Comments on: Florida Medicaid Managed Care Gets Final Approval http://www.northescambia.com/2013/06/florida-medicaid-managed-care-gets-final-approval Local News for Molino, Bratt, McDavid, Century, Walnut Hill, Cantonment Fri, 03 Apr 2026 18:45:02 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: David Huie Green http://www.northescambia.com/2013/06/florida-medicaid-managed-care-gets-final-approval/comment-page-1#comment-211541 David Huie Green Tue, 18 Jun 2013 21:55:05 +0000 http://www.northescambia.com/?p=142192#comment-211541 CONCERNING: "He applied for medicaid (his income is less than $800 a month…..but got DENIED!!!! " Was he denied because of personal property restrictions? I know of one who did qualify and was told that if he even owned a vehicle, he would not have qualified. CONCERNING:
“He applied for medicaid (his income is less than $800 a month…..but got DENIED!!!! ”

Was he denied because of personal property restrictions?

I know of one who did qualify and was told that if he even owned a vehicle, he would not have qualified.

]]> By: share of cost http://www.northescambia.com/2013/06/florida-medicaid-managed-care-gets-final-approval/comment-page-1#comment-211370 share of cost Tue, 18 Jun 2013 04:46:33 +0000 http://www.northescambia.com/?p=142192#comment-211370 Share of cost is a joke. You have to prove to bill tracking that your accumulative cost for services rendered was more than your share of cost in order for Medicaid to kick in a pay for anything. The share of cost is an accumulative amount; however, once met, your Medicaid eligibility is only active from that point through the end of the month. It does NOT go back to the first of the month. There are some families with Medically Needy (aka Share of Cost) that desperately need the full coverage with the Medicaid program, but their share of cost is $2,000 EACH person. It's all based on income, as it should be, but it also should be based on your medical/health issues. Managed care has it's ups and downs, but hopefully recipients will be assigned to ONE managed care company where they'll stay instead of being flipped flopped from one to another month-to-month. The company managing the claims for patients and provider won the third party contract by taking a lesser 'cut' and agreed to be paid less than the next guy. That simply put means that customer service will be just as bad as it has always been and we won't get state side representatives who speak clear English. Share of cost is a joke. You have to prove to bill tracking that your accumulative cost for services rendered was more than your share of cost in order for Medicaid to kick in a pay for anything. The share of cost is an accumulative amount; however, once met, your Medicaid eligibility is only active from that point through the end of the month. It does NOT go back to the first of the month. There are some families with Medically Needy (aka Share of Cost) that desperately need the full coverage with the Medicaid program, but their share of cost is $2,000 EACH person. It’s all based on income, as it should be, but it also should be based on your medical/health issues.
Managed care has it’s ups and downs, but hopefully recipients will be assigned to ONE managed care company where they’ll stay instead of being flipped flopped from one to another month-to-month. The company managing the claims for patients and provider won the third party contract by taking a lesser ‘cut’ and agreed to be paid less than the next guy. That simply put means that customer service will be just as bad as it has always been and we won’t get state side representatives who speak clear English.

]]> By: curious http://www.northescambia.com/2013/06/florida-medicaid-managed-care-gets-final-approval/comment-page-1#comment-211229 curious Mon, 17 Jun 2013 16:56:39 +0000 http://www.northescambia.com/?p=142192#comment-211229 I wouldn't say for him to make less $ but you did good for telling them about share of cost, I had forgot about that. I wouldn’t say for him to make less $ but you did good for telling them about share of cost, I had forgot about that.

]]> By: preda http://www.northescambia.com/2013/06/florida-medicaid-managed-care-gets-final-approval/comment-page-1#comment-210832 preda Sun, 16 Jun 2013 03:07:29 +0000 http://www.northescambia.com/?p=142192#comment-210832 @susan If you are in Escambia fl you should try the Escambia community clinics Some people put them down and yes it can be a little over whelming best to go early in the am or call ahead they also have a web site they can do a sliding scale its best to go to the one downtown they will help if they can I think they like to help when they can. Maybe he can apply fr disability I don't know all his stuff but its worth a try and is he living with you? do you claim him on your taxes? Please don't answer on here that's some quisstions they will ask and also maybe he should make less money so he can get Medicaid one last thing if he has a share cost this is somthin a lot of people get stuck on its ok your meds should always cost more than your share cost so you will me covered on Medicaid look people can say what they want but our government helps other countries all the time we have starving children here and that goes without meds and really when can us children get help with their smile drs go to other countries and help them poor kids here cant even get straight teeth. @susan If you are in Escambia fl you should try the Escambia community clinics Some people put them down and yes it can be a little over whelming best to go early in the am or call ahead they also have a web site they can do a sliding scale its best to go to the one downtown they will help if they can I think they like to help when they can. Maybe he can apply fr disability I don’t know all his stuff but its worth a try and is he living with you? do you claim him on your taxes? Please don’t answer on here that’s some quisstions they will ask and also maybe he should make less money so he can get Medicaid one last thing if he has a share cost this is somthin a lot of people get stuck on its ok your meds should always cost more than your share cost so you will me covered on Medicaid look people can say what they want but our government helps other countries all the time we have starving children here and that goes without meds and really when can us children get help with their smile drs go to other countries and help them poor kids here cant even get straight teeth.

