How do I report a new type of income on Ohio Medicaid benefits portal? I recently received a one-time payment of Jury Duty Fees that's under $100. I tried to report it in the portal, but none of the income type options seemed appropriate. There was not a "Other Income" option unfortunately. I feel like the only answer is to call my local JFS, but that is easier said than done because they are so difficult to get ahold of and I want to report it in a timely fashion. Any insight would be appreciated.

My friend just turned 19. He receives SSI for a disability. He is wants to get a part time job but is worried about making too much. What is the misy he can earn in a month and not loose his benefits?

Wasn't sure where else to post this. I'm on medicaid in Washington state (they call it Apple Health here) and they have different groups of plans within apple health. My partner got her flu shot and covid vaccine, but I was only able to get my covid vaccine. Apparently my version of medicaid doesn't cover the flu shot. I asked how much the flu shot was so I could pay for it, and they said I'm not able to pay out of pocket for things my insurance doesn't cover since it's state insurance. I'm at a loss. How can I get my flu shot? My only thought so far has been to go to a pharmacy that doesn't have any of my information and tell them I'm uninsured and pay for it out of pocket that way, but I was hoping there was something else I could do.

Does Ohio look at assets when applying for pregnancy Medicaid? We are under the income for pregnancy Medicaid from what I’ve seen, but our savings account would put us over if that’s the case because we have more than $3,000? Does anyone have any insight on this, thanks!!

My FIL just retired and plans to spend 6 months in NY and 6 months in Puerto Rico. Is it possible to have Medicaid coverage in both places?

I've been on medicaid with my children for some years now. Husband has never been qualified for medicaid with us but his income has always been included. He has marketplace. I let medicaid know I was married and kids and I were still approved. However, I was asked if I was going to file separately or jointly. I said separately because I honestly just thought that's what I was supposed to do since my husband isn't on my insurance plan. HOWEVER now my husband was told he would have a crazy high monthly premium if we file separately. So his insurance suggested we file together. I asked my husband if they said "married but separately" or "married" and he is not sure. If I call my insurance back and say im going to file together, how will this effect our insurance, if it does? I'm afraid to lose it. If it comes down to that then he's just gonna have to pay the high premium 🙃

Indiana

Hey everyone !

Im in Texas and wondering if an IRA account would affect eligibility for Medicare Saving Programs. My MIL is in her late 40’s but hasn’t worked in a while now for mental health issues. We’re doing what we can to help her start working again but in planning for the future my husband and I are thinking about opening a Roth IRA account for her but would that affect her eligibility later?

I am actually writing this seeking some answers for my brother who is 51, lives in Alabama and is permanently disabled from a stroke three years ago. It is a long story to how he got to this age with no resources and none of it involves drugs or alcohol in this case, but a series of really bad decisions because my Mother basically never allowed him to leave her side and he never learned to live on his own. I have now helped him twice and neither has worked so at this point I am just attempting to at least get him medical care. I live in a different state and just hoping that someone here has some insights for options.

He had a stroke from a genetic condition and since then has continued to decline. He applied for SSI a year ago and was denied and now awaiting an appeal. In the meantime he most recently burned his back with a heating pad because he was in so much pain on his back, went to the ER and it turns out he has a fractured vertebrae and he has no idea how that even happened. He is not on any kind of pain meds nor does he drink so who knows at this point.

The ER told him all of this and sent him on his way with a shot of tramadol and that's it. I asked him why he doesn't qualify for Medicaid and said because of his age and that he doesn't have children he doesn't qualify.

Can this possibly be true? I am going to start doing my own research, but was hoping not to waste time if this in fact a real thing. He is an incredibly sweet person, but has no perserverence from being over protected. It is an incredibly sad situation.

