Medicaid

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killingbill

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When will people realize that Medicaid is bankrupting our country? If people are on Medicaid they are always "sicker" getting 10 prescriptions at a time? Why is the taxpayer paying for your aspirin? Why is the taxpayer paying for your suboxone? It's not my problem you're addicted to drugs. Tax payer paying for your birth control? Your plan b??? And they fill crap, don't even take it, just refill it because it's free. "refill anything I can get" is the classic line. Aside from the fact how much fraud there is. Tax payer paying for that 10 percocets that they get from the ER that they sell on the streets. I know of someone who has Medicaid that sends medications to their family in another country that's paid for by Medicaid. People who get doctors to write prescriptions under another persons name who has medicaid because they have no insurance. most of the people on Medicaid have no jobs and have nothing to do all day but walk around and get their free stuff. When I save my money, they have money to buy iPads, iPhones, expensive clothes, $10 pack of cigarettes, but guess what? Not their $1 copay. Their lifestyle is subsidized by the taxpayer and it makes me sick. What happened to the generation that came here with nothing, expected nothing, and worked their asses off to make something of themselves? Now people just expect it free.

This country is a true disgrace. Ready for universal healthcare? This country is in for a long, bumpy ride. :mad::eek::mad::mad:
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What do you propose is a better option?

Does it cost tax payers less money to cover aspirin or pay for a hospitalization for a MI? Or should the person be out of luck and not receive any care?

Does it cost tax payers less money to pay for contraceptives or to support a teenage mother? Or should the child be punished because the parents did not make good choices?

If you are an employer, what type of accommodations do you want to make for a person with uncontrolled seizures so that he can work and therefore have the means to purchase health insurance? How about a person with schizophrenia who is frequently hospitalized?

The patients I work with struggle to keep food on the table and a roof over their heads. They certainly do not have fancy technology. In fact, many of my patients were never taught the skills necessary to use the internet - even my patients in their 20's who were born in the US. (And in case there are questions, my patients are US citizens who are Caucasian and live in a rural part of the country). The gap between those who have and those who have not continues to grow.

Please know that I am being sincere when I ask: What do you propose is a better option?
 
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A lot of people are prescribed crap they don't need. Nexium long term? Just because they were discharged on it from a hospital for 2 weeks they think they need it forever.

It's hemmoraging the system for money. People hiding their money to get on Medicaid. People in cash businesses claiming they have no income.

If you make it their own problem, rather than the taxpayers I assure you that in due time people would think twice about their actions. Right now there's a safety net so they don't care. More kids equals more welfare for them.

I work in NYC. Those who have Medicaid pay $200 rent for a $2,000 a month apartment. Plus food stamps. And they do not work. And they have cars with parking!!! In manhattan! While I work my ass of to fill their crap, that they did need right away, so they can go walk on the streets all day long. Why am I struggling while they get it all free. If you don't see something wrong with that then you're a sorry sap. Go spend your own money on charity and cut my damn taxes.



Does it cost tax payers less money to cover aspirin or pay for a hospitalization for a MI? Or should the person be out of luck and not receive any care?

Does it cost tax payers less money to pay for contraceptives or to support a teenage mother? Or should the child be punished because the parents did not make good choices?

If you are an employer, what type of accommodations do you want to make for a person with uncontrolled seizures so that he can work and therefore have the means to purchase health insurance? How about a person with schizophrenia who is frequently hospitalized?

The patients I work with struggle to keep food on the table and a roof over their heads. They certainly do not have fancy technology. In fact, many of my patients were never taught the skills necessary to use the internet - even my patients in their 20's who were born in the US. (And in case there are questions, my patients are US citizens who are Caucasian and live in a rural part of the country). The gap between those who have and those who have not continues to grow.

Please know that I am being sincere when I ask: What do you propose is a better option?[/QUOTE]
 
It is great that you identified a problem. However, what do you propose is a better solution?

killingbill said:
While I work my ass of to fill their crap, that they did need right away, so they can go walk on the streets all day long.
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Apparently these prescriptions are helping to keep you employed.
 
Apparently i wouldnt need to work as hard if taxes werent so damn hard to support the freeloaders you idealist socialist.

It's called pay pay your own way. We survived for 200 years without Medicaid.

I work with people who want to work less so they don't make more to not be eligible for Medicaid. Great system buddy.
 
