does anyone know which meds medicaid covers? after not having meds for over a week, i finally got the ritalin la, that i just had a few months back, and apparently starting this year, they are no longer coverd. so now im stuck holding the script untill next week, the doc will try to get it pre-authorized. i am getting so disgusted, this is the third time this happened. it makes me wonder they even give you a script, if they know you cant get it filled.does anyone know anything about this, please respond!
isnt there anyone out there at all who knows a little about medicaid? or has some idea what government assistance covers or dont cover? please!
EYEFORGOT
01-06-07, 04:43 PM
I'm sorry no one has answered yet. There may be someone who knows but hasn't been on the forums recently. Sometimes some threads take a while for a response.
Has googling it produced any results remotely helpful?
The best advice I can give is to contact your worker that you get your medicaid through or there should be a 800 number on the back of your card.It depends on the state you are in I believe.
medicaid as a state-federal partnership differs widely from state to state. Whether you have a managed care plan (HMO), or straight medicaid (if they even have that anymore), or one of the other alternatives offered by certain states for income-dependent prescription drug bene's only, you need to figure out who is servicing your plan and contact that department or company for information. my guess, and again this is just an educated guess, is that you have one of the managed care plans. In this case, you would have a card you need to use to get your benefits at your dr's office or pharmacy. There is a phone # on either the back or front of the card. Insurance is confusing, but it is not impossible, and while it's a HUGE pain in the neck, you can do this! You just need to talk to those "in the know" about your particular plan, to find out how :)
to my knowledge, there are no specific meds that are non-covered by ALL medicaid pland or excluded by law. however, you will probably have better luck getting coverage for something available in generic, like regular ritalin or adderall (not the extended-release versions, some of which are not yet available in generic).