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What If You Can't Afford Your Medicaid Prescription Co-Payment?
What You Need to Know About Medicaid Prescription Drug Co-Pays:
A co-payment is the amount you are expected to pay the pharmacy when your prescription is filled.
You are not required to pay the co-pay if you are:
- Unable to afford the co-payment;
- Pregnant or have had your baby in the last 60 days;
- In a nursing home, personal care home, or intermediate care facility for people with mental retardation;
- A foster child;
- A member of Passport Health Plan (Passport members only pay co-payments on prescriptions NOT covered by Passport.)
- Under age 18
Your Pharmacist Has to Fill Your Medicaid-Approved Prescription
Your pharmacist is absolutely not allowed to deny filling your Medicaid-approved drug prescription if you can’t afford the co-payment.
Do I Still Owe the Co-Payment Per Prescription Even if I Can’t Afford It?
Technically, yes. BUT, this money can’t be collected by denying you your right to have your prescriptions filled because you can’t afford the co-payment.
If your pharmacy won’t fill your prescription, you should contact your local legal services office immediately.
What Should I Do if the Pharmacy Won’t Fill My Prescription Because I Can’t Afford the Co-Payment?
You should immediately contact your local legal aid office and tell them you are being denied your Medicaid-approved prescription drugs because you can’t afford the co-payment.
Seniors 60 and over should call the Legal HelpLine for Older Kentuckians at 1-800-200-3633.
You Have a Legal Right to Get Your Medicaid-Approved Drug Prescription Filled Even if You Can’t Afford the Co-Payment
The Medicaid prescription drug $1 co-payment can be a financial hardship for people living on limited incomes. You don’t have to do without your medicines because you can’t afford the co-payment.
Reviewed August 2009