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Tomkatjen Asked February 2017

Am I receiving Medicaid when I really shouldn't?

I am 60 years old, my wife and I do not work and live off our accumulated savings. When searching for med insurance, we found that we qualified for Medicaid because we had no income to declare on our taxes. I am not purposely trying to cheat the system but the more I read I am concerned we may not actually be eligible. We were never asked about assets when applying. We have a retirement account and another year or so of savings to get us by.

igloo572 Feb 2017
Btw 22 MILLION enrolled in ACA.

Congress seems especially clueless as to the degree of folks who have delayed or deferred any care for years till ACA as they had no insurance; or found themselves in unpayable debt from healthcare. 

igloo572 Feb 2017
TomKat - pretty sure your description of the situation is ACA/Obamacare medicaid expansion. WA state has pretty robust enrollment & one of the highest nationwide. It's Apple Care, isn't it? Totally income based and as your income (it gets verified btw by IRS matchups) is within WA state program limits your eligible.

ACA via Medicaid expansion very, very different eligibility & program than LTC Medicaid.

To me, it's important that you & your bride stay on it. Healthy or healthier enrollees are critical for ACA to work financially for your state. Hopefully you dont need to use ACA but if so, you have it. If you become uninsured just 1 illness or incident could liquidate that savings. At 60, it's 5++ long years before Medicare could kick in...

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gryphon Feb 2017
i was paying four hundred a month last year for COBRA, with no income, support from mom's funds and my partner, and now that i went to switch to state insurance, they said no income?, you get medicaid. i too feel a little guilty about it, i'm sure i could pay something if it's less than the cobra, but after a year of getting soaked for 400/mo (thankfully i could get that, i had a real problem this year, bladder cancer which i would never have been able to afford without the expensive cobra), i am willing to do a year of free in return. next year i'll switch again.

AnotherJoe Feb 2017
Katiekate is correct. Obamacare has expanded Medicaid to cover folks younger than 65 without any asset considerations. Once you reach age 65, the asset test is applied and you will be off Medicaid. At the same time, you will qualify for Medicare.

WizerOne Feb 2017
I agree with Janevir. Go directly to your local Medicaid office and check the Medicaid rules. You don't want to end up dealing with serious legal problems, and having to pay back thousands of dollars of medical expenses.

janevir Feb 2017
Don't fool around and take amateurs' (sorry!) advice. Go see your Medicaid office or Office of Public Assistance and double-check. Why mess around with something that may be illegal?

sherry2016 Feb 2017
It depends on the state where you live. Under Medicaid Expansion, in the states that adopted it, you are eligible. Assets appear to be irrelevant. My sister-in-law is covered by Medicaid, and she and my brother are much more financially comfortable than I am. Her income, though, is quite low. If Congress repeals the ACA, you'll probably lose your coverage.

missmacintx Feb 2017
Are they qualifying under QMB? Where they have both Medicare and Medicaid eligibility? Does their state pay the Part B premiums for them???

JoAnn29 Feb 2017
First, there r two different Medicaid's. One for insurance, one for long-term care. Long-term care requires only 2000 in bank. Not so with Medicaid insurance. My nephew I allowed to make 20,000 a year. There is no limit for the bank. When u applied you had to show what bank accounts you have and other assets. If u did this, then I don't see a problem. You don't say why at 60 neither of u work. As long as u were honest with Medicaid u should be OK.

Llamalover47 Feb 2017
Jeannegibbs: That's true.

jeannegibbs Feb 2017
The $2,000 asset limit (for those over 65) is for an INDIVIDUAL. The threshold is much higher for a couple.

Each state handles calculating the exempt assets for a couple differently, but the amount allowed varies from $23,800 to $119,220. It is true that $2,000 is an asset threshold, but before we pass that on we should be careful to specify that is for a single person.

Of course, none of us can predict what will happen to Medicaid in the coming years.

Llamalover47 Feb 2017
To qualify for Medicaid, you are only allowed to own $2,000 in countable assets. A home is a non-countable asset.

Tomkatjen Feb 2017
Yes. I am insured through the state of WA.

Katiekate Feb 2017
If you are under the age of 65 then the Medicaid expansion does cover you based solely on income.

Once you "age out" of the Medicaid expansion (65) your assets are considered....and...you must spend down to $2,000 to qualify.

pamstegma Feb 2017
Sounds a bit off. Are you sure this was a legitimate website?

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