Hello there I'm in Michigan and I keep getting denial letters and getting sent a chart with the income limit on it. It says that for a 2 person household you need to make 27,000 and I only make 25,000 annually on my disability. When I call (I get different answers everytime you talk to someone) one lady had said that the income limit is different for those on disability. Is this true? Also was told that I have 3 different cases open for some reason. Can someone please explain because when I try to Google for income limit on disability I don't find anything at all and also why are they sending me a chart that doesn't apply to me if this is the case?

I don't understand how I still have Medicaid coverage despite making over the income limit. I live in NC and never spoke to anyone about recertification. I've been receiving letters saying I have coverage, a doctor has been chosen for me, and a plan has been selected.

I qualified for Medicaid last year but never used it because I got a job used my job's health insurance plan.

I thought they went by my income, which they have, I filed taxes each year, and I made over the monthly income the entire time during the recertification period.

NC has this new EPASS account that I can't access because my account is broken. When I've called the number to get help, either no one picks up or they give me different phone numbers that circle back around to people who can't help me.

My initial case worker was not helpful and didn't answer my questions or provide guidance. The NC website isn't helpful, many pages I try to go do are either broken or have no information. And there's rarely a number that works or leads to anyone I can speak to. I was the phone once for 2 hours trying to get answers but go the run around.

My concern is if I'll be penalized for some reason. I never used the insurance once while I was on it. I didn't register a card or an account. The only thing I did once getting coverage was logging into the marketplace to choose one of the insurance companies they listed.

I live in Oklahoma. I lost my job and applied for health insurance on healthcare.gov. I put in that I had 0 income because I was unemployed and got routed to medicaid where I put the same thing and got approved. Then a month or two later I had a heart condition develop and spent two days in the ER. One of the healthcare case workers expressed doubt about me being on medicaid. So I got really nervous and did a bunch of research and found out that I had been under reporting by not including my past job. I amended everything and was denied.

Income = ~23k old job + ~7k unemployment + ~3k other = ~33k

Really worried I might wind up with some massive medical expenses.

Edit: single / late 20s / male

I just learned I am pregnant, high risk with twins. I am living with the father and am on his insurance; however, I may have better benefits with medicaid. If he drops me with his insurance (a very basic plan with a high deductable) and I apply for medicaid, having no garuntee that he will help me with my bills at all, do I include him in my household? Also, I do not work because im a full-time nursing student living on federal loan money. Would living with him or choosing to not work so I can go to school prevent me from getting benefits?

Can someone shed some light on this?I was reading that medicaid now has to continue for kidsfor a year..even if the parents make to much?To stop churning I imagine

I'm in the awkward spot where I make enough that, if I took enough extra hours or especially if I took a second job, I'd rapidly go over the ~$1670 income limit. ($1590-ish gross per month.)

Assuming no coverage gap, I'm okay with being disqualified and having to go on a marketplace plan but if there is a gap this would mean either no coverage or coverage I can't afford to pay for which for obvious reasons isn't an acceptable outcome. On top of that, right now in terms of money on hand, I can't currently afford to pay for my first month of a marketplace plan anyway.

I'm also worried about what penalties I'm at risk of incurring if I take a supplementary job partway through a month that I went into fully qualified, especially because I have bloodwork scheduled currently since I was trying to get my PCOS diagnosed and treated. If I end up on the hook for the labs, whatever, it's $50, but what worries me more is encountering legal issues from temporarily taking a second job. (Obviously I'd just punch all that info into Pennie AGAIN and see what happens, but I want a working idea of what happens.) I'm desperately trying to pay down debt and save up for a car and I'm feeling very stuck because I don't have access to good or consistent information. I just need to know what my options and hazards ACTUALLY are.

My husband is self employed. We recently lost Medicaid for our daughter. (I forgot to renew, and I haven’t been made to renew since getting it back in 2021). His gross income has changed significantly, but our AGI is around the same considering the losses we have. Our AGI is like 30,000. I’m not sure if I should put him like that or just make him an employee of his company and report it that way. But the actual gross income is very high. Will Medicaid take our AGI into account or just count us out all together before the loss?

