Medicare RX

Happy_Go_Lucky_GayleMay 29, 2008

My Mother is in a Nursing Home under Medicaid. She is only allowed $60.000 a month. But, she doesn't qualify for Medicaid RX. She has Schdule D Medicare, but I have to pay $450.oo per month of what her Medicare doesn't pay. I can't afford to do this.

How in the world do people pay for their Prescriptions? Does anyone have any suggestions?

Gayle

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asolo

Suggest first stop should be admin. of the nursing home she's at. They see this all the time. Suspect they may be very helpful. They like to get paid, too.

IMHO medicare part D is a cruel joke for many, many people. One of the more ridiculously structured bills passed in our generation.

    Bookmark   May 29, 2008 at 7:52PM
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agnespuffin

Get someone to evaluate her prescriptions. It could be that some of them have a generic alternative that would do just as well.

    Bookmark   May 29, 2008 at 8:31PM
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duluthinbloomz4

How is it that you have become responsible for paying your Mother's RX out of your pocket? Did you inadvertantly sign something indicating you were the "responsible party"?

    Bookmark   May 30, 2008 at 11:17AM
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agnespuffin

There is also a good chance that some of those medications are no longer needed. I am thinking especially of a brother-in-law that during those final weeks before his death was still being given medicines to help his acid reflux, lower his cholesterol, thin his blood so his pace maker would work better and he wouldn't have a stroke. The family had to find a way to get about ten pills down him several times a day.

Maybe something of the same is going on with your mother. Once a patient is on certain medications, quite often, the doctor simply fails to order it to be discontinued, even though it's no longer appropriate. That's not to say that she is in a terminal condition, but that her needs may have changed. Talk to her doctor. Explain the situation to him.

I also wondered why you are responsible for paying for her drugs. I know that things vary from state to state, but that's a lot of money for a family member to have to pay.

    Bookmark   May 30, 2008 at 12:28PM
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Happy_Go_Lucky_Gayle

How is it that you have become responsible for paying your Mother's RX out of your pocket? Did you inadvertantly sign something indicating you were the "responsible party"?

If I didn't pay for the prescriptions my Mother wouldn't get the Meds she needs.

I've talked to Medicare/Medicaid, the Admin., and I have a call into the Doctor. Of course it is Friday and He is probably gone for the weekend.

    Bookmark   May 30, 2008 at 1:37PM
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lindajewell

You are NOT the responsible party honey and even on Medicaid they WILL get the meds. Someone is leading you down the garden path on this one. My brother is on Medicaid, has Parkinson's and his meds are very expensive, but all is covered because he has no money.

You are not responsible for her meds, get thee to an attorney if need be to get this all straightened out!

    Bookmark   May 30, 2008 at 7:42PM
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stargazzer

I don't think you pay anything if she is on medicaid. We did a division of assets and when his half was gone I wasn't responsible for anything after that.

    Bookmark   May 31, 2008 at 8:08PM
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Happy_Go_Lucky_Gayle

You don't understand. My Mother gets a Rail Road Retirement which goes to the nursing home and Medicaid pays the rest to the NH. But, she doesn't qualify for Medicaid RX, because of her retirement check. Retired Teachers, Railroad and Federal Employee Retirements for (some reason) don't qualify for Medicaid RX.

Gayle

    Bookmark   June 1, 2008 at 2:19PM
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lindajewell

My brother was a Police Officer, did not pay in to SS, he got medicaid and his RX's are covered. Here is a link for the Dept. of Aging in your state. Maybe it will help. Make some phone calls, this is not your responsibility. If you were not around she would still get her meds! There is help available, you just have to get on the phone and start asking questions.

Here is a link that might be useful: Texas Dept. of Aging

    Bookmark   June 1, 2008 at 3:06PM
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