MediCAID approved, now what?

I am so at a loss here. I received a letter from the state saying that I am approved for MediCAID but the problem is, that's ALL the letter said. I am approved and it started on May 6th 2011 (when I applied). I am at a loss.... So now what? I mean, what now? It started May 6th 2011 but what if I need to go to the doctor TODAY, which I do need to go ASAP.... I have no Group # or Policy # MediCaid # or anything to show I am covered. I don't know how much coverage I have or what IS covered and what ISN'T covered....

Does anyone have any idea how this works? I've never had to use government assisted programs before and I don't know how this works.... I live in Tennessee.

I am grateful I was approved but I am so tired...

Edited June 3, 2011 at 9:47 am

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Hi Tra,
Congrats on success your efforts in getting approved, first of all. I have never used the program as yet, either. I'm guess from my experience of some other government programs with which I have love/hate relationships, they are not very user friendly! Is there any phone number on the letter for you to call? I am going to say that if you need to go to the doctor today and you are not able or up to getting the answers from Medicaid today, you should take that letter to the doctor/hospital with you along with a picture ID and I bet they will recognize and know what to do with it. When I inquired about assistance with care at my hospital I was told they have a "portal" to our state medicaid program right on site and can access information and process applications. If you feel more comfortable calling your provider than calling medicaid today, I say call them and ask them if you can be seen. As some on here have pointed out, (and I am not condescending to you as I find you very knowledgeable and competent,) Medicaid is a federally funded but State run program, so each state does it in their own way and you have to figure out how to navigate it!

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Hi Wrkr!

I called my case worker and left a message with her. I am waiting for her to call me back. The issue is, I called my cardiologist and they arent too sure what to do either. I am 3 months past due for my cardiac MRA and I so need to get that checked and a recheck of my lungs via CT. And I really would like to get those scheduled as quickly as I can.

I love that you give me such wonderful advice and you are SO VERY MUCH appreciated by me! :)

Hugs!
Cat

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Hi Cat,

For one, you can certainly get tests scheduled because sometimes that takes a bit of a wait, although if anything is happening urgently, then you do go to the ER and let them figure it out. If you are retroactively valid and your doctor and the testing facility do take Medicaid, then you can feel OK setting appointments. I suggest you try to reach your case worker several times today, though it's a Friday and sometimes people take time off. Be sure to ask if she is IN today, and let her know that you are in great need of doing these tests ASAP and your doctor's office doesn't know how to proceed.

Best, Mary

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Thank you Mary!

How do I know what is covered and what isn't? I feel more lost now than I did BEFORE I was given MediCAID.

Cat

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Keep in mind that your provider has to accept Medicaid so you can't just to to any doctor necessarily.

They have a web link or a place within their billing system they can go to to verify your eligibility. Here's more info about your state's specific program. It looks like they ask you to choose a managed care program so maybe you need o see which offers the most doctors you specifically use.

More info under members/applicants at http://www.tn.gov/tenncare/

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Yes, I am aware that I can't just go to any doctor. That's what I am trying to find out, if my Cardiologist accepts the insurance or not. But I need to also know what MediCAID covers, doesn't cover, and how much, and so on and so forth.

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So glad to hear you were approved! Now you can have all the tests you need, you just have to find out which doctors will accept the Medicaid. That shouldn't be too hard as I'm sure there are web sites where you live about this and also you can just call a doctors office and see if they accept Medicaid or not. I'm afraid I don't know all that much about Medicaid as I'm very fortunate the company I worked for supplies my insurance when I retired. I know it's alot of paper work and frustrating to go through, but at least now you have been approved and can go forward with managing your condition properly with all the appropriate tests. You still have to make sure the doctor is doing what he should. We all have to battle thar no matter what kind of insurance we have. We still have to be our own advocate.

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Well, after having spent the better part of the morning on a wild goose chase, I found out which branch of the MediCAID it is and I even got my ID#. Funny thing is, I got it from my Cardiologist! But THANK GOODNESS they take that insurance so now I don't have to go through the agony of trying to find a new Cardiologist. One down... Now to check on the rest !

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Way to go, Russian Artist. Come back from being insane now, please! We need you over here on the semi-sane side of things.

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Any doctor who takes Medicaid can get in the system to see if your active and submit bills. They can use your social for that they do not have to have a group number or ID number. You should be getting a card in the mail that you can give at any appointment, hospital stays, testing all of that. Medicaid covers it all or at less 99 percent of it all. I have not received one bill from having Medicaid they covered it all from medicine, hospital stays, pacemaker installed, medical equipment (does take time for approval but once all is done ... no bill for me) supplies (breathing equipment and cpap),

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here is a link that i found by google " Tennessee's Medicaid" http://www.tn.gov/tenncare/members.html

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Thank you, Patrice. :)

I was able to find out through my Cardiologist that the Medicaid I was approved for is United Healthcare Community Plan and thank goodness they accept my insurance! I was able to make my appt with them so that they can schedule me for my annual MRA of my heart.

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This is great and wonderful...i have no health insurance, so i know how you feel at getting accepted....go take care of yourself

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I got a letter in the mail, after having spent all morning on the phone lol.... They will be sending me my booklet with explaination of benefits and medical card.... Now to get things rolling...

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