Will Medicaid Pay For CBD Oil


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Who’s Paying for Your Medical CBD?

You’re using CBD for legit medical purposes. Maybe you even have a doctor’s note justifying the use or a formal prescription.

But, does this mean you’re off the hook for the expense? Well, there are lots of questions around who foots the bill for medicinal CBD oil products, like:

  • Does insurance cover CBD?
  • Is CBD oil covered by Medicare?
  • Will Medicaid pay for CBD oil?
  • Do dispensaries take insurance?

In this post, we’ll touch on all that plus ideas for h ow to pay for medical cannabis when other options aren’t viable.

What Is Medical Cannabis ?

Medical cannabis is an umbrella used for cannabis derivatives that are used to treat certain medical conditions, their symptoms, or side effect s . Medical marijuana (high THC) and medical CBD (high CBD) are subsets of medical cannabis.

For discussion here in this post, we’re lumping medical CBD and regular CBD used for medicinal purposes together. We make distinctions as needed.

Is CBD A Drug?

It really depends on the context.

To some government agencies, employers, schools, and other organizations — the answer’s “Yes.” To others, the answer’s “No.”

But, according to the dictionary, a drug can be any substance used as a medication or that has a physiological effect when introduced into the body.

What About Epidiolex?

This is one of the clear-cut cases. Epidiolex is currently the only FDA-approved drug. It’s a prescription reserved for those with intractable seizure disorders.

Can You Get CBD By Prescription?

You don’t need an Rx f or federally-legal CBD (the hemp-derived kind with 0.3% or less THC) . For everything else — like high-THC CBD and marijuana-derived CBD — you may need a prescription.

Marijuana-sourced CBD and high-THC CBD are still federally illegal. However, 37 states, three territories, and Washington, DC have medical cannabis programs.(1) Rules vary, but in these locales you should be able to access some forms of medical cannabis. You’ll need to check local laws to see if prescriptions are needed.

Does Health Insurance Cover Medical CBD?

In general, as of now, there are no insurance companies that cover the cost of CBD — whether you’re using is therapeutically or otherwise. This is largely dues to the FDA deeming CBD to be a supplement, not a drug.

H ealth Insurance Options For Medical Marijuana & CBD Oil

You can’t use your FSA (flexible spending account) funds on CBD products .

But recent changes (effective as of 2022) could enable you to buy some CBD oil items with your H SA ( health spending account) . New IRS rules state that CBD and hemp oil products are H SA -eligible expenses if they are for a diagnosed condition and backed by documentation from your doctor.( 2 )

You still can’t use your HSA for marijuana-based products, though.

The Epidiolex Exception

The only scenario in which insurance is likely to cover the expense of medical CBD is Epidiolex. According to the manufacturer, most insured patients are eligible for coverage of this drug .( 3 )

Do Dispensaries Take Insurance ?

The quick and dirty answer is no. Most are cash-only businesses as well, which might make it hard to buy those HSA-eligible CBD oil and hemp products .

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Epidiolex is only available via specialized pharmacies that will verify the prescription and work with your insurance company.( 4 )

Gazing Into The Crystal Ball Of Coverage

With mounting research proving out CBD’s medicinal potential and growing consumer demands for care options, it’s quite possible this will change in the future. It’s worth keeping an eye on.

Does Medicare Cover Medical CBD?

Medicare may cover some cannabinoid -based meds. ( 5 ) For example, Epidiolex might be eligible because it’s FDA approved.

Every plan is different, so you have to confirm what’s included in yours. Also, what’s allowed is tied to what’s federally legal and FDA approved — so stay tuned for developments.

Will Medicaid Pay For CBD Oil ?

It’s a similar sitch for Medicaid. The only CBD product it ’ s likely to cover is Epidiolex, again because it’s FDA approved. But you should check just to make sure.

How Do Medical Cannabis Cards Factor In?

You can apply for a medical marijuana card (MMJ card) if you have a qualifying condition and live in a place that has a medical cannabis program . Approval requires a doctor ’s consent . ( 6 )

Does An MMJ Card Help?

Having a n MMJ card may be beneficial — it depends a great deal on the state you’re in and the kind of product you’re looking to buy.