Thank you for the assistance

Basically, if a job pays 472 before taxes weekly, had I started Jan 1, I would make 24,500 annually. I will submit my job change to medicaid, but I have been unemployed for years, and will not make that much (only 15,500) this year.
by submitting that I will receive what could be calculated as higher than the minimum annually, will I no longer be eligible for medicaid?

Couple of questions—- if Medicaid is a secondary insurance and the provider does not take it (dental)—- can you still go to this dentist and just use your primary insurance which they do take? I’m open to paying any out of pocket my primary doesn’t cover. My daughter is special needs and it would be a huge pain to have her switch. In Minnesota can you pay out of pocket with Medicaid as secondary? I know they don’t allow it if medicaid was a primary but in my case it’s not. if I’m willing to pay what my primary doesn’t cover would this be an issue?

but can you be on MAGI and receive SSDI? i recently got approved for ssdi and i’m on magi is that going to change? i am in ohio

i feel like im at my wits end

it is impossible to find psychiatrists with Magellan of PA's online search tool, if youre too specific it will say there are no providers at all, and if you just specify you want outpatient psychiatrists the list will include school psychologists, psychiatrists that work in IOP programs only, and so so so many psychologists.

ive called Magellan of PA for help but it seems each time the person on the other line is also just using basically the same search tool. the last time i called and i tried to explain the issue to the lady and she was sweet as pie but she was like "oh the person you spoke to must have just not searched right" and said she checked that the people she was sending me were noted as practicing psychiatry.

lo and behold, the list she sent me was 4 psychologists and 2 IOP facilities. one might do outpatient psychiatry but the 1 or 2 actual options in these lists arent enough when psychiatrists are known for long waiting lists. not to mention no ones gotten back to me.

i've also been independently looking for psychiatrists that take PA medicaid and a lot of them don't take Magellan of PA. i'm kind of concerned because of this error that maybe Magellan of PA has very few psychiatrists in network.

does anyone know how i could report this? im honestly wondering Keystone has better coverage.

comiseration is encouraged

I don’t know if this is the right group to ask, but I received Medicaid for my youngest child and they had me sign absent parent form when I didn’t know who was the father was so I finally was able to catch up with the alleged father and he put him on his insurance after doing a private DNA test Does anyone know what I need to do to take him off Medicaid and will the absentee form go against me now that I know who the father is?

I recently got word from my SO, our kids are getting kicked off her Medicaid because I make too much. Is this them basically saying I legally have to cover them even though we aren’t married? They go off gross income before taxes and my numbers seem higher than what I actually live off of. Michigan.

Hello, my brother recently got laid offer. He claimed his nephew last year and says because of that he doesn’t qualify for medicaid. Im trying to make him understand that even he claim his nephew since they are not directly related it would not affect his ability to qualify for medicaid. Right now his income is 0 and is currently living off savings. Based on my understanding of the medicaid guidelines, they would still be considered household for medicaid purposes even though he claimed his nephew as dependent. His nephew is currently on his mother medicaid. Any insight into this or am I wrong?

[crossposted r/Ohio]

I'm an OHIO resident. I applied to renew my medicaid benefits in May 2023 and have just now(1 year later) received notice I am losing benefits at the end of the month due to my income being over the eligibility limits. However, I plan to appeal as I recently received a pay cut that makes me eligible for medicaid. If in the event my income goes above the qualifying amount, and I report it, do I automatically lose my benefits? Or would I have coverage for a full 12 months from my approval, even with raised income changes reported? I am currently in the middle of a year long treatment for chronic disease and cannot afford to lose coverage.

My mom has dementia and recently moved into a nursing home. She pays for this with her monthly disability which is 1800. The administration has bow informed me that she is now over her asset limit which is 17,000 due to her receiving her disability backpay. The nursing home gave me(rep payee) the option of going to private pay which is 8,200 a month until she is under the asset limit so she does not lose her medicaid benefits. Im just seeing if this is my only option or if i ahould just do private pay and spend down. Thanks!

