Question for those with Medicaid Coverage

[mom2lillian]

Alyssa-I can only say at my clinci and since things vary so much it might be worth calling your old and new clinic. At my clinic they get all the same stuff but maybe not as many neb cups or as new a neb or my cool new vest etc but all the basics definately there is not a different 'standard of care'.

Of course MI also has a supplementary form of medicaid for people with illnesses that are considered 'catastrophic' financiially and are terminal and onset in childhood so it is different than 'just' medicaid though I know its all same in end. If you keep cigna then all the copays and such they dont pick up will be picked up by your 2' (medicaid) this is what happens alot her in MI and this is what I had going on for a year or so before marriage. If you can keep both for a while it seems that would be best.

 

[mom2lillian]

Alyssa-I can only say at my clinci and since things vary so much it might be worth calling your old and new clinic. At my clinic they get all the same stuff but maybe not as many neb cups or as new a neb or my cool new vest etc but all the basics definately there is not a different 'standard of care'.

Of course MI also has a supplementary form of medicaid for people with illnesses that are considered 'catastrophic' financiially and are terminal and onset in childhood so it is different than 'just' medicaid though I know its all same in end. If you keep cigna then all the copays and such they dont pick up will be picked up by your 2' (medicaid) this is what happens alot her in MI and this is what I had going on for a year or so before marriage. If you can keep both for a while it seems that would be best.

 

[mom2lillian]

Alyssa-I can only say at my clinci and since things vary so much it might be worth calling your old and new clinic. At my clinic they get all the same stuff but maybe not as many neb cups or as new a neb or my cool new vest etc but all the basics definately there is not a different 'standard of care'.

Of course MI also has a supplementary form of medicaid for people with illnesses that are considered 'catastrophic' financiially and are terminal and onset in childhood so it is different than 'just' medicaid though I know its all same in end. If you keep cigna then all the copays and such they dont pick up will be picked up by your 2' (medicaid) this is what happens alot her in MI and this is what I had going on for a year or so before marriage. If you can keep both for a while it seems that would be best.

 

[mom2lillian]

Alyssa-I can only say at my clinci and since things vary so much it might be worth calling your old and new clinic. At my clinic they get all the same stuff but maybe not as many neb cups or as new a neb or my cool new vest etc but all the basics definately there is not a different 'standard of care'.

Of course MI also has a supplementary form of medicaid for people with illnesses that are considered 'catastrophic' financiially and are terminal and onset in childhood so it is different than 'just' medicaid though I know its all same in end. If you keep cigna then all the copays and such they dont pick up will be picked up by your 2' (medicaid) this is what happens alot her in MI and this is what I had going on for a year or so before marriage. If you can keep both for a while it seems that would be best.

 

[Wheezie]

Medicaid is different in every state so I'm not exactly sure how it would work for you. The quality of care is compromised with medicaid in my opinion, but if you're going to an accredited CF Center, my experience there has been superior no matter what insurance I'm using. I've been on Medicaid and I now have private insurance - I have experienced NO change in care from my CF docs. One problem I did have was attempting to get home IVs authorized. Because it's medicine, it falls under the medicare part D prescription drug program, which refuses to pay for home IVs. It was either stay in the hospital, which I was not sick enough to do so they wouldn't continue to pay for that, or go into a nursing home to remain on IVs...totally ridiculous.

I also don't know about using medicaid as a secondary insurance. When I had medicaid, I also had medicare and a state program here in CA called GHPP. They all fought with each other over who would pay for what and I never knew for sure which was primary and which was secondary. It was quite a hassle, but in the end everything always got covered. So after that lengthy response, my answer really is that it may get complicated; it may get frustrating; but if you are persistant, and you have a good CF team (my nurse, for example, has always been REALLY helpful in dealing with insurance issues), you will get everything you need covered. You really have to be agressive when they deny stuff though - and they most likely will deny things (I've had problems with Pulmozyme and Tobi, but always got it covered eventually). With prescriptions, order way ahead of time.

Hope this helps and good luck to you <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[Wheezie]

Medicaid is different in every state so I'm not exactly sure how it would work for you. The quality of care is compromised with medicaid in my opinion, but if you're going to an accredited CF Center, my experience there has been superior no matter what insurance I'm using. I've been on Medicaid and I now have private insurance - I have experienced NO change in care from my CF docs. One problem I did have was attempting to get home IVs authorized. Because it's medicine, it falls under the medicare part D prescription drug program, which refuses to pay for home IVs. It was either stay in the hospital, which I was not sick enough to do so they wouldn't continue to pay for that, or go into a nursing home to remain on IVs...totally ridiculous.

