Guest guest Posted July 22, 2008 Report Share Posted July 22, 2008 Welcome to the age of Medicaid reform. If the only coverage he has is Medicaid, then they will make you choose an HMO-if you don't they will choose one for you. I had a similar problem that Dan Marino would not just bill his Medicaid, as we have Aetna as a primary, Medicaid as a secondary. They do not take Aetna, but would not take his Medicaid-they wanted me to pay up front. Doesn't make any sense to have insurance if you can't use it-not a very friendly policy of the neuro network. From: sList [mailto:sList ] On Behalf Of ECAC2@...Sent: Tuesday, July 22, 2008 7:28 AMTo: deniseslist Subject: Medicaid and HMOs Hi I have a son with autism and he has been taking Strattera for at least 4 years. One year ago we stopped being part of an HMO and went to straight Medicaid so that he could see doctors at Cleveland Clinic. His prescriptions have always been filled but now they are being denied because Medicaid is saying that he needs to be part of an HMO. Does anyone know if that's true? I don't want to change to an HMO because he will not be able to see his MD anymore. Thanks, Dorothy Get fantasy football with free live scoring. Sign up for FanHouse Fantasy Football today. ______________________________________________________________________This email has been scanned by the Broward Health Email Security System.______________________________________________________________________ - ---------------------------------------------- Broward Health Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 22, 2008 Report Share Posted July 22, 2008 From a previous post. Florida Legal Services operates a Medicaid Rx Helpline. The phone number is 1-. The Helpline can often help the parent get the prescription filled. Also, I don't want to scare you, I just want to make you aware, - please be aware that there are some nasty side effects to Strattera. My son was on a low dose of it and it ended up causing a mild seizure like reaction and he had to be hospitalized to take care of it. A friend's son who was also on a low dose, and she said, he developed muscle tics and seemed more obsessive about things. GraceSubject: Medicaid and HMOsTo: deniseslist Date: Tuesday, July 22, 2008, 7:27 AM Hi I have a son with autism and he has been taking Strattera for at least 4 years. One year ago we stopped being part of an HMO and went to straight Medicaid so that he could see doctors at Cleveland Clinic. His prescriptions have always been filled but now they are being denied because Medicaid is saying that he needs to be part of an HMO. Does anyone know if that's true? I don't want to change to an HMO because he will not be able to see his MD anymore. Thanks, DorothyGet fantasy football with free live scoring. Sign up for FanHouse Fantasy Football today. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 24, 2008 Report Share Posted July 24, 2008 I thought that if your child was autistic you did not have to choose an HMO. Has this changed? And if that is true how can Cleveland Clinic say that they only accept straight medicaid?Get fantasy football with free live scoring. Sign up for FanHouse Fantasy Football today. Quote Link to comment Share on other sites More sharing options...
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