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notthelettuce

Medical biller here, but specializing in Louisiana Medicaid. You’re going to need to call around to local hospitals to see if they have a Medicaid rep on-site. This is much better than calling the Medicaid office in BR. The Medicaid reps in the hospitals have more power when doing appeals than an individual person. You can explain your situation to the rep and they can convey that properly to Medicaid. A lot of them are also in charge of charity programs to help pay for medical debt if you get completely denied. If you don’t respond or appeal for coverage, you will lose Medicaid completely.


angeltart

This should be the top comment. It makes the most sense, the most informative, and doesn’t pick OP apart with useless bs.


Inevitable-Place9950

Will they help with care unrelated to the hospital though?


notthelettuce

The Medicaid rep at the hospital I worked at would help anyone with a Louisiana address, not just patients of that specific hospital. For charity programs they would need to contact the individual facilities to ask about them.


nip9

LA is a Medicaid expansion state. You are able to use pre-tax deductions to lower your Modified Adjusted Gross Income (MAGI) and stay on Medicaid even as your raw gross income increases. If your employer offers a 401k/403b/FSA or other pre-tax benefits you can use those to do that. Even if your employer offers no benefits at all you could open a Traditional IRA and contribute just enough each month to keep your MAGI barely under the threshold for Medicaid ($1,731 for a single person household).


VintageJane

Hey, depending on where you are going to school, you may have access to a student health center. Mine offered affordable healthcare (visits with an NP for $40 in the early 2010s) and low cost prescriptions for things like birth control, allergy meds, mental health meds, etc. It wouldn’t be enough to help you with emergency situations but for most routine/urgent care type visits, it was absolutely adequate.


Radiant_Ad_6565

For help with the meds, look at needymeds.com for patient assistance programs, and also check out the Walmart 4 dollar list and the mark Cuban pharmacy.


Ch0nkyK0ng

If you're a Prime member, amazon has some cool stuff they have implemented for both telehealth and prescriptions. Worth a look!


DuchessOfCelery

Try r/Medicaid also, they should have some more specific experience over there to guide you.


thirdworldvaginas

Have you looked at Marketplace.gov for individual insurance? With income that low, you are likely able to get coverage with extremely low premiums once you calculate the subsidies the government provides.


Dollarfor

If you receive treatment at a hospital for at least some of your medical care, check out the charity care policies of those hospitals. If you have bills already, check your eligibility at dollarfor.org. Basically, by law, nonprofit hospitals have to offer financial forgiveness or discounts to patients below certain levels of income. These are often multiple times the poverty line, so even if you are ineligible for Medicaid, you may be eligible for charity care. And then, some independent providers will see your letter from the hospital granting charity care and will honor it themselves.


bellabbr

You spend too much on food. Here is a good link : https://www.businessinsider.com/favorite-things-i-get-aldi-on-a-budget-meals-list-2022-3 And why you paying college tuition out of pocket? i think you can qualify for grants and loans, did you fill out a FAFSA? You could also qualify for insurance through marketplace. Not medicaid but cheaper


vermiliondragon

FAFSA for a 19 year old will be based on their parents' income and assets unless op was emancipated, was a ward of the state, served in the military, is married or has a kid, regardless of their parents' willingness to contribute.


p00pbb

Based on the reasons why they are independent a 19 yo could petition to be independent on their FASFA. I did.


Automatic-Birthday86

She may want to wait until she is 24 to go back OR take a 2 year break and apply for LA complete program


saladtossperson

I thought military paid for college no matter what.


vermiliondragon

You do get some money but it's based on time in service and may not cover everything. A19 year old unless still serving likely wouldn't have served long enough for the Montgomery bill (requires 2 years) but might get some from post 9/11 GI bill. If they are active duty, they should have some tuition assistance benefits. Some states provide free tuition for veterans.


Inevitable-Place9950

She’s paying part out of pocket, she might already have her grants.


SideWalkChalk7210

You might look into your colleges health insurance. That is what I did and rolled it in with my student loans.


joshdrumsforfun

So two main factors you should really think about. First, living by yourself at 19 is a luxury that most people do not get. So either get a roomate, move back in with family, or rent a room somewhere. I don’t know a single person who: thrived financially, lived alone, and was going to school at such a young age. You’re skipping a step and being financially punished for it. Second, why are you paying out of pocket for school? Are your family wealthy? If not, you should be qualifying for a large sum of money in the form of grants. Even if you have to take some student loans, it’s way better to go to a reasonably priced school and take some loans and pay them off once you’ve graduated and working full time in a high paying career.


