Charlotte, I have to use medicaid too. I am on SSI and I have a "spenddown" each month. But, that is for my medical care help not my prescriptions. My prescriptions cost $2.40 each, unless they are not covered, then they are full price. Luckily most of mine have been covered.
The way my doctor works the spendown is, they send in the bills at the end of each month, I've never had to pay the spenddown, myself, somehow it just works itself out. It's kind of hard to understand but if your spendown is $500.00 that really sounds like a lot, you may not incur that much medical treatment time in one month. I was told that you could send in all your medical bills and pay the balance of the spenddown. They don't make it easy! Luckily my spenddown is $100.00 a month. I probably haven't explained it very well, you can call Social Services or talk to a caseworker, they will be able to explain. Geeez I'm talking in circles and finally gave myself a headache, lol!
Good luck, the system is complicated sometimes.
2 cm/ 0 nodes
Lumpectomy rt breast on 7/26/06
ER/PR- / Her2+++
A/C x 4
finished taxotere 2/07
finished 33 rads
Herceptin finished 12/07/07 Yippee!