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kicked off medicaid
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<blockquote data-quote="OTE" data-source="post: 4228"><p>I'm referring to medicaid and peach care interchangeably here as both are in essence medicaid.</p><p></p><p>Call the worker again and ask if they make it retro. When my kids went on there was a retro period- I could submit bills to be paid that were up to 3 mo before approval date. Also ask if the 6 mo uninsured period applies to kids coming off medicaid- I suspect not. I think this is a rule related to COBRA, not meant for kids coming off Medicaid.</p><p></p><p>If the medications won't be covered go to needymeds.com and see if the medications are on pharma co reimb program. Get the apps and rules for each medication on needymeds. Print out the apps and have the psychiatrist sign them and get them in ASAP. Sometimes the psychiatrist office has to do the work in terms of the apps and it can take weeks to get approved and get the medications. So do it ASAP so you have the medications on hand when you need them. There may be some kind of co-pay with some of the medications but it's better than the full bill. And if you make the co-pay and medicaid will pay it later you can submit the co-pay to medicaid later.</p><p></p><p>Failing all this you call your church or other local charities and ask them to help with medical costs. there's a LOT of charities that will help with kid's medical costs. They'll each have rules, some may want you to get the medications from the pharmacy they work with and/or pay the doctro directly. But you will find help. If the idea of charity is offensive just pay them back when you can- consider it a loan. Most doctors, since you're an existing patient, will work with you in terms of payment schedules. You can also ask the doctors if they work with some other clinic and could see you in another setting that has a sliding scale fee schedule until you get back on medication insur.</p><p></p><p>Take some deep breaths, this is do-able.</p></blockquote><p></p>
[QUOTE="OTE, post: 4228"] I'm referring to medicaid and peach care interchangeably here as both are in essence medicaid. Call the worker again and ask if they make it retro. When my kids went on there was a retro period- I could submit bills to be paid that were up to 3 mo before approval date. Also ask if the 6 mo uninsured period applies to kids coming off medicaid- I suspect not. I think this is a rule related to COBRA, not meant for kids coming off Medicaid. If the medications won't be covered go to needymeds.com and see if the medications are on pharma co reimb program. Get the apps and rules for each medication on needymeds. Print out the apps and have the psychiatrist sign them and get them in ASAP. Sometimes the psychiatrist office has to do the work in terms of the apps and it can take weeks to get approved and get the medications. So do it ASAP so you have the medications on hand when you need them. There may be some kind of co-pay with some of the medications but it's better than the full bill. And if you make the co-pay and medicaid will pay it later you can submit the co-pay to medicaid later. Failing all this you call your church or other local charities and ask them to help with medical costs. there's a LOT of charities that will help with kid's medical costs. They'll each have rules, some may want you to get the medications from the pharmacy they work with and/or pay the doctro directly. But you will find help. If the idea of charity is offensive just pay them back when you can- consider it a loan. Most doctors, since you're an existing patient, will work with you in terms of payment schedules. You can also ask the doctors if they work with some other clinic and could see you in another setting that has a sliding scale fee schedule until you get back on medication insur. Take some deep breaths, this is do-able. [/QUOTE]
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