Mothering Forum banner

Any medicaid mommies out there

1826 Views 51 Replies 21 Participants Last post by  Tashakittie
So long story short, dh lost his job 2 weeks ago, I found out I was pregnant a week later. So I went to the medicaid office and filled out an application which was only supposed to take 3 days. Its been a week and my application is still pending. Is this normal? All my other babies have been private insurance and I really have no idea how this works. I am so scared that they are not going to cover me and I'm going to be pregnant and uninsured AKA the untouchable. Our charity hospital no longer offers prenatal and I am legally out of the running for a homebirth because I have had 2 c-sections.
1 - 20 of 52 Posts
Im on Masshealth which is the state version of medicaid. I don't know if they are the same but I can tell you that most states offer immediate temporary coverage to pregnant woman. Mine is for up to 60 days while your application is sorted out. You need to call them directly and say I am pregnant, I need coverage now! I received temporary prenatal coverage for all visits etc and then once my application was filed and done I received the permanent benefits.

Also keep in mind any government agency is usually far behind what they say something will take. I would suggest telling them you are pregnant any time you speak to someone and you need immediate coverage while your application is pending!

Also depending on what state you are in, go to their government website and they should have info about the state medicaid system. Don't be afraid of not being covered. Covering pregnant women is one of the few things that the government actually does semi-decently. I was worried I wouldn't be covered too but now I don't even have a co-pay for my visits and won't be paying a penny for the birth itself. I guess its good to be poor sometimes!

Just keep calling. I speak literally hours and hours on the phone with the insurance people. Be persistent and be prepared to sit on hold for a very long time! Good luck PM me if you need more info!
See less See more
I have medicaid and have been on it 2x's. with my first pregnancy it was way more screwed up than with this time. DSHS messed up my paperwork from the beginning and gave me a "spend-down" of 3500. What was screwed up was that I qualified from day one of my pregnancy, but since they messed up my paperwork, they said I didn't qualify, until I met my spend-down, which I did with my medical bills from our family. Anyway, I had a re-evaluation in June-I was due in Sept, and it was discovered that I HAD indeed qualified the entire time, which I had been arguing with them about from the beginning. It took a woman looking into my file and talking with her supervisor to figure out that my paperwork was screwed up from the beginning. So I ended up getting all my out of pocket money back(whoo-hoo) and everything for the last 4 months was covered.

This time I knew we qualified from day one, I had been through the process before and knew what I needed. I included my confirmed pregnancy test from family planning, 1 month of my Dh's paystubs, and my application. I heard back within a week or so. I was told by DSHS that they were incredibly backed up, but that pregnancy medical were expedited but it still could take 15 days. Have you talked to DSHS about what's going on, have they received all the info they need? That can back things up and make things take longer.

I also would personally also be applying for any other assistance type programs also, like WIC, and FS. That depends on how you feel about it, but I personally would do it. Good luck.
See less See more
I'm getting Medicaid just for this pregnancy. I also automatically qualified for WIC so I'm getting that too. However, I don't plan to keep the WIC once the baby arrives. The Medicaid will end at that point as well. I have my regular health insurance.

Have you tried calling your local Medicaid office to see what the status is on your application? I ended up calling because I too got tired of waiting. I downloaded my application online and then mailed it in and it took about 2 weeks before I finally decided to call. They put me through to my case worker and she told me what else she needed and said it was already in the mail and sure enough I got something from her in a few days.
My application for medicaid took a few weeks and I don't think I had a card for a month. But I had coverage immediately. The women I spoke with who set me up with medicaid and WIC worked for a program called MOMS. She gave me her card and said that if there was any trouble to have the doc give her a call. Can you meet with a worker?

