Medicaid generally covers anything that's FDA approved, although they may require you to try older, less potentially toxic and less expensive drugs first - which all of us have done, even if we do have private insurance. Generally the first drug tried is a 5-ASA like Asacol or Colazal, perhaps with a short-term course of steroids to jump-start a remission. These are generally combined with rectal medications to assure the entire colon is being treated.
Most doctors use immunosuppressants as a second line of attack. These would be drugs like Imuran and 6-MP, which are really relatively inexpensive. If these don't work, the usual next drug is Remicade. Humira may not be an option for you at this time because it hasn't been FDA approved for UC yet. That isn't unique to Medicaid, many insurers won't cover off-label use of drugs.
I understand your choice of specialists may be limited by your insurance, but most insurance policies have this feature also. I'd suggest you use some of the resources posted on this site to start educating yourself so you can be a knowledgable partner in your own health care. UC isn't the end of the world, and in most cases can be well-managed with medication. So don't give up, just make up your mind to learn about
it and be sure you get your questions answered. This is a good place to start!
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Asacol, Rowasa, Pentasa, Prednisone, Entocort, Azathioprine
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal, Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.