]]> By: curious http://www.northescambia.com/2013/06/florida-medicaid-managed-care-gets-final-approval/comment-page-1#comment-210733 curious Sat, 15 Jun 2013 19:46:39 +0000 http://www.northescambia.com/?p=142192#comment-210733 Susan, unless your husband is ill of some sorts that he can't under no circumstances work, surely ya'll could have found a job whether it's flipping burgers or whatever until he could get back to what he was doing previously, if not relocate by the help of family & friends. I am sympathetic about your son being a diabetic, but if he is 19 as a mother we can help but its up to them, he is grown, I also have family members that are diabetics. There is some things they have to do without just to buy the meds. & test strips. One of them used to get their strips free thru ins. but that changed & they had to start buying them & they can get pretty pricey, so that was another bill they got, once seen a man with no legs working @ a Walmart, some people are just choosy when it comes to working. Just saying I wish I could help. maybe he can start putting money back until they stop, it might not go far but it'll help, maybe get help in other needs & save that money for his insulin. I do know what your going thru. Maybe he can make his appts around other people that you know in same vicinity that he could ride with them & save on gas & have that lil bit extra or split gas & it would save for all involved. Susan, unless your husband is ill of some sorts that he can’t under no circumstances work, surely ya’ll could have found a job whether it’s flipping burgers or whatever until he could get back to what he was doing previously, if not relocate by the help of family & friends. I am sympathetic about your son being a diabetic, but if he is 19 as a mother we can help but its up to them, he is grown, I also have family members that are diabetics. There is some things they have to do without just to buy the meds. & test strips. One of them used to get their strips free thru ins. but that changed & they had to start buying them & they can get pretty pricey, so that was another bill they got, once seen a man with no legs working @ a Walmart, some people are just choosy when it comes to working. Just saying I wish I could help. maybe he can start putting money back until they stop, it might not go far but it’ll help, maybe get help in other needs & save that money for his insulin. I do know what your going thru. Maybe he can make his appts around other people that you know in same vicinity that he could ride with them & save on gas & have that lil bit extra or split gas & it would save for all involved.

]]> By: susan http://www.northescambia.com/2013/06/florida-medicaid-managed-care-gets-final-approval/comment-page-1#comment-210661 susan Sat, 15 Jun 2013 14:46:30 +0000 http://www.northescambia.com/?p=142192#comment-210661 can you just tell me in plain straightforward simple english does that mean my 19 year old son who is a student and previously had medicaid can get it back again? He has diabetes type 1 and no one accepts him anywhere for health insurance...soon he will have to beg on the street or die on the street for his insulin...of course i would sell my house before i would let that happen. He has only been saved now with the alachua county choices program (not insurance but covers his prescription and doctors visits) until that program will be NO MORE due to no funding after december 2013 what are we suppose to do? He applied for medicaid (his income is less than $800 a month.....but got DENIED!!!! How can he afford to pay $500/month for his insulin? and my husband lost his job 4 years ago. We barely scrape by and have no insurance either...just the Choices program till december 2013 can you just tell me in plain straightforward simple english does that mean my 19 year old son who is a student and previously had medicaid can get it back again?
He has diabetes type 1 and no one accepts him anywhere for health insurance…soon he will have to beg on the street or die on the street for his insulin…of course i would sell my house before i would let that happen.
He has only been saved now with the alachua county choices program (not insurance but covers his prescription and doctors visits) until that program will be NO MORE due to no funding after december 2013 what are we suppose to do? He applied for medicaid (his income is less than $800 a month…..but got DENIED!!!! How can he afford to pay $500/month for his insulin? and my husband lost his job 4 years ago. We barely scrape by and have no insurance either…just the Choices program till december 2013

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