costs can quickly overwhelm a family or person. Sorry to go on so long.-

your brother's disability is complete different from my husband, to start with, my husband although diagnosed with HIV but has been undetectable since 2014, and his cd4 count although not at its best but as per the Infectious Disease Specialist, should be stable when relating to its viral load. My husband has been employed since his diagnosis and has never had any hospitalization related to hiv. your brother on the other has a muscular disorder the results in increasing weakness and eventually inability to walk, his disorder unfortunately affects his productivity whereas for someone with HIV, so long as they keep up to date with their medication and continues to be undetectable, they can live a normal life just like anyone else.  so your case comparison between your brother and my husband has a wide disproportionate common ground and although both of them can be considered as disability, but the circumstances are completely different let alone the prognosis and etiology. 

 

Thanks for the info! It's always nice to get other information, especially from a person that is nice!

[anoras87 9]

Just now, Love To Teach said:

Are the medicine and medical costs similar? I have no idea.

That is a silly question albeit stupid in my honest opinion. In that case, how did you intent to correlate my husband's HIV status and your brother's Muscular dystrophy if you're only concern is the cost of the medicine. what I was trying to say was the mere fact that both diseases are long term ( chronic), they both endure taking medicines for life.  I bet you don't have a medical background to begin with. 

[Love To Teach 161]

5 hours ago, anoras87 said:

That is a silly question albeit stupid in my honest opinion. In that case, how did you intent to correlate my husband's HIV status and your brother's Muscular dystrophy if you're only concern is the cost of the medicine. what I was trying to say was the mere fact that both diseases are long term ( chronic), they both endure taking medicines for life.  I bet you don't have a medical background to begin with. 

I take back what I said. You're not nice, you're very rude.

[designguy 1,179]

Not sure if the new policy (going into effect in october) on determining if someone is likely to become a public charge (ie now apparently defined as using any public assistance) could have any impact on your case. They are heading more and more into a policy of trying to find reasons to deny cases rather than approve. You may want to check in with a lawyer to see if there is anything else you can do to prepare yourself

Edited August 12, 2019 by designguy

[anoras87 9]

13 minutes ago, designguy said:

Not sure if the new policy (going into effect in october) on determining if someone is likely to become a public charge (ie now apparently defined as using any public assistance) could have any impact on your case. They are heading more and more into a policy of trying to find reasons to deny cases rather than approve. You may want to check in with a lawyer to see if there is anything else you can do to prepare yourself

I heard of that as well, hopefully we wont be affected as his interview will be this month. 

[N-o-l-a 7,168]

4 minutes ago, anoras87 said:

I heard of that as well, hopefully we wont be affected as his interview will be this month. 

 

Keep us updated, it is should be an interesting case to find out the outcome of.

[anoras87 9]

5 hours ago, Love To Teach said:

I take back what I said. You're not nice, you're very rude.

Im sorry if you think I have offended you in any way by stating my own personal opinion. I didn't mean that youre silly or stupid but the question was. let me point out to you why I think trying to compare the medication and the cost of medication between HIV and diabetes as well as hypertension is a complete and utter none sense. 

 

Diabetes type 2 is a chronic condition that affects the production of insulin in the pancreas, or for most people they develop a resistance to insulin that in the long run, the body does respond properly ( physiologically) to a rise in the blood sugar level. these type of people would need a medication that cost antidiabetic medication or even insulin administration.  there is no known cure for diabetes as of this writing. these medications are taken for life. 

 

Hypertension is a chronic condition whereby there is a sustain elevation of a person's blood pressure in a given time frame. it could be a primary hypertension meaning, there is no secondary reason why the person is developing an elevated blood pressure or it could be secondary where in another organ is possibly causing the hypertension, example are those people who have kidney problems as kidney regulates the blood pressure in the body along with the lungs. these people needs antihypertensive medication and there are tons of variety of medication in the market.  there is no known cure for hypertension ( specifically the primary hypertension) . these medications are taken for life. 

 

HIV is a type of retrovirus that attacks the bodies immune system and destroys it and eventually lead to death if there are no interventions . People with HIV are taking Antiretroviral medication to control the virus in the blood to the point that it is no longer detectable with the current testing available, that condition is called Undectable Status. these medications also helps to increase the immune system ( cd4 tcell ). there is no known cure for HIV and these medications are taken for life. 

 

Now the mere fact I compared HIV to Diabetes and Hypertension is because those disorders ( hypertension and diabetes) have no known cure and people afflicted with it are taking medications for life. 