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killingbill said:
Apparently i wouldnt need to work as hard if taxes werent so damn hard to support the freeloaders you idealist socialist.
Click to expand...

It is unfortunate that you felt the need to resort to "name-calling" as opposed to answering the question posed. It is unrealistic to expect that only people who agree with your opinions will respond to a post on a public forum.

While I will not be responding to this post further, I would like to reiterate that it is easy to identify a problem. It is much harder to identify and implement a realistic solution.
 
killingbill said:
Apparently i wouldnt need to work as hard if taxes werent so damn hard to support the freeloaders you idealist socialist.

It's called pay pay your own way. We survived for 200 years without Medicaid.

I work with people who want to work less so they don't make more to not be eligible for Medicaid. Great system buddy.
Click to expand...

You should just stop here. This is a social economic crisis and arguing your point here is useless. You're gonna be made out to be a greedy SOB republican here. Instead, why not talk about your positive experiences in pharmacy and how you can contribute to our society more than you already are. I'm being sincere. that is all. :rolleyes:
 
Medicaid helped me get through college. Now I'm paying back to the system with my 30% income bracket.

Sent from my SAMSUNG-SGH-I747 using Tapatalk 2
 
killingbill said:
A lot of people are prescribed crap they don't need. Nexium long term? Just because they were discharged on it from a hospital for 2 weeks they think they need it forever.

It's hemmoraging the system for money. People hiding their money to get on Medicaid. People in cash businesses claiming they have no income.

If you make it their own problem, rather than the taxpayers I assure you that in due time people would think twice about their actions. Right now there's a safety net so they don't care. More kids equals more welfare for them.

I work in NYC. Those who have Medicaid pay $200 rent for a $2,000 a month apartment. Plus food stamps. And they do not work. And they have cars with parking!!! In manhattan! While I work my ass of to fill their crap, that they did need right away, so they can go walk on the streets all day long. Why am I struggling while they get it all free. If you don't see something wrong with that then you're a sorry sap. Go spend your own money on charity and cut my damn taxes.
Click to expand...
The Nexium is probably the clinician's fault anyway. Lots of people are left on PPIs when they shouldn't be.
 
Yeah, all those people dying of cancer on Medicaid after they lost their jobs, they're just worthless POS. They should be doing any job they can while puking their guts out, as cancer ravages their bodies. If they can't afford treatments, too bad. Once they can no longer work, they should just go home to die. Well, if they still have a home, that is.

Oh, and those developmentally-disabled people? Totally worthless to our society. Why should we even let them live? Too bad if it's your relative. If you can't pay to care for them, oh, well!

And if parents can't pay for healthcare for their kids? Too bad. The kids can die an early death or grow up disabled. Their health conditions aren't our problems, even if it means they can't get a good education. It doesn't matter if they had a drive to become productive people in society; their parents were poor, so who cares about them?

Oh, you teenage girl. Who knows how much you actually know about sex education? We can't pay the measly costs of birth control and/or EC to allow you to continue your education so you can get a good job. If you get pregnant, it's all your fault. Now work some minimum wage job, which barely pays for daycare. As for your kids, see the paragraph above.

Who needs Medicaid?? Certainly none of these people. We didn't have most medical treatments for most of the past 200 years, but now that we have them, they should only be for those who can pay for them. And once you can't pay for them, sucks to be you.

Oh, and if we do give you Medicaid, if you're deemed worthy enough, you are never allowed to have anything nice again. Go eat gruel and dress in rags. Don't buy anything nice, even secondhand, or accept gifts from family and friends. Anyone not on Medicaid who loses a job, for instance a healthcare professional, lives that way and immediately ceases doing anything that costs extra money, to prevent themselves from possibly becoming a drain on society.
 
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Now that I got the sarcasm out of my system...

I'm sure there's abuse of Medicaid. I've occasionally seen the entitlement, even sometimes in family members on it (family members dying of cancer, by the way). But, there's abuse of every single healthcare program out there, too. You haven't seen the gainfully employed person who loses the $300 prescription and then non-chalantly comes in and basically demands their insurance pay for another one? And then gets mad when it takes awhile, even if they end up getting it in the long run? Personally, I'd take the Medicaid patients and the occasional one who feels entitled over the spoiled well-to-do population who are much more demanding.

