If you qualify for Mississippi Medicaid health benefits, some medical services may require a copay (small fee). Copays are not required from these groups of people: children under the age of 18. Prescription drugs: per prescription for generic drugs: $3: Prescription drugs. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and subsequent regulations require coordination between CMS, State programs, insurers, employers, and all other payers of prescription drug benefits to ensure that the prescription drug benefits provided to Medicare beneficiaries enrolled in Medicare Part D are maximized and the integrity of the Medicare program. Medicaid Pharmacy Program The New York State Medicaid Pharmacy program covers medically necessary FDA approved prescription and non-prescription drugs for Medicaid fee-for-service enrollees. Enrollees in mainstream Medicaid Managed Care and Family Health Plus plans receive pharmacy benefits directly through the managed care plans. Non-prescription drugs (over-the-counter drugs) In some states, Medicaid covers additional medications for people with Part D. You will only pay a small copayment for prescriptions that are covered by Medicaid in your state. Keep in mind that all states have a Medicaid formulary. For more information on the Medicaid formulary in your state, ask.
Medicare Part D is a prescription drug benefit available to everyone with Medicare. It has special importance to people with Medicare and New York State Medicaid because Medicare Part D replaces Medicaid in paying for most of your prescription drugs
Under the Medicare Part D prescription benefit almost all of your drugs costs will be paid for by Medicareinstead of Medicaid. You will get prescription drug coverage from Medicare and pay a small Medicare copayment for each prescription. If you currently receive NYS Medicaid and you do not join a Medicare prescription drug plan, you may lose all your NYS Medicaid benefits.
Prescription Copay Insurance
When you become eligible for both Medicare and Medicaid you will automatically be assigned to a Medicare Prescription Drug Plan to make sure you don't miss a day of coverage. You can also enroll in a plan of your own choosing that may better meet your prescription drug needs. Information about available plans and the “Medicare & You” handbook is available from Medicare. Be sure to read this information to understand all the changes.
For more information, click on or call:
Utah Medicaid Prescription Copay
- Medicare
1-800-MEDICARE
(1-800-633-4227)
TTY users should call 1-877-486-2048
Or for free personalized health insurance counseling contact:
- New York Health Insurance Information, Counseling and Assistance Program (HIICAP)
1-800-701-0501
Call from 8 AM to 5 PM Monday through Friday.
Important Information for Prescribers and Pharmacists:
Medicaid will continue to pay for barbiturates when used for medical indications other than epilepsy, cancer, or a chronic mental health disorder, select prescription vitamins and certain non-prescription drugs.
Additional Information
- Letter to Prescribers dated 3/29/06 regarding exceptions and appeals (PDF, 33KB, 2pg.)
- Physician Part D Resource Fact Sheet (PDF, 98KB, 2pg.)
- Important Information for Consumers (PDF, 19KB, 1pg.)
- Important Information for Consumers (Spanish) (PDF, 21KB, 1pg.)