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Another medicaid question? |
What is the difference between medicaid and a Managed Care Plan? If you aren't on medicaid are you eligible for MCP if your children are on medicaid? Medicaid is the state run health program. Many states are going toward managed care plans with medicaid. It is a private medical plan that takes your medicaid dollars and basically takes over your health care. Some states use Blue Cross for instance. they have been in business for a long time and know how to handle claims and service for people. With a medicaid managed care plan, you have a primary care doctor and he makes sure you are healthy and if you need to see a specialist you need to see him to get a referral first. Blue Cross will grant permission to go to a specialist in their network and will pay the bill instead of medicaid. You have to use the in-network providers and go to an assigned hospital. medicaid is state run. Medicare is federally run. By 'run' I mean controlled, regulated, etc. No, ok... how to explain... FIRST! a Medicare managed care plan will not cost you any thing! if you qualify, it's free! if you are on the border of the income bracket you may have a spend down, the price is minimal... but it sounds like you are fully covered with no out of pocket cost. right? |
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