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<blockquote data-quote="confuzzled" data-source="post: 487659" data-attributes="member: 8831"><p>that happened here over the summer and i fail to see how its "better" either. in my opinion, its been a colossal PITA--i have a bunch of suppliers decide to NOT participate in any of the choices and was stuck scrambling for new ones. </p><p></p><p>our case is a little different because we have a primary ins so the medicaid portion only really picks up co-pays and the stuff thats not covered. i didnt have to switch doctors, since i dont mind the co-pay for people i respect, but had no choice on suppliers (mucho dinero per month, it made no sense to pay out of pocket).</p><p></p><p>i called our medicaid hotline to find out all of the rules and try to decide which plan would work. it was VERY difficult to compare and contrast--information was sparse and it was near impossible to get it directly from the hmo co. themselves.</p><p></p><p>if nothing else, call and ask what happens/when you can change hmo's if it DOESNT work for you--i found out that you could switch pretty immediately and there was no once a year type open enrollment.</p><p></p><p>good luck with that part of it--i totally empathize--the whole thing ate up a lot of time that i didnt have, and in the end, hasnt been as awesome as it was cracked up to be. its a <em>terrible</em> solution for complex needs or disabilities--its much better suited to other type of 'caid recipients--the generally healthy, than our kiddos.</p><p></p><p>oh, there was <em>one</em> perk--some cover some OTC medications. which ones, I don't know of course, lol, as its apparently a "Secret", but evidently if you dr writes an rx for say, claritin, *IF* its on their formularly they will cover the cost. but as the fates would have it, none of <em>our</em> (monthly) OTCs are on that list, ROFL.</p></blockquote><p></p>
[QUOTE="confuzzled, post: 487659, member: 8831"] that happened here over the summer and i fail to see how its "better" either. in my opinion, its been a colossal PITA--i have a bunch of suppliers decide to NOT participate in any of the choices and was stuck scrambling for new ones. our case is a little different because we have a primary ins so the medicaid portion only really picks up co-pays and the stuff thats not covered. i didnt have to switch doctors, since i dont mind the co-pay for people i respect, but had no choice on suppliers (mucho dinero per month, it made no sense to pay out of pocket). i called our medicaid hotline to find out all of the rules and try to decide which plan would work. it was VERY difficult to compare and contrast--information was sparse and it was near impossible to get it directly from the hmo co. themselves. if nothing else, call and ask what happens/when you can change hmo's if it DOESNT work for you--i found out that you could switch pretty immediately and there was no once a year type open enrollment. good luck with that part of it--i totally empathize--the whole thing ate up a lot of time that i didnt have, and in the end, hasnt been as awesome as it was cracked up to be. its a [I]terrible[/I] solution for complex needs or disabilities--its much better suited to other type of 'caid recipients--the generally healthy, than our kiddos. oh, there was [I]one[/I] perk--some cover some OTC medications. which ones, I don't know of course, lol, as its apparently a "Secret", but evidently if you dr writes an rx for say, claritin, *IF* its on their formularly they will cover the cost. but as the fates would have it, none of [I]our[/I] (monthly) OTCs are on that list, ROFL. [/QUOTE]
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