I also don't know about using medicaid as a secondary insurance. When I had medicaid, I also had medicare and a state program here in CA called GHPP. They all fought with each other over who would pay for what and I never knew for sure which was primary and which was secondary. It was quite a hassle, but in the end everything always got covered. So after that lengthy response, my answer really is that it may get complicated; it may get frustrating; but if you are persistant, and you have a good CF team (my nurse, for example, has always been REALLY helpful in dealing with insurance issues), you will get everything you need covered. You really have to be agressive when they deny stuff though - and they most likely will deny things (I've had problems with Pulmozyme and Tobi, but always got it covered eventually). With prescriptions, order way ahead of time.

Hope this helps and good luck to you <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[Wheezie]

Medicaid is different in every state so I'm not exactly sure how it would work for you. The quality of care is compromised with medicaid in my opinion, but if you're going to an accredited CF Center, my experience there has been superior no matter what insurance I'm using. I've been on Medicaid and I now have private insurance - I have experienced NO change in care from my CF docs. One problem I did have was attempting to get home IVs authorized. Because it's medicine, it falls under the medicare part D prescription drug program, which refuses to pay for home IVs. It was either stay in the hospital, which I was not sick enough to do so they wouldn't continue to pay for that, or go into a nursing home to remain on IVs...totally ridiculous.

I also don't know about using medicaid as a secondary insurance. When I had medicaid, I also had medicare and a state program here in CA called GHPP. They all fought with each other over who would pay for what and I never knew for sure which was primary and which was secondary. It was quite a hassle, but in the end everything always got covered. So after that lengthy response, my answer really is that it may get complicated; it may get frustrating; but if you are persistant, and you have a good CF team (my nurse, for example, has always been REALLY helpful in dealing with insurance issues), you will get everything you need covered. You really have to be agressive when they deny stuff though - and they most likely will deny things (I've had problems with Pulmozyme and Tobi, but always got it covered eventually). With prescriptions, order way ahead of time.

Hope this helps and good luck to you <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[Wheezie]

Medicaid is different in every state so I'm not exactly sure how it would work for you. The quality of care is compromised with medicaid in my opinion, but if you're going to an accredited CF Center, my experience there has been superior no matter what insurance I'm using. I've been on Medicaid and I now have private insurance - I have experienced NO change in care from my CF docs. One problem I did have was attempting to get home IVs authorized. Because it's medicine, it falls under the medicare part D prescription drug program, which refuses to pay for home IVs. It was either stay in the hospital, which I was not sick enough to do so they wouldn't continue to pay for that, or go into a nursing home to remain on IVs...totally ridiculous.

I also don't know about using medicaid as a secondary insurance. When I had medicaid, I also had medicare and a state program here in CA called GHPP. They all fought with each other over who would pay for what and I never knew for sure which was primary and which was secondary. It was quite a hassle, but in the end everything always got covered. So after that lengthy response, my answer really is that it may get complicated; it may get frustrating; but if you are persistant, and you have a good CF team (my nurse, for example, has always been REALLY helpful in dealing with insurance issues), you will get everything you need covered. You really have to be agressive when they deny stuff though - and they most likely will deny things (I've had problems with Pulmozyme and Tobi, but always got it covered eventually). With prescriptions, order way ahead of time.

Hope this helps and good luck to you <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[Wheezie]

Medicaid is different in every state so I'm not exactly sure how it would work for you. The quality of care is compromised with medicaid in my opinion, but if you're going to an accredited CF Center, my experience there has been superior no matter what insurance I'm using. I've been on Medicaid and I now have private insurance - I have experienced NO change in care from my CF docs. One problem I did have was attempting to get home IVs authorized. Because it's medicine, it falls under the medicare part D prescription drug program, which refuses to pay for home IVs. It was either stay in the hospital, which I was not sick enough to do so they wouldn't continue to pay for that, or go into a nursing home to remain on IVs...totally ridiculous.

I also don't know about using medicaid as a secondary insurance. When I had medicaid, I also had medicare and a state program here in CA called GHPP. They all fought with each other over who would pay for what and I never knew for sure which was primary and which was secondary. It was quite a hassle, but in the end everything always got covered. So after that lengthy response, my answer really is that it may get complicated; it may get frustrating; but if you are persistant, and you have a good CF team (my nurse, for example, has always been REALLY helpful in dealing with insurance issues), you will get everything you need covered. You really have to be agressive when they deny stuff though - and they most likely will deny things (I've had problems with Pulmozyme and Tobi, but always got it covered eventually). With prescriptions, order way ahead of time.