An MMJ card may save you money on your medical CBD by:(7)

  • Giv ing you access to less expensive sales outlets
  • Exempting you from some or all excise taxes
  • Allowing you to grow your own
  • Enabling you to purchase more potent varieties (i.e., more bang for your buck)
  • Legitimizing your claim/expense with insurance, Medicare, Medicaid, and the IRS

But remember, there are costs associated with the MMJ card, like doctor’s visits and application and renewal fees.

How To Pay For Medical CBD

OK, so it’s unlikely that most people are going to get 100% cover age for the cost of their medical CBD . Depending upon your situation, you may get partial coverage or discounted rate of some sort via insurance, HSA eligibility, etc.

But what about the portion of your medical CBD that remains your responsibility?

Tips For Making Your Medical CBD More Affordable

There are ways help you slide medical CBD smoothly into your budget. Such as:

  • Buy high-quality CBD products. Using bioavailable nano-optimized CBD made from organic American hemp and other premium natural ingredients may give you better results with less product.
  • DIY your CBDgoods. It may be cheaper ( per mg of CBD ) to buy a CBD oil tincture and make your own edibles, topicals, softgels than buying pre-made versions of these formulation.
  • Shop online when possible. Doing so lets you compare products so you can find the best CBD for you at the best price.
  • Take advantage of savings programs. Join the rewards program, do subscribe and save, buy in bulk, stock up when sale are run . See if your seller offers discounts for teachers, veterans, low-income families, and so on. Paying with your cash-back credit card or PayPal (which sometimes offers spending incentives) might be an option. Consider paying via an installment plan.
  • Look for outside help. You may be able to find grants or financial assistance from non-profits.(8)

Don’t Forget Cost Offsets!

Also keep in mind potential cost offsets . CBD could :

  1. Be less expensive than alternate therapies .
  2. R educe your reliance on other meds .
  3. Provide enough positive results to restore your ability to work more.

Focus On What Matters

Ultimately, you’ll need to sort out the financial side of things for your personal scenario. But, we encourage you not to focus solely on the price tag.

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Quality of life is beyond-words important. CBD may boost your QOL significantly — which may make it worth every darn cent you have to pay . Just something to think about….

Someone’s Got To Pay For The Medical CBD….

And it’s likely going to be you. For the most part.

Insurance, Medicare, and Medicaid will probably cover the cost of FDA-approved CBD-based medications — like Epidiolex. And, as of 2022, you may be able to use your HSA to pay for medicinal CBD and hemp products if you have a diagnosed condition that’s been documented by your doctor.

Aside from these few exceptions, the cost of your medical CBD falls squarely on your shoulders. But, there are ways to defray the expense. You can look into getting a medical cannabis card, savvy shopping techni ques, financial assistance programs, and more. A little research and creativity can go a long way to helping you pay for your medical CBD!

Will Medicaid Pay for CBD Oil

During recent years, many people turned to CBD oil to treat a host of medical conditions and problems. Moreover, as the federal government recently legalized hemp, patients may be able to access medicines that contain CBD oil through their Medicaid coverage.

Although the list of CBD medications that Medicaid covers is narrow, there are a lot of reasons to expect it to expand in the near future.

In this article, we go over all that you need to know about CBD oil, its uses, and the potential side effects, alongside if and when Medicaid will pay for it.

What is CBD Oil?

Cannabidoil (CBD) is a natural remedy and an ingredient that is found in the cannabis plant. Many people rely on it to treat common medical issues, such as pain and anxiety.

CBD oil is extracted from hemp and, after that, diluted through the addition of carrier oils (coconut or hemp seed oil, for instance).

It is important to note that, while CBD comes from the marijuana plant, using doesn’t make you “high” or cause psychoactive effects. In fact, it is carefully separated from the intoxicating ingredients of cannabis and isolated during extraction.

Ever since hemp was made legal in 2018, CBD oil started to become prevalent across the U.S. for medical reasons.

