Medicaid Ending Question

Texas doesn't have GI for loss of medicaid. However, bcbs now offers a Flex plan at $213 per month which is a plan F. While technically it is an advantage plan, moop is $0 and no network no cost share for anything, including dialysis. Obv you still have to pay for drugs. But it is the go to plan for people in similar situations, at least for me. Also depending on how long past Medicaid loss he is, it doesn't really matter. Texas has had a Fema for every county in the state for years now. Texas Drought started last year and is applicable to all counties in the state. Border security runs through 8/31 in almost every country.
 
Texas doesn't have GI for loss of medicaid. However, bcbs now offers a Flex plan at $213 per month which is a plan F. While technically it is an advantage plan, moop is $0 and no network no cost share for anything, including dialysis. Obv you still have to pay for drugs. But it is the go to plan for people in similar situations, at least for me. Also depending on how long past Medicaid loss he is, it doesn't really matter. Texas has had a Fema for every county in the state for years now. Texas Drought started last year and is applicable to all counties in the state. Border security runs through 8/31 in almost every country.

The Flex Plan works well outside of Central Texas, where Baylor docs are refusing it.

However, in this case, it would be a total switch of docs and cost more.

Client is getting G and D, both with Blue.

See my post above for the application and where the GI questions is for BCBSTX.
 
Will he lose access to his providers if he goes with this HMO? If so, is that a problem for him?

When is his Medicaid going away?

Oh this unwinding is going to rival the nightmare of 2014 OEP, but no one is going to care because its about "poor" people.

It ended on May 31. He got the "yellow envelope" in April, called and was told he would no longer qualify, but they didn't know when it would end. Has never received a termination notice. I made him get his RX's filled that night and he called HHS the next day and was told it ends tomorrow.
 
Oh this unwinding is going to rival the nightmare of 2014 OEP, but no one is going to care because its about "poor" people.

It ended on May 31. He got the "yellow envelope" in April, called and was told he would no longer qualify, but they didn't know when it would end. Has never received a termination notice. I made him get his RX's filled that night and he called HHS the next day and was told it ends tomorrow.

I’m very confused . I thought 99% of your business is med sup and you deal with almost all “ upper income “ ? You’ve said that many times . Why are some of your clients on Medicaid ?
 
A client at a doctors office sent him to me.

I just sit here, the phone rings and I increase my book by 20% every year.

So the receptionist at the drs office sends you clients ? Don’t these patients already have a plan ? Are you replacing all this business ?
 
Some of the posters on this thread apparently think you don't know your "stuff" . . . they would be very wrong to bet against you. If you say it is GI then it is GI even though my Anthem BX plan does not offer a Medicaid GI option.

I know because I looked after you started this thread and it is not there . . .
 
I’m very confused . I thought 99% of your business is med sup and you deal with almost all “ upper income “ ? You’ve said that many times . Why are some of your clients on Medicaid ?
What the H*** business is THAT of yours?
 
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