And in case you don't realize this, OP, healthcare costs are insane. If you have diabetes, you pay a ton each month in medication costs and co-pays. You probably are better off in a lower-paying job, because if you made $100 more a week, you lose the coverage, and that extra income isn't going to cover your lost healthcare coverage.

There are bigger problems here. People don't know how to budget. People don't know how to cook and manage households. People don't understand their medications and their diseases. Taking away Medicaid is not going to fix these issues. I wish we could put some of this info back into public schools, but no one wants to pay for that, either.
 
Doctor M said:
You should just stop here. This is a social economic crisis and arguing your point here is useless. You're gonna be made out to be a greedy SOB republican here. Instead, why not talk about your positive experiences in pharmacy and how you can contribute to our society more than you already are. I'm being sincere. that is all. :rolleyes:
Click to expand...


You're all a bunch of thin skinned commies. What happened to true Americans like Patton and eisenhower? You're all a bunch of pc left wingers.
 
PENVK said:
Medicaid helped me get through college. Now I'm paying back to the system with my 30% income bracket.

Sent from my SAMSUNG-SGH-I747 using Tapatalk 2
Click to expand...

My brother found out he was eligible for food stamps when he was in college, and he did indeed take advantage of this. I was probably eligible too, but I didn't investigate further because I didn't need them. I'm mentioning this here because he tells everyone about it.

And BTW, most Medicaid dollars are spent on the elderly. Who do you think foots the bill for most of those people who are in nursing homes? My grandmother was on it for a couple years before she went into a NH herself, because her only income was Social Security. For that matter, she also got energy assistance and paid $125 a month via Section 8 for an apartment that would have cost more than $400 otherwise. Those programs weren't around when she was raising 4 kids on her own.

She took Nexium for a long time, and didn't mind paying $150 a month for it because it was worth it to her, and when the "Together" program came out, I sent her a brochure (and my parents too, who turned out not to be eligible so they passed it on to someone who was) and she sent me a nice thank-you note because she was able to get it for $15 a month instead. :)

As for families on it, no matter what the parents may have done, it's not the kids' fault. I do have a really big problem with people getting toddlers diagnosed with bipolar disorder so they can get SSI for them. :mad: That disease is almost impossible to diagnose before adulthood, or suspect prior to the teen years, and OF COURSE toddlers are "rapid cycling bipolar". They're TODDLERS.

The grocery store chain where I worked for 3 years was (and probably still is) self-insured, and one day, one of my colleagues was grumbling about people who may not deserve Medicaid and how we all pay for it, and I said, "But who pays the medical bills for (name of our store manager's son)?" (who had ALL) and waved my hand in the direction of the rest of the store.
 
FarscapeGirl said:
Yeah, all those people dying of cancer on Medicaid after they lost their jobs, they're just worthless POS. They should be doing any job they can while puking their guts out, as cancer ravages their bodies. If they can't afford treatments, too bad. Once they can no longer work, they should just go home to die. Well, if they still have a home, that is.

Oh, and those developmentally-disabled people? Totally worthless to our society. Why should we even let them live? Too bad if it's your relative. If you can't pay to care for them, oh, well!

And if parents can't pay for healthcare for their kids? Too bad. The kids can die an early death or grow up disabled. Their health conditions aren't our problems, even if it means they can't get a good education. It doesn't matter if they had a drive to become productive people in society; their parents were poor, so who cares about them?

Oh, you teenage girl. Who knows how much you actually know about sex education? We can't pay the measly costs of birth control and/or EC to allow you to continue your education so you can get a good job. If you get pregnant, it's all your fault. Now work some minimum wage job, which barely pays for daycare. As for your kids, see the paragraph above.

Who needs Medicaid?? Certainly none of these people. We didn't have most medical treatments for most of the past 200 years, but now that we have them, they should only be for those who can pay for them. And once you can't pay for them, sucks to be you.

Oh, and if we do give you Medicaid, if you're deemed worthy enough, you are never allowed to have anything nice again. Go eat gruel and dress in rags. Don't buy anything nice, even secondhand, or accept gifts from family and friends. Anyone not on Medicaid who loses a job, for instance a healthcare professional, lives that way and immediately ceases doing anything that costs extra money, to prevent themselves from possibly becoming a drain on society.
Click to expand...

:thumbup:
 
Yawwwwwn.....

