And if so, could you explain how it works?
My understanding is that the number listed after "share of cost" is like a deductible for each calendar month. Any medical expenses we incur over & above that number in a single calendar month will be paid/repaid by Medicaid. And the conditions remain the same for the next month, that share of cost/deductible must be reached again before Medicaid will pay. But that each month we are expected to pay that share of cost before Medicaid will begin to pay the remainder.
But Mister says that 2 different workers on the phone at Medicaid said that the share of cost number is the amount of medical costs that must be reached before Medicaid will pay for EVERYthing. He says he asked them again & again to explain and that is what they both said, that if your medical expenses meet or exceed that share of cost amount then Medicaid will pay for it all and your expenses would be zero.
That would be great if it's true, but it doesn't make sense to me. I need someone to monitor my high blood pressure & cholesterol, to get the lab work done to make sure the prescriptions are working correctly, and to prescribe the correct medications for that. The regular doctor I was seeing would charge about what our share of cost is, and that number is high for me. I thought I could instead go to the county health clinic and get helped there for less. Mister couldn't understand why I was looking for a low-cost clinic because of the explanation of benefits he received. I said if that were true I should go to the most exclusive private doctors on Palm Beach because Medicaid will pay the whole bill after our share of cost is passed. Which could happen after I tipped the valet & doormen at the Palm Beach doctor's office.
Please let me know what you know about these benefits. It's been so difficult to get information from the local offices, and especially during the holidays.
My understanding is that the number listed after "share of cost" is like a deductible for each calendar month. Any medical expenses we incur over & above that number in a single calendar month will be paid/repaid by Medicaid. And the conditions remain the same for the next month, that share of cost/deductible must be reached again before Medicaid will pay. But that each month we are expected to pay that share of cost before Medicaid will begin to pay the remainder.
But Mister says that 2 different workers on the phone at Medicaid said that the share of cost number is the amount of medical costs that must be reached before Medicaid will pay for EVERYthing. He says he asked them again & again to explain and that is what they both said, that if your medical expenses meet or exceed that share of cost amount then Medicaid will pay for it all and your expenses would be zero.
That would be great if it's true, but it doesn't make sense to me. I need someone to monitor my high blood pressure & cholesterol, to get the lab work done to make sure the prescriptions are working correctly, and to prescribe the correct medications for that. The regular doctor I was seeing would charge about what our share of cost is, and that number is high for me. I thought I could instead go to the county health clinic and get helped there for less. Mister couldn't understand why I was looking for a low-cost clinic because of the explanation of benefits he received. I said if that were true I should go to the most exclusive private doctors on Palm Beach because Medicaid will pay the whole bill after our share of cost is passed. Which could happen after I tipped the valet & doormen at the Palm Beach doctor's office.
Please let me know what you know about these benefits. It's been so difficult to get information from the local offices, and especially during the holidays.
