Medicaid as a secondary

Jenn C.
on 9/2/13 5:16 am - Naugatuck, CT
RNY on 10/21/13

I have CBA Blue which is a subsidiary of BCBS of Vermont. I also have Connecticut Medicaid( Husky A).

My primary has a $250 deductible which I am putting the money into a flexible spending account every time I get paid. I also have 80% coinsurance and a $1500 out of pocket expense. Now it all of a sudden dawned on me that I may have to pay the $1500 up front! Yikes! I don't have $1500 to cough up right now and I sure as hell can't get a loan with my crappy credit! 

Now since I have medicaid, will they pick up the out of pocket expense? Had I known earlier this year that I would be getting WLS, I would of been adding more $$ in my flexible spending account!!

I don't have a problem paying it if my surgeon doesn't expect it up front! I'm just scared now, it will take me a long time to come up with this money! 

Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.

    

            
aprilchanel
on 9/2/13 7:12 am
I am in the Same boat as you !!!!! And my surgery is tomorrow morning @ 7 Am it sure would be nice if they did I really don't want to give up $1500 tomorrow morning I forgot to tell the hospital when I did my Registration that I have Medicade as Secondary, but sure will tell them in the Morning I hope it will cover it cause I can take these $1500 and put it on some other bills.... Good luck to you

        

    
aprilchanel
on 9/4/13 8:16 am
Great News I had my surgery on the 3rd and Medicade did pick up my out of pocket Cost of $1500 so I paid Nothing ...... I'm putting the $1500 I had towards some other bills, Best of luck to you..

        

    
Maggie May
on 9/7/13 3:32 pm
RNY on 08/21/13

If Medicaid covers WLS in your state, they will pick up the out of pocket as long as you have met their pre-surgery requirements. For my state you need a BMI of over 40 w/comorbidity, a 6-month medically supervised weight loss program, psych eval, and referral from your doctor. My primary insurance only covers the hospital, not the surgeon's fees. Medicaid picked up what the primary didn't cover. 

Maggie May 

       

        

        
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