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Old 08-08-2013, 01:36 PM   #1
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Default medicaid questions

Okay quick background. My girlfriend came from a broken home and a mom that abbused drugs. And her mom treated her like shit.

So shw moved in with me. Her mom cut her off her insurance. My gf is 19 and recently hasnt been feeling well. So today her grandma too het to the dr. She has a lump in her breast and the dr said they couldnt do a ultrasound because she doesnt have insurance. But said she doesnt think its cancer. I dont trust drs anyways bevause one said the same thing to my mom and she had breast cancer and the sane thing ti my grandma and she dued from cancer. And the sane thing to my grandpa and he got cancer.

The dr said go get medicaid. And my gf went to get it and they saud she was "maxed out" idk what that means cause shes never used it or anything lke it. She said the lady said something abt she was to old. Shes 19. Sooo any ideas as to why she couldnt get it?

Her dr even told her too. Soooo....
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Old 08-08-2013, 01:49 PM   #2
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Default Re: medicaid questions

My daughter has just been approved for ob/gyn care thru Medicaid. She is not working, but isn't qualified for much else. Medicaid does limit some services due to age (as a PT I know physical therapy is only for people under 21). I also know that enrollment may be denied based on household income.

Hope she gets coverage. I have no idea what "maxed out" means...
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Old 08-08-2013, 02:20 PM   #3
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Default Re: medicaid questions

Maxed out may refer to income? I really dont know, I have never heard it phrased like that and I work in the industry.

The above poster is correct through, Medicaid is based on income as % of Federal Poverty Level and also age.

Try looking at this website for eligibility questions...

https://www.scdhhs.gov/how-to-apply

As far as the doctor not treating your g/f for the ultrasound is bs...the doc should still take her and advise her on a payment plan
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Old 08-08-2013, 02:28 PM   #4
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Default Re: medicaid questions

Thanks guys. Im pretty upset abt all this. Jus cause ive been thru a lot with family members. Thanks for the info and link.
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Old 08-08-2013, 03:42 PM   #5
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Default Re: medicaid questions

Call around. I could not get insurance for a couple of decades due to a pre existing condition. I was supposed to have yearly ultrasounds. My doctor told me to go to a local place, Boston Diagnostics, and they would only charge me Medicare rates if I would pay in full at time of service. The total price was only about $90 that way. Also, if she makes more than the poverty level she can buy health insurance from the exchange beginning in October.
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Old 08-08-2013, 03:51 PM   #6
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Default Re: medicaid questions

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Originally Posted by The Yancey View Post
Also, if she makes more than the poverty level she can buy health insurance from the exchange beginning in October.
Isn't it up to the states to set up the exchanges? I don't think South Carolina is setting up an exchange.

I could be completely wrong.
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Old 08-08-2013, 04:21 PM   #7
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Default Re: medicaid questions

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Originally Posted by davidmc467 View Post
Isn't it up to the states to set up the exchanges? I don't think South Carolina is setting up an exchange.

I could be completely wrong.
If states do not set up their own exchange, the exchange in that state will default to the Federal exchange.
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Old 08-08-2013, 04:29 PM   #8
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Default Re: medicaid questions

TKE is correct. Now because SC will not expand Medicaid there will be a large group of people who make too much for Medicaid but not enough to buy insurance on the exchange. These people are screwed. Sadly they are the ones who may need it the most. Here is the official site: https://www.healthcare.gov/
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Old 08-08-2013, 04:32 PM   #9
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Default Re: medicaid questions

http://www.palmettohealth.org/body.cfm?id=3766
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Old 08-08-2013, 04:34 PM   #10
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Default Re: medicaid questions

i was at a conference in KY where they do have their own state exchange and are expanding Medicaid coverage to 138% of FPL (133%+5% foregiveness). All that is creating is a whole other set of problems.
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