Topic: Does your state Medicaid (Medicare?) have good coverage for prescriptions?
Hoosiers51
Frequent Contributor (1K+ posts)
Member # 15759
posted
(changed subject line to include Medicare, because I'm not really sure about the difference, but it might be called different things in different states)
The Medicaid (state/government health insurance for those that qualify because of disability AND low income) in my current state is pretty good coverage for prescriptions.
They pay for most of my meds, and the copay is low. Sometimes they'll deny it the first time, and I'll have to have the doctor sign a form saying I really do need X drug, but usually after that they'll cover it, and it is not a big hassle to get that done.
But I'm looking at moving to a different state soon, North Carolina specifically, so I was wondering what Medicaid is like in other states as far as prescription coverage.
I'm mainly just worried they'll not pay for, say, Azithromycin, Bicillin, Biaxin, Mepron, Malarone....those kinds of things. (not together, just examples)
I know I'd qualify for Medicaid, just wondering how it's working out for you. (not like I have any other choices)
Even though I'm particularly interested in NC, I'd still be interested to hear how the coverage is in other states...if it's good like it is in my current state...just to get a sense of what's out there.
Hoosiers51
Frequent Contributor (1K+ posts)
Member # 15759
posted
Am I really the only one on Medicaid?
Posts: 4590 | From Midwest | Registered: Jun 2008
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springshowers
Frequent Contributor (1K+ posts)
Member # 19863
posted
Do you mean Medicare? If your on disablity usually you get on Medicare and Medicaid is if you have low income and it is also federal but for low income people / families.
??
Posts: 2747 | From Unites States Of America | Registered: Apr 2009
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posted
IM ON SSI AND I HAVE MEDICAID, GOVERNMENT PAYS FOR MY SCRIPS.I MIGHT HAVE TO PAY A LITTLE BUT I NEVER HAVE, SO THEY SCAN MY PRESCRIPTION AND GIVE IT TO ME.
cfs, hhv6, mycobacterium, hsv1, cmv, pirovirus, and Epstein Barr virus.... digestive system
GOD GIVE IT, AND GOD CAN TAKE IT AWAY Posts: 655 | From new york | Registered: Dec 2009
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springshowers
Frequent Contributor (1K+ posts)
Member # 19863
posted
Yes SSI is Low Income.. If your SSDI is lower than a certain amount..
It might be better than medicare that you have to pay for and add prescription benefits for more money too.. and then find a doctor to take it... a all...
Posts: 2747 | From Unites States Of America | Registered: Apr 2009
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Hoosiers51
Frequent Contributor (1K+ posts)
Member # 15759
posted
springshowers,
I think in some states they might call what I get Medicare.
Here, it's called Medicaid. I have SSI (not SSDI because I never worked). Considering how little SSI gives you, it is considered "low income."
I know what I have is called Medicaid, and it is state-run. I know that I had to qualify by being "disabled" (by their program's standards, not the federal government's) but also I had to be low income.
In North Carolina, where I am moving to, what I would be getting is also called Medicaid. However, they will accept my federal disability as proof enough, and not make me submit all kinds of things to show the state I'm disabled, since I have SSI. And I also have to be low income in NC.
What I am talking about, you don't need to pay for. It's just hard to qualify for it.
I'll change the subject line to include "Medicare."
Posts: 4590 | From Midwest | Registered: Jun 2008
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lymednva
Frequent Contributor (1K+ posts)
Member # 9098
posted
Medicare isi a federal program that is the same in every state. Medicaid is different in each state. So qualifying is different in different places, except for those who qualify for SSDI, but their payment would be too low.
For instance it's very difficult to qualify for in VA if you are not disabled, even if you have little to no income and are uninsured. Go figure!
To find out more about a state's Medicaid program Google Medicaid with the state name.
-------------------- Lymednva Posts: 2407 | From over the river and through the woods | Registered: Apr 2006
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