 

If stating the obvious to you is being rude, maybe next time you open your mouth and give a so called comparison between my husband's HIV status and your brother's Muscular disorder , you Start reading how the two disorders are comparable if you can . Albeit, you would realize that the two a have no pathophysiological ( disease process) , cellular(physiology) , microbiological(microogranism) and symptom connection at all.  The only hint of connection between muscular dystrophy and HIV is the fact the both are chronic conditions. You can't even labelled both of them as a disability because, HIV can only become a disability if the person is unable to work which is the case of your brother. 

 

I didn't take offense on your opinion, as a medical practitioner, I am open to criticisms, what I took offense is the moment you open your mouth and comparing my husband to your brother's condition.  Not only it was insulting and rude, but it shows how unreliable, baselss and an utter none sense your point of argument is. 

 

So next time you comment on my post saying I am rude, THINK FIRST BEFORE YOU TALK!

 

 

 

[anoras87 9]

6 hours ago, N-o-l-a said:

 

Keep us updated, it is should be an interesting case to find out the outcome of.

Today, he went for his medical, and tomorrow he starts his sputum exam, the doctors where not concerned about his hiv status at all. they did not even ask for any medical summary or treatment list other than a one paragraph letter from the GP stating he has HIV and is taking anti retroviral medication. 

we decided to reschedule his embassy interview on the 27th of September because that is a day after the 6 weeks waiting time for the sputum test to come out, althought we are aware that it could take up to 8 weeks. nevertheless, we hypothesize that if the sputum test comes out on the 26th of september, then having the interview the following day would allow the consul to have all the document he needs to decides. 

Interestingly,as I kept looking for people online having the same situation of my husband, I stumbled another person who's husband was hiv positive. we have been in contact for 2 days now and we met on facetime with his family. According to her, they didn't have any issues with the medical apart from the 3 day sputum test and the 6-8 weeks long wait. but after that, the only thing that was asked during the interveiw was when do they plan to fly. I hope we would have the same scenario although I am well aware that its a caseto case basis. 

[Love To Teach 161]

12 hours ago, anoras87 said:

Im sorry if you think I have offended you in any way by stating my own personal opinion. I didn't mean that youre silly or stupid but the question was. let me point out to you why I think trying to compare the medication and the cost of medication between HIV and diabetes as well as hypertension is a complete and utter none sense. 

 

Diabetes type 2 is a chronic condition that affects the production of insulin in the pancreas, or for most people they develop a resistance to insulin that in the long run, the body does respond properly ( physiologically) to a rise in the blood sugar level. these type of people would need a medication that cost antidiabetic medication or even insulin administration.  there is no known cure for diabetes as of this writing. these medications are taken for life. 

 

Hypertension is a chronic condition whereby there is a sustain elevation of a person's blood pressure in a given time frame. it could be a primary hypertension meaning, there is no secondary reason why the person is developing an elevated blood pressure or it could be secondary where in another organ is possibly causing the hypertension, example are those people who have kidney problems as kidney regulates the blood pressure in the body along with the lungs. these people needs antihypertensive medication and there are tons of variety of medication in the market.  there is no known cure for hypertension ( specifically the primary hypertension) . these medications are taken for life. 

 

HIV is a type of retrovirus that attacks the bodies immune system and destroys it and eventually lead to death if there are no interventions . People with HIV are taking Antiretroviral medication to control the virus in the blood to the point that it is no longer detectable with the current testing available, that condition is called Undectable Status. these medications also helps to increase the immune system ( cd4 tcell ). there is no known cure for HIV and these medications are taken for life. 

 

Now the mere fact I compared HIV to Diabetes and Hypertension is because those disorders ( hypertension and diabetes) have no known cure and people afflicted with it are taking medications for life. 

 

If stating the obvious to you is being rude, maybe next time you open your mouth and give a so called comparison between my husband's HIV status and your brother's Muscular disorder , you Start reading how the two disorders are comparable if you can . Albeit, you would realize that the two a have no pathophysiological ( disease process) , cellular(physiology) , microbiological(microogranism) and symptom connection at all.  The only hint of connection between muscular dystrophy and HIV is the fact the both are chronic conditions. You can't even labelled both of them as a disability because, HIV can only become a disability if the person is unable to work which is the case of your brother. 

 

I didn't take offense on your opinion, as a medical practitioner, I am open to criticisms, what I took offense is the moment you open your mouth and comparing my husband to your brother's condition.  Not only it was insulting and rude, but it shows how unreliable, baselss and an utter none sense your point of argument is. 

 

So next time you comment on my post saying I am rude, THINK FIRST BEFORE YOU TALK!

 

 

 

I rest my case about your rudeness. You must take offense at everything. I'm done.