T.I.,
No one says all people on MaineCare (Medicaid) are a piece of crap. Those who choose to make it their "Maine - The Way Life Should Be" might fit in that category, in my opinion. Regardless of their political affiliactions.Let's take a look at just how much those on MaineCare have to pay (co-pay):CoPayments for MaineCareYou don't have to pay if you are:-under age 21
-in a nursing home
-in a boarding home
-in a foster home
-in a medical institution where you are required to spend part of your income for your care in order to get services there
-pregnant, or up to 3 months after your pregnancy ends
-in a Health Maintenance Organization (HMO)
-in State Custody The following services are free to everyone on MaineCare:-Oxygen and oxygen equipment
-Family planning services
-Birth control
-Emergency services (emergency means that if you do not get help right away it could:
place your health in serious danger;
----cause serious damage to how your body functions; and/or
----cause serious damage to an organ or part of your body. If you do not have a "NO" on your card, sometimes you do have to pay.How much will I have to pay?
How much you pay for care depends on how much the State will pay.
-You can be charged anywhere from $.50 to $3 a day for these services:-ambulance
-home health
-chiropractor
-occupational therapy
-podiatry
-speech therapy
-outpatient hospital
-medical equipment
-physical therapy
-laboratory
-x-ray
-inpatient hospital
-optical
-optometrist
-substance abuse
-mental health clinic
-psychologist
-private duty nursing and personal care You can also be charged anywhere from $.50 to $3 for each drug you receive. --If the State pays less than $10 for a service, you pay $.50.--If the State pays $10 to $25 for a service, you pay $1. --If the State pays $50 or more, you pay $2 for everything listed above, except brand-name drugs, home health, ambulance, outpatient hospital, medical equipment, and private duty nursing and personal care. For these you pay $3. For each service listed below, $1 covers that
service for the day: -laboratory
-x-ray For each service listed below, $2 covers that service for the day:-chiropractor
-mental health clinic
-occupational therapy
-physical therapy
-optician
-podiatry
-substance abuse services
-speech therapy
-psychology For each service listed below, $3 covers that service for the day:
-ambulance
-home health
-outpatient hospital
-optometry
-inpatient hospital
-medical equipment
-personal care and
-private duty nursing A co-payment is charged for each drug you receive: -$2 covers each generic drug
-$3 covers each brand-name drug
This is the most you can be charged each month: $30 a month for each of these services: -ambulance
-home health
-optometry
-outpatient hospital
-medical equipment
-inpatient hospital $20 a month for each of these services:
-chiropractor
-occupational therapy
-physical therapy
-podiatry
-speech therapy
-psychologist
-mental health clinic
-substance abuse services
-optical $5 a month for:
-private duty nursing and
-personal care services $10 a month for each of these services:-laboratory
-x-rays What if I can't pay?
If you can't pay, your provider must give you the service anyway. But you may still owe the money to your provider. If you have one of the problems listed below, call 287-2674. Tell them which problem you have. 1)You were charged money when you should not have been;
2)You have already paid up to the limit for the day or the month, but you were asked to pay more;
You were charged the wrong amount; and or
3)Your provider would not give you the service.[ 05-05-2005: Message edited by: LMD ][ 05-05-2005: Message edited by: LMD ]
T.I.,
No one says all people on MaineCare (Medicaid) are a piece of crap. Those who choose to make it their "Maine - The Way Life Should Be" might fit in that category, in my opinion. Regardless of their political affiliactions.Let's take a look at just how much those on MaineCare have to pay (co-pay):CoPayments for MaineCareYou don't have to pay if you are:-under age 21
-in a nursing home
-in a boarding home
-in a foster home
-in a medical institution where you are required to spend part of your income for your care in order to get services there
-pregnant, or up to 3 months after your pregnancy ends
-in a Health Maintenance Organization (HMO)
-in State Custody The following services are free to everyone on MaineCare:-Oxygen and oxygen equipment
-Family planning services
-Birth control
-Emergency services (emergency means that if you do not get help right away it could:
place your health in serious danger;
----cause serious damage to how your body functions; and/or
----cause serious damage to an organ or part of your body. If you do not have a "NO" on your card, sometimes you do have to pay.How much will I have to pay?
How much you pay for care depends on how much the State will pay.
-You can be charged anywhere from $.50 to $3 a day for these services:-ambulance
-home health
-chiropractor
-occupational therapy
-podiatry
-speech therapy
-outpatient hospital
-medical equipment
-physical therapy
-laboratory
-x-ray
-inpatient hospital
-optical
-optometrist
-substance abuse
-mental health clinic
-psychologist
-private duty nursing and personal care You can also be charged anywhere from $.50 to $3 for each drug you receive. --If the State pays less than $10 for a service, you pay $.50.--If the State pays $10 to $25 for a service, you pay $1. --If the State pays $50 or more, you pay $2 for everything listed above, except brand-name drugs, home health, ambulance, outpatient hospital, medical equipment, and private duty nursing and personal care. For these you pay $3. For each service listed below, $1 covers that
service for the day: -laboratory
-x-ray For each service listed below, $2 covers that service for the day:-chiropractor
-mental health clinic
-occupational therapy
-physical therapy
-optician
-podiatry
-substance abuse services
-speech therapy
-psychology For each service listed below, $3 covers that service for the day:
-ambulance
-home health
-outpatient hospital
-optometry
-inpatient hospital
-medical equipment
-personal care and
-private duty nursing A co-payment is charged for each drug you receive: -$2 covers each generic drug
-$3 covers each brand-name drug
This is the most you can be charged each month: $30 a month for each of these services: -ambulance
-home health
-optometry
-outpatient hospital
-medical equipment
-inpatient hospital $20 a month for each of these services:
-chiropractor
-occupational therapy
-physical therapy
-podiatry
-speech therapy
-psychologist
-mental health clinic
-substance abuse services
-optical $5 a month for:
-private duty nursing and
-personal care services $10 a month for each of these services:-laboratory
-x-rays What if I can't pay?
If you can't pay, your provider must give you the service anyway. But you may still owe the money to your provider. If you have one of the problems listed below, call 287-2674. Tell them which problem you have. 1)You were charged money when you should not have been;
2)You have already paid up to the limit for the day or the month, but you were asked to pay more;
You were charged the wrong amount; and or
3)Your provider would not give you the service.[ 05-05-2005: Message edited by: LMD ][ 05-05-2005: Message edited by: LMD ]