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Old Jun 04, 2015, 11:58 PM
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BeyondtheRainbow BeyondtheRainbow is offline
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Member Since: Apr 2015
Location: US
Posts: 10,204
Are you able to spend-down your Medicaid? I don't know how straight medicaid works and states are different. In Ohio I have disability Medicaid which means that any month that I either write Medicaid a check for an amount based on my income (it is what lowers me to eligiblity) or spend that much on medical bills they pay for anything over that amount. So for my ankle surgery last year I should only have to pay about maybe 30% of what I'm guessing the adjusted cost will be when we finally get to that point. I could include anything in that amount, at least as far as I understand it so my therapy, dentist and meds were covered that month unless I'm really wrong. And my dentist and therapist aren't medicaid providers and I have no idea about my pharmacy. They are not so good with answering questions in this county; I wish I'd asked more in my old county. If I go IP that too will be covered.

I have no idea if that could help you in any way. I know things get really tricky with restrictions on people getting any help from govt. programs. I get a lot of meds through patient assistance and have had to request exemptions because I have Med D even though Med D would require me to pay up to half my monthly check for just one med. I looked at using the Latuda coupon to just get started but I wasn't eligible for it due to the govt. insurance and out of pocket for one week was about $200 I think. So much for that.

It is so confusing how it all works. I dealt wtih Medicaid professionally for years and knew there was a lot of nonsense (ie denying me wheelchairs for people who couldn't sit up without special chairs so that I learned to build fancy wheelchairs from scraps) but now that I'm in the system I'm blown away. I'm not sure if I got kicked out and have to restart or not because they changed my address wrong even though I provided it in writing and via phone message, twcie. They didn't return my call. I'll have to deal with that tomorrow in fact.

I wish it were easier for you. Does the pdoc you liked so much, the woman, take medicaid? If she did maybe calling and saying you'd been a patient, having trouble finding someone, etc might work or at least be worth yet another phone call.
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Thanks for this!
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