Ttc while on medicade??

So me and a good friend are both ttc. We havent been actively trying as long as her and her husband have. We are lucky enough to have great ins from my husbands work. But during a convo my friend mentioned that she is uninsured and planning on getting on medicade as soon as she gets pregnant. So that had me wondering if you can't afford ins should you be ttc? Personally if we didn't get the option we do through work I am not sure we could afford to pay more. So thoughts?? Should medicade matter since insurance is so unbelievably unrealistic now of days?