Medicaid & Miscarriage Confusion (long)

brookew86

So back in July I lost my baby at 15 weeks. I went to my OB and she set me up a few days later in a hospital to do...uh, not the D&C but whatever the other procedure is where I take those abortion pills vaginally and pass the baby naturally? Anyway, so after that I was dealing with the loss and everything and I mentioned Medicaid to my family once -- they told me: "Hey, don't worry about it. We'll let them know if it makes you feel better." so it just slipped from my mind to call and let them know.

 

Flash forward to now, a few days before my original EDD, I get some mail in telling me that I'm now enrolled into United Healthcare and it is a part of some program called "MississippiCAN". But I read that you had to be pregnant, or otherwise eligible for Medicaid (which outside of being pregnant, I'm not). So that freaked me out and I asked the people who said they'd "handle it" if they ever did -- and they didn't.

 

Basically, now I'm worried I've been unintentionally on Medicaid when I shouldn't be, thus that being fraud. It's not like I've been to the doctor since then, except for the follow-up with my OB at the end of July. I also thought: "Well shouldn't Medicaid know since they'd have gotten the bill, and thus know I went in for an assisted miscarriage?" What's worse is I can't call until tomorrow to find out, and I'm worried this is going to come back to bite me in the bum when I get pregnant again in case I need to go on Medicaid again.

 

So does anyone know if you're supposed to report to Medicaid, or would the hospital's bill be enough? I still plan to call tomorrow, but I just wish I knew now... : 

AnjaO

I work with insurance and have worked with Medicaid.  You should be fine since you have not submitted any claims (and all you'd have to do would be to reimburse them for ineligible expenses, they wouldn't go after you for fraud for that).  Claims are automatically processed, so those wouldn't alert them that you're no longer pregnant.  I would definitely call tomorrow and explain the situation, but don't let it worry you tonight!

brookew86

Thank you so much, Anja! I feel like I've stressed over every little thing this week, and with my due date coming up I've been an absolute mess of emotions. This really helps ease my mind.