Shirley’s out-of-pocket medical expenses typically range from $3.00 to $5.00, but one time she recalls having to pay $15.00, (almost three times her normal costs), for prescribed muscle relaxers.  If her co-pays are any higher than her customary range, she must shop around for lower prices at different pharmacies.  Although this approach may not seem practical to others, being on a fixed income does not leave Shirley with many options. Thankfully, Medicaid covers her prescription costs and doctor visits because she would not be able to afford it on her own. Furthermore, Shirley says that her doctors would likely refuse her as a patient without Medicaid, because she cannot afford their services without it. Medicaid essentially grants her the access to healthcare, of which is eternally grateful for.