Hope this helps and good luck to you <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[Wheezie]

Medicaid is different in every state so I'm not exactly sure how it would work for you. The quality of care is compromised with medicaid in my opinion, but if you're going to an accredited CF Center, my experience there has been superior no matter what insurance I'm using. I've been on Medicaid and I now have private insurance - I have experienced NO change in care from my CF docs. One problem I did have was attempting to get home IVs authorized. Because it's medicine, it falls under the medicare part D prescription drug program, which refuses to pay for home IVs. It was either stay in the hospital, which I was not sick enough to do so they wouldn't continue to pay for that, or go into a nursing home to remain on IVs...totally ridiculous.

I also don't know about using medicaid as a secondary insurance. When I had medicaid, I also had medicare and a state program here in CA called GHPP. They all fought with each other over who would pay for what and I never knew for sure which was primary and which was secondary. It was quite a hassle, but in the end everything always got covered. So after that lengthy response, my answer really is that it may get complicated; it may get frustrating; but if you are persistant, and you have a good CF team (my nurse, for example, has always been REALLY helpful in dealing with insurance issues), you will get everything you need covered. You really have to be agressive when they deny stuff though - and they most likely will deny things (I've had problems with Pulmozyme and Tobi, but always got it covered eventually). With prescriptions, order way ahead of time.

Hope this helps and good luck to you <img src="i/expressions/face-icon-small-smile.gif" border="0">

 

[julie]

I'll tell you one thing, WA state medicaid pays BETTER (yes, I said BETTER!) than Tricare (military insurance).

I can't answer questions about ND, but I can share our experiences with WA state and CA medicaid coverage.

Some offices treated us differently, other offices treated us very well. As far as coverage, it was fabulous for us, in both states. We had no copays for any office visit or Rx, they covered all Xrays, CT scans, ultrasounds, even boost.

Good luck with all of this!

 

[julie]

I'll tell you one thing, WA state medicaid pays BETTER (yes, I said BETTER!) than Tricare (military insurance).

I can't answer questions about ND, but I can share our experiences with WA state and CA medicaid coverage.

Some offices treated us differently, other offices treated us very well. As far as coverage, it was fabulous for us, in both states. We had no copays for any office visit or Rx, they covered all Xrays, CT scans, ultrasounds, even boost.

Good luck with all of this!

 

[julie]

I'll tell you one thing, WA state medicaid pays BETTER (yes, I said BETTER!) than Tricare (military insurance).

I can't answer questions about ND, but I can share our experiences with WA state and CA medicaid coverage.

Some offices treated us differently, other offices treated us very well. As far as coverage, it was fabulous for us, in both states. We had no copays for any office visit or Rx, they covered all Xrays, CT scans, ultrasounds, even boost.

Good luck with all of this!

 

[julie]

I'll tell you one thing, WA state medicaid pays BETTER (yes, I said BETTER!) than Tricare (military insurance).

I can't answer questions about ND, but I can share our experiences with WA state and CA medicaid coverage.

Some offices treated us differently, other offices treated us very well. As far as coverage, it was fabulous for us, in both states. We had no copays for any office visit or Rx, they covered all Xrays, CT scans, ultrasounds, even boost.

Good luck with all of this!

 

[julie]

I'll tell you one thing, WA state medicaid pays BETTER (yes, I said BETTER!) than Tricare (military insurance).

I can't answer questions about ND, but I can share our experiences with WA state and CA medicaid coverage.

Some offices treated us differently, other offices treated us very well. As far as coverage, it was fabulous for us, in both states. We had no copays for any office visit or Rx, they covered all Xrays, CT scans, ultrasounds, even boost.

Good luck with all of this!

 

[julie]

I'll tell you one thing, WA state medicaid pays BETTER (yes, I said BETTER!) than Tricare (military insurance).

I can't answer questions about ND, but I can share our experiences with WA state and CA medicaid coverage.

Some offices treated us differently, other offices treated us very well. As far as coverage, it was fabulous for us, in both states. We had no copays for any office visit or Rx, they covered all Xrays, CT scans, ultrasounds, even boost.

Good luck with all of this!