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1958....most likely does NOT have medicare so no, part D cant be billed.
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JoAnn29 Dec 2018
Unless she is on SSD she has no Medicare correct. Medicaid would handle her part D.
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Another source of paying for care and medications is the lawsuit, (if there is one,) if you were not at fault in the car accident. Receipt of income from a lawsuit can render one ineligible for Medicaid for a time, imo. Your attorney should know.

We need more information from MJP1958.

I really am concerned for patients who cannot get their medications and timely.

The scrutiny on pain meds is so grueling that (just guessing here) maybe the powers that be decided your time is up receiving pain meds for your condition
and the doctor, the pharmacy, and insurance has decided to cut you off.

Is your current address up to date?
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JoAnn29 Dec 2018
I was thinking this before I read your comment. Medicaid has your bank info and can look at your acct anytime. If she got a settlement, it would effect her Medicaid. But then, I would think a letter would be sent to her saying that. Not leave her flat.

Thought the same thing about address.
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Hoping the OP returns to clarify....
She did not receive a letter?

MJP1958 says on her profile:
About Me
For 60 years old Im in good shape except for a car accident in March that may need me to get a hip replacement. My medicaid was dropped. I never recieved a letter in the mail and now Im just worried as hell. I need the help. I have depression, axnsiity, just hurting and cant get my meds now.
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JoAnn29 Dec 2018
She had to received something to say she was dropped. My nephew gets a pkt every Oct to fill out by Nov 3oth. Within a couple of weeks he receives a letter saying he has been OKd another year. I am assuming, she received a letter telling her they didn't receive her pkt and that because of that, she no longer has Medicaid.
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Medicaid here comes from the Social Service agency. I guess by letter you mean your yearly recertification. Call the person who signed the letter you just received. Tell them you never received recertification info. They may allow you to fill out now.
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Assuming that your doctor has approved the medication for you, and assuming the pharmacy had processed the claim to Medicaid, YES, as Ali has said, appearing to the Department of Health and Human Services will quickly get you the answers as to why you were dropped, a print out of your coverage now, and help to file an appeal. In that case, you will not need to call the doctor first.

If the imediate need is getting your meds in time, (so as not to be in withdrawal),
can the pharmacy just bill the Medicare Part D? Assuming you have Medicare.

Today is Thursday, go in about one hour before the DHHS closes, today, now.
Even with anxiety, you can do this.
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Go in to your local Department of Health & Human Services. You could call first, but experience tells me that going in will yield a better result. Take documents with you that determine eligibility for Medicaid, such as Social Security card, current lease, utility bills, and bank statements for the previous 6 months.

You missed a letter, I'm thinking, for your re-de, or redetermination. Since they didn't redetermine you to be eligible, you are discontinued.

It's a pretty straightforward fix -- if that's all it is due to, that you missed a re-de letter -- and there is also retroactive payment for appointments in my experience. I'm not sure if medicine costs would be reimbursed or not. This is something you could ask in person when you meet with a case worker.
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You did not receive a letter?

In what way did you discover you were dropped?

There are posters who know about Medicaid, so Countrymouse is correct, don't panic, and sit tight.

Plan to make some important phone calls, and obtain documentation necessary to make an appeal.

Call your doctor about your medication issues, maybe they can help.
Doctors can access the insurance coverage and print that out.

Hoping this is all a mistake that can be solved by re-submitting Rx through the pharmacy.
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Don't panic.

There are lots of proper American posters on this forum who really do know Medicaid inside out. I expect they will have a number of questions for you but there will be good answers.

Your profile says you were sent a letter but didn't receive it in time; so I'm guessing that you've been taken off Medicaid because you didn't reply to some critical form or other. If you had received the letter, would you have been okay with whatever the form was? How did you find out that you had been removed from Medicaid approval? What conversations have you had with anyone about it?

I'm sorry I can't be more help, sit tight just for a little while...
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