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If there is anyway you can keep him on MediCAL then I would do it. Private insurance often has lifetime limits. It might not matter to you now because most HMO's do not have the limits but the ability to get insurance and have that insurance have no lifetime limits because of my medically fragile bio DD is a huge controlling factor in our life. It controls where I can get a job. It makes it impossible for me to do anything other than work for a big company. Requires me to live in a city with big companies etc. . . I would do anything to have her on Medicaid. Alas, we will never qualify because of our income level (and of course, without the income level we have, we could never afford to pay for DD's care).