I had Medicaid because I was on porbation at a new job and my job doesn't pay much. Dp is a student so we qualified since I was preggo. When my work insurance kicked in, medicaid paid for my premiums. They kept me on until 3 months after the birth and they kept dd on until she was 15 months. I had WIC the whole time too b/c when you qualify for one, you qualify for the other. After that we had too much savings to be eligible.
I've been on medicaid since dec 06ish, and the whole family since march 07 (when DS was born). I forget how long it took, but I know you can get it expedited if you need it cause' of pregnancy or whatever. Did you tell them you were pregnant?
I'm in Ohio and it took me 3 weeks they back date the coverage and all offices know this and will see you once "for free" if the medicaid falls through. Every state does things different so I would ask in your tribe. I can tell you that NO state does anything in three days. Except three day weekends.
2
It really depends on what state you are in. Here in PA my doctor's office helped me fill out all of the paperwork and they sent it in for me. Then about 2 weeks later the state sent me a list of required documents (copy of driver's license, etc). Once I faxed all of that in, it took another 2-3 weeks to get my cards in the mail, etc.

Its great that it exists so that pregnant moms can get health coverage (my insurance wouldn't cover the pregnancy
. But I can't wait to get off of it.
See less See more
I am right there with you. This was unexpected, unplanned pregnancy and we have no maternity health coverage. The timing is obviously NOT ideal, but that's life, right? First thing I did was go apply for Medicaid. That was about 4 weeks ago and I've called and they said they are 'working on the application' so who knows what that means. I desperately hope we get assistance -- I don't know how on Earth we will ever be able to afford a hospital birth out of pocket. Midwife/homebirth is not an option in my podunk town, unfortunately. The closest midwife would be well over 4.5 hours away and I'm not so comfortable with that..
Even if your application is pending, you should have an assigned number (which should be located on any correspondence they've sent you). That number is what you would need to provide to whomever is giving your prenatal care (as long as they take medicaid). Just explain the situation to your care provider and they should be able to work with you. As others have mentioned, if you are pregnant you are offered temporary coverage for this time period. Even if you (for some strange reason) don't qualify for medicaid, they will still take care of you for the time period between whenever you applied and when they make their decision. You won't have to pay them back for these visits. I would call and discuss this with the office you went through to apply.

Also - have you gone into the office? I went in last week to ask some questions, brought all my documents I thought I might need, and they were able to give me a decision that day. I met with a counselor for their mandatory "face to face" interview, and I got my card two days later.
See less See more
6
Quote:

Originally Posted by ScootchsMom View Post

Its great that it exists so that pregnant moms can get health coverage (my insurance wouldn't cover the pregnancy
. But I can't wait to get off of it.
: DH and I looked into health care before we started TTC and I feel like $h!t head for saying that we TTCed a baby with the intention of going on state aid, but we did.

They wanted $200+ a month for 6-12 months before the would cover your pregnancy!


So it was bankruptcy, or medicare. What a spot to be put into.

IMO healthcare should be like the police or fire department. No one worrys about the fire dpt not coming because they can't afford the inflated fire premiums. I hate that HC is considered "welfare"
:
See less See more
4
Quote:

Originally Posted by ScootchsMom View Post
Its great that it exists so that pregnant moms can get health coverage (my insurance wouldn't cover the pregnancy
. But I can't wait to get off of it.
ditto that. I have regular health insurance coverage and only got Medicaid because I had no coverage for pregnancy. I feel like I get treated much differently just because I show that Medicaid card rather than my Blue Cross card.
It's just insurance and it's for situations where people really need it and I'm glad it's there for me. I hate that I sometimes have to feel ashamed of it.
See less See more
2
It must be a whole demographic thing. I have never been treated weirdly because of my Medicaid status, where I live the economy is already pretty bad(super poor E. WA county), so no one even bats an eye at having Medicaid. I always find it very sad that it is looked down upon. So many other countries just cover their citizens. I personally think it is so sad that many women have to go on Medicaid who have insurance, but I guess that's life. We have to be on it because DH makes a great wage(although not consistently), but no bennies, that is just reality. We cannot afford his insurance it would cost us nearly $700 a month for it, that is nearly our house payment
:. The system here in the states is pretty screwed up
.
See less See more
I agree with those who have said to call and tell them you are pregnant and need to start prenatal care. This is the second state I have lived in with medicaid coverage for pregnancy, and I agree that covering pregnant women is one thing the government seems to do right for the most part.

