If you have both Medicare and Medicaid in Clark County, your prescription drug coverage works a little differently. Kim Golphin is here to help you navigate the 2026 options.
For Springfield residents who qualify for both Medicare and Medicaid—often called 'dual eligible'—managing healthcare costs is a top priority. In Clark County, your prescription drug coverage (Part D) is designed to work alongside your Medicaid benefits to help keep your out-of-pocket expenses for medications manageable.
Navigating the intersection of federal Medicare and Ohio Medicaid can feel complex, but it offers significant support for those who qualify. In Springfield, being dual eligible typically means you receive Extra Help, a program that assists with the costs of your Part D monthly premiums and annual deductibles.
When you visit local providers like Mercy Health Springfield or Kettering Health Springfield, your coverage ensures that the prescriptions they write are handled through a plan that recognizes your dual status. This coordination is essential for maintaining your health without financial strain.
For the 2026 plan year, Springfield residents have several choices for their prescription drug coverage. Choosing the right plan involves looking at which medications are covered and ensuring your preferred local pharmacies are in the network.
We focus on helping you understand the offerings from trusted carriers available in our area. By reviewing your current medication list, we can identify which plans align with the specific prescriptions your doctors at Kettering Health or Mercy Health have recommended.
Most dual-eligible individuals in Springfield automatically qualify for 'Extra Help.' This transition means you may no longer have to pay for a separate Part D premium, and your copayments at the pharmacy counter are often reduced to very low, set amounts.
It is important to review your plan annually because drug formularies—the list of covered drugs—can change. Kim Golphin can assist you in verifying that your 2026 plan still covers the specific insulin, blood pressure medication, or other essentials you rely on.
Medicare doesn't have to be a solo journey. As a licensed agent serving Springfield and Clark County, Kim Golphin provides local, plain-English guidance to help you maximize your benefits. We take the time to listen to your needs and explain your choices without any pressure.
Whether you are new to Medicare or your Medicaid status has recently changed, we can look at the 2026 plans together. Our goal is to ensure you feel confident in your coverage so you can focus on your health and enjoying life in Springfield.
Free Ohio Medicare review. No pressure, no obligation, just clear answers.