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Medicaid for Young Adults

Taking care of your health on your own is a big step, and SilverSummit is here to help. If you have Medicaid and are a young adult, it’s important to know what to expect when going to the doctor. This can help you get the care you need. We’ll guide you through the process, from making an appointment to understanding your privacy rights. We’ve also created a simple guide with checklists and tips to make your doctor's visits easier. 

Preparing for Your Appointment: A Checklist for a Smooth Visit

Getting ready beforehand can help you make the most of your time with the doctor.

  • Explore your Member Portal: Before your visit, log in to your member portal to review your benefits and find helpful resources.
  • Know your top three questions: Write down the three most important questions or concerns you want to discuss with your doctor.
  • Take notes: During the appointment, jot down important information or ask your doctor for a written summary of the visit.
  • Ask for clarity: If your doctor says something you don't understand, don't be afraid to ask them to explain it in a different way. No question is too small when it comes to your health.

What to Bring to Your Appointment

Having the right information on hand can save time and prevent stress. Here’s what you should have with you:

  • Insurance Card & Photo ID: Bring a physical copy or have a digital version of your insurance card (front and back) ready. Check with your insurance provider about digital access options before your appointment. You may also need a photo ID.
  • Parent/Guardian Information: If applicable, have the name and date of birth of the primary insured person or an emergency contact available.
  • Your Medical History: Be ready to share information about past illnesses, surgeries, or major injuries.Major health conditions that run in your close family (parents, siblings, grandparents).
  • Medication Information: Make a list of all current medications and supplements you take, including the name, dosage, and how often you take them. Also, note any allergies or past reactions to medications.
  • Reason for Your Visit: Be prepared to describe your main symptoms or concerns, when they started, and how they may have changed over time.

Questions to Ask Your Doctor

Your voice matters in your healthcare. If you have questions, ask them. Your doctor may assume everything is clear unless you speak up.

Consider asking about:

  • What could be causing my symptoms?
  • What are my treatment options and their potential side effects
  • How does this medication work, and are there alternatives?
  • Are there any lifestyle changes that could help me?
  • What are the next steps and when should I schedule a follow-up?

Understanding Your Privacy Rights

Your health information is confidential

Your appointment is a private matter between you and your provider. Legally, your doctor cannot share details about your visit with anyone else without your permission. The only exception is if there is a serious concern for your safety or the safety of others. For more details on your rights, review your Member Handbook.

Navigating Maternal Health Appointments

Preparing for pregnancy and postpartum visits is an important part of caring for yourself and your growing family. Whether it's your first appointment or your first baby, having the right information helps you feel confident and supported every step of the way.

Questions to Ask Your OB/GYN or Midwife

  • What prenatal tests do I need, and when?
  • How can I stay healthy during my pregnancy?
  • What warning signs should I look out for that might need urgent care?
  • What should I expect for labor, delivery, and my recovery?
  • What support is available if I am worried about postpartum depression or anxiety?

Additional Questions you may consider asking for Young Parents and Pregnant Youth

  • Do I need a parent’s permission to see an OB/GYN?
  • Can my partner or support person come with me to my visits?
  • Will my Medicaid cover labor, delivery, and postpartum care
  • Where can I find support for teen or young parents?
  • Can I get WIC or food assistance for pregnancy and baby care?
  • If I’m under 18, can I make medical decisions for my baby after birth?

Navigating Behavioral Health Appointments

Taking care of your mental health is just as important as your physical health.  If you have a therapy, counseling, or psychiatric appointment coming up, getting ready can help. Being prepared will help you get the most out of your visit.

Questions to Ask Your Therapist

  • What do you think is causing my symptoms?
  • What treatment options are available to me?
  • Are there medication alternatives?
  • Are there possible side effects I should know about?
  • How can I manage stress, anxiety, or other concerns in my daily life?
  • What resources are available if I need urgent mental health support?

Additional Questions you may consider asking for Youth Under 18

  • Can I book my own therapy appointment if I’m under 18?
  • Will my parents see my therapy notes?
  • Can I refuse medication if I don’t feel comfortable?
  • How do I find a therapist who understands my background?
  • What should I do if I’m in crisis and need help right away?
  • What happens if I turn 18 while in therapy—do I need a new provider?

Frequently Asked Questions (FAQs)

Here are answers to some common questions for Medical Visits.

In many cases, yes. However, policies can vary, so it’s always best to check with the doctor’s office when you call to schedule.

No, Nevada Medicaid generally has no copays for most covered services, including doctor visits, hospital stays, and many prescriptions

Yes. You can bring someone you trust, like a friend or family member, to your appointment for support.

SilverSummit does offer transportation benefits for medical appointments. Contact Member Services 1-844-366-2880 to find out what options are available to you.

Yes. As a Member, you have specific rights and responsibilities. You can find a copy of these in your Member Resources section on our website.

If you don’t speak English or don’t feel comfortable speaking it, SilverSummit Healthplan can help—for free. This is important because you and your doctor need to understand each other when talking about your health. We have interpreters who speak many languages, including sign language.

To ask for an interpreter, call Member Services at 1-844-366-2880 (TTY: 1-844-804-6086, Relay 711)