Medicare and Medicaid provide valuable social safety net for many of the elderly and the needed. There is always a room for improvement and people who abuse them.

Accept it and move on. /thread.
 
the ongoing fight about government funded programs

its sad because as pharmacists we see first hand the benefit and abuse of it.....too bad there is no "tattle-tale" or "whistle blower" reward.....or else i would be getting fat checks every month

for every person abusing there is an equal person who truly benefit

i guess the divide lies on if the benefit is worth it in the end to make up for the abusers

it also depends on where you work and reside.....im sure there are plenty in rural kansas who use the system wisely and then there are pharmacists who work in palmdale, CA and see that 75% of the populate is abusing it (ok that number is not accurate but it felt like it haha)
 
Not to mention that most practitioners lose money on Medicare patients. Hospitals get paid about 80% of what it costs to treat someone on Medicare. And about 10% of Medicare claims are fraudulent, which amounts to about $50 billion a year. I bet that would cover the bills for a HUGE proportion of the un(der)insured people in this country, of all ages.
 
The thing that bugs me is that I don't have medicaid, yet I watch all these people coming through the pharmacy with nicer things than myself (cars most specifically, not to mention cell phones and much nicer clothes) that are on Medicaid....it's just frustrating. I drive a 1982 vehicle....
 
All4MyDaughter said:
Please elaborate.
Click to expand...

In my neck of the woods every couple months you hear of an independent pharmacy or
DME store being shut down for fairly massive amounts of gov't program fraud. If these are the ones getting caught i can only imagine the numbers doing it on a low
Level to keep in the black. There's also reports where indies commit more fraud per capita
Than chains.
 
All4MyDaughter said:
Please elaborate.
Click to expand...

Just jumping in here. I did a rotation at a pharmacy that was in the same complex as 2 pain clinics that served mainly Medicaid patients and was not far from a rough section of town. Pain clinic days were the fastest days and the pharmacy needed to hire extra help those days to keep up with the workload. The pharmacists were convinced that a lot of these patients were selling their narcotics on the street, in part because the patients were very, very specific about the manufacturer/imprints they wanted on their RXs (ostensibly to maximize street value). The pharmacy made sure to stock these in ample supply (something that I thought was rather unethical - if you suspect patients of selling X brand as opposed to Y brand, then why the hell do you insist on carrying X brand as opposed Y brand which is available to you, and how does this make you any better than other fraud artists, not to mention the street dealers? But that's another topic). It was an open secret and joke at the pharmacy. Any falsified RXs were of course reported to authorities and prescribers. But the pharmacy knew they were serving a lot of abusers who were billing Medicaid and yet they didn't seem to have a problem with it .... $$$$ of course.

I really hated that place.
 
npage148 said:
In my neck of the woods every couple months you hear of an independent pharmacy or
DME store being shut down for fairly massive amounts of gov't program fraud. If these are the ones getting caught i can only imagine the numbers doing it on a low
Level to keep in the black. There's also reports where indies commit more fraud per capita
Than chains.
Click to expand...

Independent pharmacies, etc. are not going to have the oversight that a chain would. In addition, many indies, especially those in rural areas, stay open because of their mostly-Medicaid contracts with nursing and MR/DD homes. Some also have contracts with the county jail.

I have worked with pharmacists who did things like make Medicaid patients wait an hour even if it wasn't busy :mad: and have even been censured for being nice to them. Why shouldn't I? They're PEOPLE.
 
fauxden said:
The thing that bugs me is that I don't have medicaid, yet I watch all these people coming through the pharmacy with nicer things than myself (cars most specifically, not to mention cell phones and much nicer clothes) that are on Medicaid....it's just frustrating. I drive a 1982 vehicle....
Click to expand...

Most vehicles from 1982 aren't even running anymore, and if they are, I don't know how many I would consider safe (unless they were kept up amazingly well). I don't think that's the best standard to compare Medicaid patients to... ;)

You ever thinking of upgrading, perhaps to a car that actually existed when all of your classmates were alive? :p
 
rph3664 said:
And BTW, most Medicaid dollars are spent on the elderly. Who do you think foots the bill for most of those people who are in nursing homes?
Click to expand...

Truth. One of the biggest misconceptions about Medicaid is where most of the money goes.

jawnly211 said:
too bad there is no "tattle-tale" or "whistle blower" reward.....or else i would be getting fat checks every month
Click to expand...