Uses for CBD Oil

People utilize CBD oil to deal with certain health conditions and problems. To illustrate, here are some examples of what CBD oil is used for:

  • Pain relief, especially for arthritis and inflammatory diseases
  • Reducing anxiety
  • Managing depression
  • Minimizing the effects of insomnia and improving sleep quality
  • Alleviating problems related to cancer and chemotherapy
  • Enhancing the body’s neuroprotective functions
  • Improving the heart’s health
  • Treating acne and/or skin lesions
  • Boosting bone health
  • Reducing the risk of diabetes
  • Lowering the risk of obesity

There are also other CBD oil benefits. However, if you are considering CBD oil to treat a health issue, learning about its potential side effects is just as important as understanding the medical uses.

Side Effects of CBD Oil

People who use CBD oil may experience one or more of the following side effects:

  • A reduced appetite and changes in body weight
  • Dryness in the mouth
  • Diarrhea
  • Fatigue
  • Drowsiness and/or lightheadedness
  • Gastrointestinal discomfort
  • Low blood pressure

Furthermore, CBD may interact with certain medicines. More specifically, if you’re taking any blood thinners, you should let your doctor know that you are/will start using CBD oil. This is because some of the CBD ingredients could have a negative interaction when taken alongside blood-thinning medicines.

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Needless to say, you should consult with your doctor even if you aren’t taking any medicines in order to ensure that CBD oil is suitable for your individual circumstances.

Will Medicaid Cover CBD Oil?

Unless you have a very specific condition (more on that to follow), Medicaid will not cover CBD oil. Although it’s federally legal, CBD isn’t approved by the Food and Drug Administration (FDA) as a medical treatment.

This is not to say that you can’t use it to treat health problems, nor does it mean that your doctor is prohibited from discussing the medical benefits of CBD oil.

Instead, they simply can’t prescribe it, but they may still recommend it and give you advice based on your personal circumstances and health.

Nonetheless, since CBD oil can’t be prescribed, neither Medicaid nor any insurance company will pay for it. The only exception is if it falls under one of the FDA’s exceptions.

Exceptions Where Medicaid Will Cover CBD

Under FDA regulations, Epidiolex is the only CBD oil-containing medicine that is approved for medical usage. In other words, Medicaid will cover Epidiolex if your doctor prescribes it.

The FDA permits using Epidiolex to treat the following conditions amongst patients who are at least 1 year of age or older:

  • Epilepsy
  • Lennox-Gastaut syndrome
  • Dravet syndrome patients
  • Seizures caused by tuberous sclerosis complex

Other than that, the FDA is continuing to examine other CBD-containing medications for patients.

If you don’t have any of the four conditions above, you should still talk to your doctor about whether or not CBD oil is the right treatment for you.

While they can’t give you a prescription, a physician could offer valuable advice about using CBD oil for medical purposes, such as pain relief, managing insomnia, improving your bone’s health, and more.

They may also warn you of potential side effects or interactions between CBD oil and any medications that you’re currently taking.

In short, Medicaid will not cover CBD oil unless it falls under the FDA’s exemptions. However, the FDA may approve more medicines that contain CBD in the near future.

For the time being, you should continue to talk to your doctor, determine if CBD oil can help you deal with your health issues, and keep a close eye out for potentially uncomfortable side effects.

Medicaid and CBD Products

Will Medicaid pay for CBD oil? What if prescribed by a doctor?

No, Medicaid, nor any other insurance, will pay for CBD (cannabidiol) oil. This holds true even if it is prescribed by a physician.

To explain, despite the growing popularity of using CBD to treat medical conditions, it has not been approved by the FDA (Food and Drug Administration) for this purpose. That said, there is one exception that exists. In June of 2018, the FDA approved a prescription CBD medication, Epidiolex, which is used to treat two types of epilepsy. Please note that this is the only CBD product for which Medicaid will pay.

Further complicating the use of CBD oil for medicinal purposes, and Medicaid coverage, is that the DEA (United States Drug Enforcement Agency) still classifies CBD oil as a Schedule I Drug, the same class of drugs as heroin and ecstasy. As a side note, any FDA-approved CBD product with no greater than 0.1% THC (tetrahydrocannabinols) are considered to be Schedule V Drugs. This class of drugs has a low potential for abuse and contains some cough and anti-diarrhea medications.

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