Lowering Health Care Costs
(Separate Website)
By: National Health Law Program (HealthCareCoach.com)
Partnership for Prescription Assistance
(Separate Website)
By: PPARx.org
Georgia's Katie Beckett Program for Children - What Can You Do If Your Child's Medicaid Coverage Is Being Terminated?
By: Georgia Legal Services Program®
RTF File
Medicaid Patients and Prescription Drugs
by: Georgia Legal Services Program®
Medicaid Patients and Prescription
Drugs
Linda Lowe Georgia Legal
Services Program Last Revised: May 2005
The state Department of Community Health
is now charging higher fees (copayments) for some Medicaid prescription
drugs.
On July 1, 2003 the minimum fee
increased to 75 cents.
Fees range from 75 cents to
$3.00. Drugs that
are generic, or that are on the state's "preferred" list, or that cost
the state less than $10 will have a 75-cent charge
. Drugs that are not on the "preferred" list will have a
charge of $1.00 to $3.00 depending on how much the drug costs.
NOTE:
You may want to find out from your doctor if a drug that is on the list will
work just as well for you as a more expensive drug you may be taking
now. If you can use a drug that is on the list, your fee will be only 75
cents.
Some Medicaid patients cannot be
charged a fee.
Drug stores cannot charge you a fee if
you are under age 21, pregnant, in a nursing home or in hospice.
They cannot charge any Medicaid patient
a fee for emergency services or for family planning services.
If you are not in one of these situations,
the drug store can charge you a fee. However, you do not have to
leave without your medicine! . The
pharmacist has to let you have your medicine even if you cannot pay.
The pharmacist must take your word that you cannot pay. Federal
government Medicaid rules protect you. (42 C.F.R. §447.15) The drug
store can bill you, but it cannot refuse to give you your medicines.
. If you have problems getting your medicines, ask for
help:
The Department of Community Health:
1-800-282-4536
Your local office of Georgia Legal
Services: 1-800-498-9469
Atlanta Legal Aid: 404-524-5811
(Fulton, DeKalb, Gwinnett, Clayton, and Cobb counties)
The Healthy Mothers Healthy Babies
PowerLine: 1-800-822-2539
If you are age 60 or over, The Senior
Legal Hotline: 404-657-9915 or 1-888-257-9519
Linda Lowe Georgia Legal
Services Program Last Revised: May 2005
Last Reviewed On: 05/16/05
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Copyright and Use Notice
This material is copyrighted by the authoring organization or individual. Legal information can change rapidly. Provided links are kept updated, permission is given to link to this material from a nonprofit, court or government website. Website material may be printed, copied and distributed only in its original format for non-commercial, informational purposes. The material may not be altered from its original format. Reproducing the material to promote a commercial purpose is expressly prohibited. Commercial enterprises are expressly forbidden from linking to our material or using our material in other ways. Legal Aid and GLSP are not liable for the distribution of out-of-date material or links. To inquire about appropriate use of this material, please contact 404-524-5811.
Information Not Legal Advice
LegalAid-GA.org provides general information only. This is not legal advice and cannot replace legal advice. You can get legal advice only from a lawyer. Deadlines are extremely important in most legal matters. You may lose important legal rights if you do not hire an attorney immediately to advise you. Viewing this web site or sending an e-mail message through this web site does NOT create an attorney-client relationship.
LegalAid-GA is a project of the Atlanta Legal Aid Society, the Georgia Legal Services Program and the Pro Bono Project of the State Bar of Georgia. This website was produced with funding from the Legal Services Corporation.