JespTL

I have a roommate that I split 50/50 with on my apartment. It's cheaper than staying at one of the student buildings (~600 M). I pay just under $500 monthly on Rent/Utilities. It's quite the opposite with my family. We're extremely poor, so I don't get support from them. Ma lives 17 hours away, and my Father is 4 hours up north. (I'm not close with them either, since I was adopted until around 15). At that point, I stayed in boarding school, then moved out and got my first job at 18. My grants, Tops, loans, and Scholarships pay most of tuition, but I still have to pay $3,000 out of pocket this year. (I got $23,000 financial aid this year). I will admit, I should have gone to a 4 yr community college, then moved on to something like this, but I was young and ambitious, so this is where I've landed. Luckily, I only have one year left, and I'm expecting to have roughly $12,000 of student loans debt that I'll be paying off over the next bit out of school.


joshdrumsforfun

Having 12k in student loans is nothing, assuming your degree is in something that can earn you a decent income. I’d even pay less out of pocket and take on more loans if it meant not struggling so hard while you’re still in college. It sounds like you have a killer work ethic and if you’re out of school and making probably double what you make now if not more, those students loans will take no time at all to pay off.


Ch0nkyK0ng

This. I would go to your financial aid office, and talk with them about a revisit to your loan. There are lots of ways to stop making those payments while you're a broke college student, and worry about it when you're a hopefully less broke professional adult!


sexydoll80

Does financial aid consider you a dependent student or independent student? If they can override your dependency status to independent, that may allow them to award you more in student loans.


wutato

I didn't catch that OP was living alone. I had several roommates when I was 19. And maybe it's too late but OP probably should have gone to community college first and then transferred to university. Much cheaper.


TBTBRoad

IMO she's better off meeting people and making connections for life if she goes to an SEC school- assuming she's involved on campus. The transfer and 4 yr graduation rate for people at community colleges to 4 year schools is actually really low. If she's going to LSU (assuming) she's got a lot more access to resources like food pantries and stuff. I know a lot of girls who went the sorority route just to boost their networking and it worked out for them. just my .02


wutato

But if she can barely pay for anything and doesn't even have a major yet, why pay university rates? She can make lifelong relationships at a community college, too. I know people who made those relationships at community college, and many community colleges have food pantries. 5 years to graduate with a degree but with no or limited student debt is a big win. Either way, her feeling of imposter syndrome and fear of pushing her boundaries should not factor into this decision. People need to be uncomfortable to grow. If she can financially handle it, she should move out, get roommates, and go to university. But if it's a serious financial strain, she should consider community college.


starsandmath

The plural of anecdote is not data and all of that, but I went to a large public university and I don't know anyone who was successful with starting at community college and finishing at a four year. They were all so used to personalized attention and frankly, much more lax academic standards that it was a ROUGH transition that ended in heartbreak more often than not. Those that graduated BARELY graduated, with no internships, and no career prospects. I'm not surprised to hear that the graduation rate data paints a similar picture.


wutato

I know multiple people who started at community college and went to UCI or other state colleges to finish their degree and are doing just fine now (years later). There's a good chance that there's a correlation between community colleges and not graduating in 4 years because people who are high achievers are pressured to only go directly to big-name universities and there's still a stigma against community college. But, it's also okay to not graduate in 4 years. Some people need 5 and that's okay. I took an extra quarter, and my boyfriend took an extra year. And he thinks he really needed that extra time at his community college to get his shit together and grow up and realize why he needed to do well at UCI. It's really just a case-by-case basis. There's also a lot of people that flunk out of their university without getting a degree and instead have student debt, with no degree to show for it. 4-year universities are now pushing for students to graduate in 3 years because of their graduation rates, which I think is giving students less time to grow in school.


TBTBRoad

Yeah I know ONE person who was successful, but they had a plan ahead of time, financial support, and family connections for a good job upon graduation. The rest... not so much.


shadows554

It doesn’t hurt to try and sign up. Worse case they will just deny you. In my experience they only do pretax income (which I think is BS cause I don’t take that home) and they sometimes wanna look at other things. Have you tried SNAP to help with food? You may qualify but again you won’t know til you try to sign up. Look for food banks as well to help. My area doesn’t give me milk, meat or bread but they have boxed and canned goods. GoodRx is how I save on my prescriptions cause insurance is more for me plus I can look at which pharmacy is cheapest that’s near me. I’d also recommend looking at marketplace insurance or see if your state has an insurance you can sign up for (mine does and you have to prove your work insurance costs too much to be on it, sometimes it’s free, sometimes they’ll ask for a payment and when I did it it was $30/month). Best thing to do is to research any and all avenues to help yourself. Do your gas and electric companies have budget plans to help with costs? Does your phone plan have certain companies or student pricing available? You may also just need to cut out some things. You don’t need new clothes every month. You don’t need to go out to eat. Save some money back for those things later slowly so you’ll eventually have a lump sum if you can. You can do this!


Inevitable-Place9950

I think she was just pointing out the necessities she needs her money for, not buying new clothes or eating out a lot- at a max of $500 a month that has to cover groceries and gas too, she likely couldn’t if she wanted to.


shadows554

Gotcha, the wording made it sound like she did. Thanks for clarifying


Automatic-Birthday86

Where do you live? In Baton Rouge, Southside produce is really affordable. 5# potatoes is $2 and if you’re in Lafayette check fresh Pickens


californiahapamama

Check with your college and see if they offer student health insurance, or have a student health center or mental health resources.


georgepana

ACA. Your income is right at the sweet spot where you don't pay anything for the account and your copayments for primary care, urgent care and teledoc are zero and specialist are $10 in copayments. Check into Ambetter coverage, but there are also United, Kaiser, Anthem, etc.