So, you only feel compelled to report suspected fraud and abuse if there is something in it for you?
 
Keep the masses looking down while the top .01% runs away with more and more of the pie, it's what has been going on in this country since the early 80's and has exploded in the 2000's. There is no doubt that rampant and blatant Medicare/Medicaid fraud exists, and obviously something needs to be done to curb it and reel it in....I think everyone agrees with that.

But, most of us forget that while we (middle/lower classes) spend all our time pointing the finger at each other, the wealthiest individuals have walked away with Trillions over the past decade. The amount of wealth shifted from the bottom to top during the 2007-2009 financial crisis alone is mind boggling. We are producing a record number of millionaires and billionaires while we are also producing a record number of people driven into poverty. The whole situation is quite alarming and I don't think any easy or quick fix exists.
 
killingbill said:
A lot of people are prescribed crap they don't need. Nexium long term? Just because they were discharged on it from a hospital for 2 weeks they think they need it forever.

It's hemmoraging the system for money. People hiding their money to get on Medicaid. People in cash businesses claiming they have no income.

If you make it their own problem, rather than the taxpayers I assure you that in due time people would think twice about their actions. Right now there's a safety net so they don't care. More kids equals more welfare for them.

I work in NYC. Those who have Medicaid pay $200 rent for a $2,000 a month apartment. Plus food stamps. And they do not work. And they have cars with parking!!! In manhattan! While I work my ass of to fill their crap, that they did need right away, so they can go walk on the streets all day long. Why am I struggling while they get it all free. If you don't see something wrong with that then you're a sorry sap. Go spend your own money on charity and cut my damn taxes.
Click to expand...

So are we discussing Medicaid, local rent control, poor discharge planning, or tax evasion by small businesses?
 
TonyRx said:
Keep the masses looking down while the top .01% runs away with more and more of the pie, it's what has been going on in this country since the early 80's and has exploded in the 2000's. There is no doubt that rampant and blatant Medicare/Medicaid fraud exists, and obviously something needs to be done to curb it and reel it in....I think everyone agrees with that.

But, most of us forget that while we (middle/lower classes) spend all our time pointing the finger at each other, the wealthiest individuals have walked away with Trillions over the past decade. The amount of wealth shifted from the bottom to top during the 2007-2009 financial crisis alone is mind boggling. We are producing a record number of millionaires and billionaires while we are also producing a record number of people driven into poverty. The whole situation is quite alarming and I don't think any easy or quick fix exists.
Click to expand...

Amen. :thumbup:
 
Silvermist said:
Just jumping in here. I did a rotation at a pharmacy that was in the same complex as 2 pain clinics that served mainly Medicaid patients and was not far from a rough section of town. Pain clinic days were the fastest days and the pharmacy needed to hire extra help those days to keep up with the workload. The pharmacists were convinced that a lot of these patients were selling their narcotics on the street, in part because the patients were very, very specific about the manufacturer/imprints they wanted on their RXs (ostensibly to maximize street value). The pharmacy made sure to stock these in ample supply (something that I thought was rather unethical - if you suspect patients of selling X brand as opposed to Y brand, then why the hell do you insist on carrying X brand as opposed Y brand which is available to you, and how does this make you any better than other fraud artists, not to mention the street dealers? But that's another topic). It was an open secret and joke at the pharmacy. Any falsified RXs were of course reported to authorities and prescribers. But the pharmacy knew they were serving a lot of abusers who were billing Medicaid and yet they didn't seem to have a problem with it .... $$$$ of course.

I really hated that place.
Click to expand...

Did you let the professors know that they were setting people up to train at a corrupt place?
 
FarscapeGirl said:
Most vehicles from 1982 aren't even running anymore, and if they are, I don't know how many I would consider safe (unless they were kept up amazingly well). I don't think that's the best standard to compare Medicaid patients to... ;)

You ever thinking of upgrading, perhaps to a car that actually existed when all of your classmates were alive? :p
Click to expand...

