(A) My grandma takes in about 23,117 every year from pension and social security. We make $899 too much every month so we put the excess into a pool trust. Any MLTC plans in NEW YORK that allow you do CDPAP (a family member would be paid for caregiving) WITHOUT Medicaid? Considering her income. Do MLTC plans count expenses? I know Medicaid doesn’t.
(B) can we get a Medicare advantage plan that covers the cost specifically for Eliquis? On united healthcare plan right now that will not cover meds as much if you don’t meet a certain deductible. You may meet this threshold one year and not meet it another. We would love more consistent prescription coverage. Any good experiences?
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You said "we make". When getting resources for Grandma, your income should not count. Only hers. Medicaid only looks at her income. If not on Medicaid, why are you pooling money now? $899 a month is a lot of money when in the end Medicaid may get it if Grandmom ever needs Medicaid for her care.
When it comes to insurance the best place to go is Office of Aging. States only allow certain insurance companies to write policies. I would make sure you understand what a Medicare Advantage is before you consider it. Even though Medicare is in the name, what Medicare has done is contract out to an insurance Co. Yes, a Dr. may be a Medicare Doctor but not be in the MA network. O of A can take you thru what is available. And answer any questions you have.
Three years ago my Mom brought in 20,600. She was able to get her prescription plan thru the State. It was called PADD. It was run by Silverscript. May want to check that out.
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