I'm making this post to ask if we automatically lose our coverage if we become sterilized. I call the provider directly, they say to call the Department of Family and Child Services and, of course, there was no answer. I applied for the GA Pathways program and was auto enrolled in the Planning for Healthy Babies Program. Any help would be appreciated.

What is the best way to keep someone's assets below the maximum without violating any laws? Their expenses are minimal and don't reach the level needed to remain under the maximum asset limit.

Hi! I have a friend that is low income and needs to have a surgery to remove a portion of his intestine. He's feeling bad often and is finding blood in his stool sometimes he says.

He's scared to go to the hospital because he owns a home and he's scared they will take it away from him. Is this true?

Any help information would be much appreciated. This has been going on far to long and I'm scared for him.

Thank you for any insight 🙏🏼

Hi all, pretty much the title. I have been dealing with gastrointestinal issues with several months and after trying several different medication with no tangible effects, my gastroenterologist suggested an upper endoscopy. Does anyone know if Medicaid would cover this procedure? Thanks

My gateway says I have full blown pregnancy Medicaid until next year, but when I go to the OBGYN they won’t give me ultrasounds or blood work bc apparently I have presumptive but DCFS says that’s incorrect? I’m so confused. I’m 26 weeks pregnant and have yet to get any ultrasounds because I can’t pay $200 or more each ultrasound. Has this happened to anyone else? I keep calling my case worker, but yeah that never gets far.

Hey guys, Im doing a redetermination application right now. First time I did it, it was done in kind of a haste, I wanted to see if I would be approved. I was working a job barely making over minimum wage and the premium for the public option plan I had was sapping my finances. I was approved, and I got it.

However, I need to reapply now. I am unemployed and need it more than ever. Problem is, I am realizing now that the first time I applied I did not put down any family members(I live with my family who all have their own commercial insurance). I don't remember how this happened but either way, Im not sure whether to put them in now or whether I should just put myself as being on there(as it might raise suspicions). Again, none of them would be receiving Medicaid.

What's the worst that could happen in either case?

Hi I live in Louisiana and I'm not sure if this is th right subreddit to talk about it or not but how do you avoid your home being taken by Medicaid.

I live in Missouri and I'm reaching out on behalf of my 63-year-old mother-in-law. She's hoping to retire early due to spine and knee issues as well as glaucoma. She estimate that will be receiving about $1200 a month from Social Security and doesn't have any other assets apart from a car. I'm wondering if she would qualify to get medicaid until she is eligible to get medicare, and if the state of Missouri would come after me and her son to repay medicaid even if we are not inheriting any assets from her. Also if she retires in july when is the perfect time to apply for medicaid.

Question in title: income going over one month and then back down, anyone else really close to the income cutoff and get kicked off, need to reapply all the time? Like as soon as I’m kicked off I’m eligible again?

I'm in New York State. Should someone on Medicaid (who is the beneficiary) renewing, still put their Special Needs Trust on a Medicaid yearly renewal form if they are renewing for Medicaid? Would it count against that person if they do put it on the form? Thanks.

I currently live in Missouri, and have no assets, and currently have medicade and have no $ in the bank, and a car worth ledd than $5,000. I just got married to a dissabeled veteran. He has a mortgage on a house. He is a dissabeled veteran and gets disability from the VA every month but He technically has no taxable income. Just wondering if anyone got kicked off of medicade for marrying someone with over $50,000 in bank.

Hi all!

My snap renewal in Florida is due next month and I also have Medicaid. Do I have to renew the snap to keep the Medicaid? It says renewal date is 1/25 for Medicaid on the website but when I go to Sunshine health website it says next month. I just hate going through the whole renewal process and we aren’t getting much snap benefits so I’d rather just let that lapse and keep the Medicaid.