My car is fine, and I am an extreme example as far as my vehicle right now. But my previous cars were a 89, 91, and now 82. They work. I pay 900-1000 for them and drive them for a while and get rid of them. The point is this, I could get a car, with a nice payment to go along with it, but I choose not to. Saves me about 300 bucks a month I imagine. You know what that affords me? The ability to pay for my own health insurance (which I do). Those that roll through the pharmacy with all these nice things are living beyond their means. If they had more self discipline (maybe not such a nice vehicle, phone, clothing, pets, TV, xbox, ipod, cable, etc etc) they could do the same. Obviously, I am not describing every medicaid patient...but I'm sure I'm hitting the nail on the head for many.
 
killingbill said:
Why the hell does medicaid pay for acne medications. Tell me why tbe tax payer is responsible for that? Commie.
Click to expand...
Can't get rich unless you're beautiful first. Once you look good, you can start to crawl up the social ladder.
 
I think Medicaid formularies should only cover what is necessary (like blood pressure and diabetes meds) and I'm also fine with charging reasonable copays. We need to have Medicaid reform in my opinion. Personally, I think all social programs based on financial need should have expiration periods and should only exist to help people get financially stable. They shouldn't exist as an almost permanent subsidy for the poor.
 
Yes- I also wish there was at least a few dollar, or a dollar, copay for medicaid. It's insane there isn't.
 
A regular at the pharmacy I work at is on medicaid, and demands that he receive all name brand medications. The store eats most of the difference in cost because he knows somebody or another on up the food chain. THAT is entitlement.

I don't generally have a problem with the idea of a basic safety net, but when you work at a major retail chain and at least 30% of your medicaid claims are urgent care prescriptions for hydrocodone or tramadol and an antibiotic, with the PT requesting that you not fill the antibiotic, with another 30% being a slew of medications the PT probably doesn't need to be taking + OTC medications, it's difficult not to be a little jaded. Oh, and on top of picking up their hydrocodone for $0.50, a good number of the patients (try to) buy some sudafed and iodine while they're at it.

Perhaps it depends on where you work, but it certainly seems like the majority of medicaid spending is completely unnecessary.
 
Iconoclastic said:
A regular at the pharmacy I work at is on medicaid, and demands that he receive all name brand medications. The store eats most of the difference in cost because he knows somebody or another on up the food chain. THAT is entitlement.

I don't generally have a problem with the idea of a basic safety net, but when you work at a major retail chain and at least 30% of your medicaid claims are urgent care prescriptions for hydrocodone or tramadol and an antibiotic, with the PT requesting that you not fill the antibiotic, with another 30% being a slew of medications the PT probably doesn't need to be taking + OTC medications, it's difficult not to be a little jaded. Oh, and on top of picking up their hydrocodone for $0.50, a good number of the patients (try to) buy some sudafed and iodine while they're at it.

Perhaps it depends on where you work, but it certainly seems like the majority of medicaid spending is completely unnecessary.
Click to expand...

This annoys me too. We can't judge everyone on Medicaid and paint everyone as a self entitled moocher off the system, but it annoys me when people pick up their mass quantities of Soma and Oxycodone while pulling up in a drive through in an SUV on an iPhone. One of the saddest things I ever encountered was a lady who pitched a fit because I couldn't bill her beer on an EBT card. When I told her I could't do it and nothing was going to change her comeback was "well I guess my baby is just going to have to go without formula this month" and then paid with cash.
 
killingbill said:
Why the hell does medicaid pay for acne medications. Tell me why tbe tax payer is responsible for that? Commie.
Click to expand...

Because it's a quality of life issue.

I will say that I'm glad the taxpayers don't pay for ED meds, for men OR women, unless they're being used for non-sexual purposes. The youngest patient I dispensed it for was 3 years old.
 
killingbill said:
Why the hell does medicaid pay for acne medications. Tell me why tbe tax payer is responsible for that? Commie.
Click to expand...

A somewhat similar argument can be made for insurance in general. If I have insurance A and so do my coworkers, and I get all generic drugs, being a "premium payer" I am paying for all my co-workers Doryx, Solodyn, benzaclin etc. and any other silly brand name drugs for which their are perfectly good generics for. Why should my premiums go towards people getting medications like that.
 
All4MyDaughter said:
No, but in a state that borders ILL.
Click to expand...

So, you either live in Wisconsin, Iowa, Missouri, Kentucky, or Indiana.

In Wisconsin, the co-pays depend on what type of Medicaid you have. If you have regular, straight title 19, than it is $1/$3. However, if you have core plan than it is $4/$8. Then there is Senior Care, and that has sliding scale co-pays. Children up to age 12 have no co-pays.
 
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