Welcome, Guest. Please login or register.
December 05, 2016, 06:29:37 AM

Login with username, password and session length

  • Total Members: 29665
  • Latest: Eri
  • Total Posts: 704437
  • Total Topics: 56074
  • Online Today: 247
  • Online Ever: 1421
  • (August 13, 2016, 05:18:44 AM)
Users Online
Users: 2
Guests: 226
Total: 228


Welcome to the POZ Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Who pays in FL? Got M'caid share of cost, $1,328. ADAP says no because of this?  (Read 767 times)

0 Members and 1 Guest are viewing this topic.

Offline gulfcoastFL

  • Member
  • Posts: 31
. I went to my local ADAP office in Tampa Bay area, all paperwork in hand. After going through what I had, was denied help from ADAP, not for income or anything but because I had a letter from FL state assistance saying I was approved for "medically needy" with a $1,300 number following it.  Could not get approved for straight Medicaid.
  I take Triumeq, costs about $2,500 a month. I didn't get any kind of card to take to the pharmacy (CVS). Just told by ADAP to take that paperwork to CVS.

My question is, knowing triumeq costs 2,500 and "my share of cost is $1,300"  under Florida's "medically needy" that I have...should the pharmacy say, oh this drug far exceeds that $1,300 number...we'll take care of it and it will be no $ out of your pocket?...
ADAP was conflicting in there answer but said basically that's how it works.  Everything I've read implies I have to spend that $1,300+ out of my own pocket 1st before FL will start to help.

Or, am I expected to spend $1,300+ and then get reimbursement somehow?
If I have to pay upfront it's not something that I'll be able to use.

Any feedback, especially if familiar with FL would be much appreciated !!!
« Last Edit: October 31, 2015, 06:01:25 PM by gulfcoastFL »
"We all think and feel differently as the years go by"  Thank you, Grey Gardens.


Terms of Membership for these forums

© 2016 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.