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Health-Care Savings Series—Day 10: Take advantage of condition-based programs
Oct 17, 2008 11:58 AM

Yesterday we blogged about insurance for those facing financial difficulties. There are also public programs that expand low-income coverage to people with certain conditions who may not meet the stringent Medicaid means test, as well as private condition-based programs. We list several below, but if you are uninsured or underinsured, and have a condition that needs treatment, get in touch with your local department of social services or a health-care social worker to learn more about your options. And, as always feel free to list your tips in the comments.

Medicaid Special Coverage Programs:

·    Breast and Cervical Cancer Prevention and Treatment Program. Uninsured women screened through the Centers for Disease Control and Prevention's (CDC) National Breast and Cervical Early Cancer Detection Program, and found to have either pre-cancerous conditions, or cancer, may be eligible for special Medicaid coverage to treat the disease.

The screening program is available to uninsured and underinsured women whose incomes are at or below 250 percent of the federal poverty guideline. Cervical cancer screenings are available to women age 18-64, and breast cancer screenings are available to women age 40-64. Use the CDC website to find a screening program near you. And contact your state health department to inquire about the treatment program. Rules for this program are exacting and differ from state to state.

·    Tuberculosis. States may also expand eligibility to low-income people with a tuberculosis infection who otherwise don't qualify for Medicaid. Services are limited to tuberculosis treatment, but include prescription drugs, physicians, outpatient hospital services, clinics, federally qualified health centers, lab and X-rays, and case management. Contact your state health department to inquire about this treatment program.

·    Sickle Cell Anemia. This program, unlike those above, does not extend eligibility, but rather expands the scope and value of treatments for this hereditary blood condition for children and adults who are already eligible for Medicaid. It enables Medicaid to pay for more care such as special blood treatments, genetic testing and counseling, and services to prevent a recurrence of the strokes that are a devastating complication of the disease. Contact your state health department to inquire about this treatment program.

There are also a number of condition-specific private assistance programs available for those in need:

You can also reference this page maintained by the National Institutes of Health,which has links to further resources for financial assistance to meet medical needs.

Kevin McCarthy, associate editor

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