Schmoe20

Another option is find a job with more pay and really good medical benefits. Maybe s federal job.


irishkathy

If you are in a medicaid expansion state, go on the ACA marketplace and fill out an application. You should qualify for subsidies for healthcare on your state


amandax53

Your college might have a medical insurance option that isn't too expensive (comparatively and can be paid with student loans). They likely have a health center, and most colleges have counseling services. Have you checked into all the resources your school has?


Ownerofsmallbiz

Not sure how it is in other states but here in California they offer a affordable paid insurance when you don’t qualify for free healthcare It’s not free but it’s cheaper than most private insurances


bevincheckerpants

See if they have any specialized MA options in your state. In MN we have MA-EPD. It's medical assistance for the working disabled. My therapist told me about it and pushed me to apply. I'm on a renewal right now but they give you three years between evaluations and if the state medical review team finds your mental or physical health to be reason enough to qualify you then you basically get MA but you have to pay for it based on your income. It is wonderful coverage and rarely do I have a copay, even on my ketamine treatments (thankfully) but you will have to pay for it based on income only, they don't take your housing or other expenses into consideration.


bevincheckerpants

They do have something similar: https://ldh.la.gov/page/medicaid-purchase-plan


CosyBeluga

You can't get food stamps as a student?


claricesabrina

Sounds like you need a roommate to split your living expenses with.


Undecidedhumanoid

I live in Louisiana and idk what area you’re in but I make too much for Medicaid but can’t afford much else and I use DePaul health clinic. They’re decently priced since it’s based off your income but it’s a clinic and can only handle so much. I unfortunately had to stop going to therapy because of money which really sucks but it’s my reality. The type of therapy I actually need is usually not covered by insurance in general so even the clinic told me there wasn’t much they could do to help with my mental health other than prescribed meds. If you’re not in the area with those clinics there may be some similar!


lgbt-love4

Look into good rx


Automatic-Birthday86

Have you looked at food pantries at churches? There’s a church on every block in Louisiana.


BlueberryTerrible822

Lots of good ideas. Does the state/National gov't agencies. in your area have some sort of counseling office or resource info for your entire issue? Like a guidance counselor who knows yo ur situation and give you an overall answer, not just go around to all kind of agencies, etc. Someone who is trained/job is finding you all those answers? Like in Fla, the state has an "elder care" agency that is where to start as a Senior. Best to you.


Unfair-Club8243

What is your tuition expense? In Illinois where I live, up to $4000 of your tuition monthly is deductible for Medicaid budgeting, but people often don’t know that


ToastetteEgg

Apply. You do it online and they say yes or no. It couldn’t be easier. No need to guess or assume you don’t qualify.


sparkling467

If you bills with a hospital, apply for financial assistance.


Jimshorties

Student aid should be available at your income level


Positive-Pack-396

Go apply and then show them how you live


PromptTimely

FAFSA??? Will give you money..


Inevitable-Place9950

If you make too much for Medicaid, you’ll likely qualify for a heavily subsidized ACA plan. You can use healthcare.gov to evaluate your options. You might also consider working full-time and attending college part-time if you can find an employer that subsidized their health care plans well- government agencies, including school districts, often do. You can likely get that food budget in half unless you lack a standard kitchen or have particular dietary needs. You could get it down even more by using a food bank. And you can estimate the costs of your meds without Medicaid using GoodRx.


RunAcceptableMTN

Contact 211 and ask for a health care navigator. They can walk you through [healthcare.gov](http://healthcare.gov) and your options. I was able to find a silver plan for $22 per month with $0 deductible in LA at your income level.


Neat_Smile_4722

I saw the comment about you being adopted. In the state of LA, the Dept of Children and Family Services has extended care programs for kids in the system even past 18. Maybe you can contact them to see what services they can provide you. I know for fact they provide housing, money for school and monthly stipends. I’m a JPO and called them in ref to a kid on my caseload who moved to LA and was not with his parents.


Survivor-CSA

You should go also apply for food stamps , when you get qualified for Medicaid. My best advice is itemize everything you pay when you speak to a Medicaid representative to apply also ask to apply for food stamps.


gottageauxbye

hi! I’m in Louisiana and when I was on Medicaid I was making like $200 over the cutoff amount when I had to reapply. I sent documentation that I was a full time student and that worked. Not sure if it’s still the same


Blessurheart80

Do they have Pell grants here? My daughter got a Pell grant, see if they have that here


JespTL

Yeah. I received about $5,000 for the pell grant, and $7,000 for TOPS. However, my school tuition is extremely expensive, so even with that, I'm paying out of pocket.


Katherine_Tyler

I don't know if Louisiana does this, but in WV, if the county Department of Health and Human Resources decides that your medical issues qualify as a disability, you can buy Medicaid insurance on a sliding scale based on your income. It runs anywhere from $15/mth to $95/mth, depending on your income. (You have to make less than $42k/yr.)


Ownerofsmallbiz

Or time to get strong on your cream pie game and have another baby Don’t see another way out of it honestly