they have stopped covering a lot of meds and also limit the amount of prescriptions a month. I don't know how they think it will save them money to put people in a circumstance where they have to go to the ER every other week because they r in diar straits. We need to contact our representatives and let them know we r suffering for no cause at all, does this make sence to anyone else cause it sure does not to me and im disabled, they don't care
There are alot of meds medicare doesn't cover now. Most of them pain meds. I agree with you, only I think its not going to save them money because we'll end up in ICU. The way to beat them at this game is to get your meds changed to the things they do pay for. How many prescriptions are they allowing a month? While medicare limits the quantity of some of the meds, there is nothing like we can only get 6 prescriptions a month. The other thing is that you doctor can write a letter to medicaid asking for coverage for you.
Unfortunately , it depends on what state you live in as to how the Medicaid program works. Medicare is the same across all 50 states. Medicaid is a state run program with help from the federal government. If you live in Florida they refuse to take Medicaid, and many many people are suffering because of that governor. Other states have really great Medicaid programs. You are correct that you have to write to your state legislators, not federal legislators.
the only way to get the meds you need is to contact your insurance co talk with a case worker and tell them that the meds you need keep you out of the ER and that's up to each person to do themselves so your insurance co thinks you are not trying to spend their money. 1 visit to the ER will cost your insurance co more money then a years cost of any medication.BUT things are going to get worse before they get better. So tell your voted in officials if they want to keep them cushy jobs and great money not to mention better health care then we get that you will be watching how they vote.
I agree with all of you! I have seen so many signs in doctors offices lately that they are no longer taking medicaid patients. Part of that is because our state is broke & the doctor, nursing homes etc... ar not getting paid. The presciption coverage tho, is a different thing. I believe that medicaid is trying to follow the medicare Part D rules. Each state is different. Some have a spend down, some have a co-pay, & some don't have to pay at all for prescriptions. My borother lives in first Arizona, & is on disability, & medicaid to fill the gap. He paid $1 for each of his prescriptions as a co-pay. Now he lives in Washington state, & pays a bit more, but not much. They are not covering certain pain meds that he has been on for a long time. Our insurance has decided to use the medicare part D at the first of the year.
Our co-pays will be the same (so they say), but it's my understanding there is a list which we haven't recieved of what drugs medicare will pay for or not. I am very afraid of what this list will say. I'm sure I can find it online, but then with UHC as secondary I just haven't received the info to find out if they will back us up on some of our scripts or not. I don't have a lot of scripts, but my poor sick husband does, & medicare better pay for his 25 some odd medications or he is in trouble. I should say we will be as they are life threatening drugs if he doesn't get them. It's pretty scarey... Mary
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