I live in Michigan, & I currently have state medicaid (Healthy Michigan Plan) with a $0 deductible. On December 9th, I was prescribed a controlled substance that requires prior authorization, but I still haven’t been able to get it filled. I’m kind of in the dark, but from what I’ve gathered calling my pharmacy, doctor’s office, and insurance company, it seems like the prior auth has been re-submitted multiple times (?) I understand that sometimes these things take time, but I’m supposed to be on a regimen, and I’m worried that I won’t be able to take my medicine regularly if this happens every time I need prior authorization for a refill.
I was thinking of just paying in full out-of-pocket for the medicine itself, while keeping medicaid to cover the blood work I need to get done regularly. But, I am worried that if I pay out-of-pocket for something that is covered, that could be grounds for getting kicked off state insurance.
Any insight into whether or not paying out-of-pocket would make me ineligible to continue receiving benefits would be greatly appreciated.
submitted by /u/hungry_and_confused_
[link] [comments]I live in Michigan, & I currently have state medicaid (Healthy Michigan Plan) with a $0 deductible. On December 9th, I was prescribed a controlled substance that requires prior authorization, but I still haven’t been able to get it filled. I’m kind of in the dark, but from what I’ve gathered calling my pharmacy, doctor’s office, and insurance company, it seems like the prior auth has been re-submitted multiple times (?) I understand that sometimes these things take time, but I’m supposed to be on a regimen, and I’m worried that I won’t be able to take my medicine regularly if this happens every time I need prior authorization for a refill. I was thinking of just paying in full out-of-pocket for the medicine itself, while keeping medicaid to cover the blood work I need to get done regularly. But, I am worried that if I pay out-of-pocket for something that is covered, that could be grounds for getting kicked off state insurance. Any insight into whether or not paying out-of-pocket would make me ineligible to continue receiving benefits would be greatly appreciated. submitted by /u/hungry_and_confused_ [link] [comments]Read Morer/HealthInsurance