Questions to Ask Your State's Medicaid Agency

Asking about enrolling, plans, and coverage

I believe I am eligible for Medicaid, but I do not know how to enroll. Could you help me get started? Know your zip code because there are different plans for different areas.

What plans are available in my area?

How do I know what plan is best for me?

• Explain medical history here: Type 1 Diabetes and any other personal health history

• Consider sharing family history here as well

Under this plan...

• How often can I see my primary care physician?

• How much does it cost to visit specialists?

• How are surgeries covered under this plan?

• What medications for diabetes management are covered under this plan?

• What durable medical equipment is covered under this plan?

Be sure to know what medications and services you would like covered prior to calling to make sure you find the best plan!

This is my budget for my healthcare management to cover my insurance premiums, copays, and any other out of pocket costs. Which plan will best fit this and my health management? Use our budgeting sheet to help you solidify a monthly budget for this amount.

Once they recommend a plan, dig a little deeper: 

Can I still visit my current providers (PCP, endocrinologist, other providers) under this plan? If your current providers are NOT covered under the new plan, ask what providers ARE covered under each specialty in your area.

Are my prescriptions covered under this plan? If agent cannot help with this, you can call ExpressScripts to see what is covered.

What are the out of pocket costs for these prescriptions?

Are there any free self-management tools for diabetes covered under this plan?

How do I enroll in this plan? How often will I have to renew my coverage? What documents do I need to provide?

Can I switch my plan once enrolled?

When will my plan go into effect?

How can I get coverage for my dependents/ kids?