Re: the "stigma" of being on medicaid-- I work in the field of social services, and often find myself in discussions or policy decisions about people who access "the system" for various services. I have become pretty up front about the services my family accesses because I think it is eye-opening for a lot of people that one of their colleagues (who is literate, professional, well-educated, and mentally healthy) is "in the system," and I think it is valuable that people be reminded 1- that there is a wiiide range of people who are accessing social services and 2- that at any moment they might be standing next to one of "those people" and they should always speak respectfully!
The state probably publishes the income standards for getting medicaid and if you are qualified, they *will* accept you. My state allows moms to start prenatal care and they will back pay anything for your pregnancy up to three months before you are accepted if you choose a medicaid provider. I would try finding out if they allow for something like this. No shame in using the system in place to help you if you need it.
See less See more
Quote:

Originally Posted by aricha View Post
I have become pretty up front about the services my family accesses because I think it is eye-opening for a lot of people that one of their colleagues (who is literate, professional, well-educated, and mentally healthy) is "in the system," and I think it is valuable that people be reminded 1- that there is a wiiide range of people who are accessing social services and 2- that at any moment they might be standing next to one of "those people" and they should always speak respectfully!
I agree. Plus in this day and time with the economy the way it is, no one knows if they might be in a situation where they need the assistance.
See less See more
pregnancy medicaid is retroactive from the time you begin prenatal care, so you can start your care and it will pay after your application is processed.
2
I work as a nurse in a clinic system and there is most DEFINATELY a bias against Medicaid recipients here in SD - and we are not a prosperous state!! I *hate* that that is the case, my children are on Medicaid and it breaks my heart to hear my fellow nurses banter such hateful discriminating comments behind patients' backs. There have been countless times I've had to bite my tongue and/or go to the bathroom to dry my tears because it hurts so much to know that people think that about ANYone based on whether they can or cannot afford insurance. It is ridiculous. It especially outrages me when there are ways Dr.'s could cut costs to patients, but WON'T. I.e. we had a rep come in to demo an at-home sleep study system with all this evidence that it was right on-par with the sleep studies they do now in the sleep labs. It would have saved patients a LOT of money and the Dr.'s at ENT wouldn't even CONSIDER it - not even a trial - because it would step on the proverbial toes of Pulmonary, and from a business perspective it wasn't something they were willing to do. I am a float nurse so I see things like this ALL THE TIME in EVERY department. It is not "patient centered care" it is all about money, they don't give a rip about saving the patient one red cent. But they will sure talk smack behind our backs if we need help paying for their overpriced services.
See less See more
I was on medicaid for my 1st pregnancy, and now I'm on it with this one. I applied when I found out I was pregnant, we had been paying out of pocket for medical bills for months without insurance.

I told my doctors that I had applied, and they never charged me. They waited patiently for my app to go through, and it did take a few weeks. I even ended up in the hospital while my app was being processed and thank God it went through because that would have cost us $16,000.

I hate it when ppl are criticized for being on medicaid. I've never had it done to my face, but I see it online and it is so unfair. I've paid thousands of tax dollars that goes into BS that I don't believe in, and when I am in need, I deserve to get it back!

I think this country should take care of it's ppl to begin with. I started out the first 5 months of my 1st pregnancy living in England where healthcare is paid for by tax money. You don't have to bother with insurance unless you want to go private, if you need medical help you make an appointment and you don't have to pay a red cent!
See less See more
And yes, I have applied for Medicaid coverage for this pregnancy as well. I'm sure my colleagues will have plenty to say about that everytime my back is turned.
See less See more
1 - 20 of 52 Posts
This is an older thread, you may not receive a response, and could be reviving an old thread. Please consider creating a new thread.
Top