Episode #39: Medicaid Copays — What the $35 Rule Could Mean for Families

Could Medicaid copays reach $35 per visit? In this episode, we break down how new federal policy could change cost-sharing and what the 5% income cap may mean for families. Download the Medicaid Copay Impact Worksheet: Visit www.mymedipal.com - go to Downloads section to access free worksheet Episode Summary In this episode of Refine Your Health with Dr. Deon, we explain how potential Medicaid copay changes discussed in the federal reconciliation law could affect healthcare costs for some Medicaid enrollees. While implementation will depend on state policies, the proposal allows copays of up to $35 per service, with total monthly copays generally limited to 5% of household income. In this episode we discuss: What the proposed $35 copay rule means How the 5% household income cap works Which services may remain exempt from copays Why implementation may vary by state How to estimate potential monthly copays Educational Support For additional information about Medicaid policy and navigation topics discussed in this episode, visit: www.mymedipal.com Disclaimer: This podcast is for informational and educational purposes only and reflects Medicaid policy discussions as of 2026. Policy implementation may vary by state. This episode does not provide medical or legal advice.