EDIT: more info...Is it medicaid that is based on birth weight? or just SSI?

clyoungsey

Or just SSI?  I thought it was medicaid, but then googled it and it looked like it was SSI (with a disability).  I know a mom of quads (27 weekers) that is fighting for synagis coverage.  She has private insurance, but the copay is huge x's 4.  Was trying to figure out if medicaid based on BW would help her.

edit:  she is in IL with 27 week quads, the biggest was 2lb 4 oz

Sweets2005

I dunno... we have medicaid for the LOs but it is based on income for us...

mek10976

If I recall correctly, there was a couple in our NICU that said their DS was fully covered on Medicaid because he was born under a certain weight (2lbs, I think).  This is in Maryland.  Not sure if it is different in other states.

agray13

In Florida, if LO is approved for SSI (which is based on birth weight) then they automatically qualify for Medicaid.

Rachel&Joe

In NYS it is birth weight (a baby 2 lbs 11 oz or below--is that like 1500 grams or something maybe?).  stella's medicaid pays for everything that our insurance co will not pay for.  it is wonderful & i am so grateful for it.

clyoungsey

she is in IL, with 4 born at 2lb 4oz or less!....yep quads!

mhop

agray13:

In Florida, if LO is approved for SSI (which is based on birth weight) then they automatically qualify for Medicaid.

Ditto and I do believe it is different in every state.

msalinardi@live.com

I would ask a NICU social worker...they actually did all the paper work for me and i just had to sign some forms.

FutureMrsCuoghi

agray13:

In Florida, if LO is approved for SSI (which is based on birth weight) then they automatically qualify for Medicaid.

This in NJ.  When K came home from the hospital tho, we lost both because we didn't meet the financial guidelines.   

cjb62803

agray13:

In Florida, if LO is approved for SSI (which is based on birth weight) then they automatically qualify for Medicaid.

This. They supposedly discontinue once you are discharged from the NICU, but that hasn't been the case here.  I was told by one of the doctor's offices, they don't usually cut you off for a while.  We will be going for our re-eval on the 28th of Dec to find out if we still qualify. Our insurance has covered pretty much everything 100%, but what little they haven't, the Medicaid has picked up.  Like Rachel, we are so very grateful.

Ktbuss

I live in IL and my LO quliafied for SS because of his birthweight but because me and my Husband both still worked are income was to high.  I just looked up the Wic program and it is also based on income.  So I am asumming the medicad is also based on income.  However with having 4 babies the amount of money you can make is pretty high.