Louisiana Medicaid-bayou Health

Updated

For anyone who lives on Louisiana- Are you having problems finding care through Bayou Health (Louisiana Medicaid) ?
For example, you choose a pcp and/or specialist that the Plan has listed and tells you over the phone they are listed. But when you go to make a appointment, the drs office tell you they do not accept medicaid or they only accept medicaid if you're Dual Eligible (Medicare and Medicaid) (Dual Eligibles Do Not have to enroll in Bayou Health as of 2013)

Or you have problems getting a referral from your pcp or having x-rays, labs done.

The three Pre-Paid Plans are Amerigroup Real Solutions, LaCare, Louisiana Healthcare Connections.

The two Shared Saving Plans are Community Healthcare Solutions, United Healthcare

2 Replies

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1

I'm sorry that you're having such issues finding a doctor and I wish that I could help, but I don't live in your area.

However, from other posts on this site, I can tell you that there are problems all over. It seems many doctors do not want to take the Medicaid programs anymore.

There are various reasons why, for many services they have to agree to accept reduced fees compared to those they can charge cash paying customers and regular insurance companies. There are many restrictions on the treatments they can offer, wheat medications they can prescribe and etc.

In most states, it's really become a nightmare for doctors to try to accept it.

Does anyone else have any suggestions that may help?

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2

Verwon,
Thank You for your reply. I understand why most medical providers no longer accept medicaid. I'm just trying to find out the extent of the problem in regards to Bayou Health Members being given false information about which providers.they can use.

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