This may be a long shot, but I figured I would try. I just got approved for Florida Medicaid after finding out I'm pregnant. I'm trying to set up my first baby appointment and chose my Medicaid health plan to the Humana one because that's the one the doctor told me they accepted. I found my doctors name on the list of in network doctors but it wouldn't let me put her name on the front of my Medicaid card for some reason. Do you think the doctor will still see me even though her name isn't on the front of my card? Do they not care as long as it's accepted?

Hi guys. I’ve been doing a lot of reading on this subreddit and from what I’ve picked up one can contribute to an IRA to lower their MAGI and stay under the Medi-Cal $1732/mo income threshold

This pay period (edit: paid monthly) I made $2,960. About $237 was taken out automatically by my company for PERS (pension?) giving me a “Federal Taxable Gross” of $2,723. I am thinking of contributing $1,000 to a traditional IRA to leave me with a MAGI of $1,723 which will just barely let me qualify to stay on Medi-Cal here in CA

Does this seem like a solid plan? I have absolutely no knowledge of accounting, taxes, or investing so am pretty confused by all this. Thank you for any advice! 🙏🏽

What does insurance pay to get free pull ups. The prevail ones cut into my fiance grandfather cuts into them but he cant go to up, bc the next size is too big. We would like depends, but they are expensive. How can we get insurance to pay and send them to out place? Or can we get ones the dont rub and get sores on him.

California

Court order delegates me, the primary and custodial to have insurance on our child. Our child has never been without insurance through my employer. Non custodial has no overnights and is 22.6k behind on child support and is trying to add our child to medicaid... why, I don't know. But I'm worried it will be considered fraudulent given the circumstances. Input??

If Medicaid won’t pay for a prescription, are you allowed to pay for it out-of-pocket? This is South Carolina…

Hey everyone, I’m a trans man living in Oklahoma, and I’m on SSI. Medicaid is my only healthcare option, but as far as I’m aware, it doesn’t cover gender-affirming surgery. I’m trying to figure out if there are any options within Medicaid that I might not be aware of, or if there’s a way to navigate this for better coverage.

Has anyone had success navigating Medicaid for coverage on procedures that aren’t typically covered, or found alternative solutions within the Medicaid system?

Any advice or suggestions would be greatly appreciated. Thanks!

This might seem trivial, but it honestly makes a huge difference in my well-being/health/sanity....

With NYC Medicaid I used Zocdoc and could choose the right doctors in-network, see their availability, and book directly. In DC, I don't know what's going on but it says that all doctors are out of network, even when they're not. Most of the provider info in my insurance (Amerihealth) directory are outdated. It leads me on a wild goose chase every time I have to find a doctor, takes forever and is incredibly frustrating, and ends up delaying me getting help, if I don't just give up altogether.

Does anyone know of a solution or workaround for this. Maybe another provider that has a lot of overlap that I could search for, or another similar website that might work? Why would it not show who's covered with Medicaid (I'm only searching "DC Medicaid" - still no results)? This is honestly infurating.... 😡 Please halp

Hi everyone, I’m a 35-year-old female living in Virginia, and I was first approved for Medicaid back in 2017. At that time, I was unemployed with a young child, and it went smoothly. Since then, my life’s had a lot of ups and downs, including being in and out of the hospital, which I think kept my Medicaid active through automatic renewals.

I’m currently up for renewal, and I’m confused about a few things, especially regarding my income and assets. Right now, I work part-time, making around $1,500 a month, and I’m considered disabled due to a serious mental illness (SMI). However, I have over $2,000 in my bank account, which has me worried about eligibility.

My main questions are:

1.	Will my bank balance disqualify me? I’ve heard that having more than $2,000 can be an issue.
2.	When they check my account, what can they actually see? Are they able to see just my total balance, or do they have access to all individual transactions? Is this level of detail only visible if I submit my actual statements, or is it something Medicaid can see automatically?

I’d really appreciate any insights or advice on this. Trying to navigate the MAGA vs. non-MAGA Medicaid stuff is a bit overwhelming, especially since I didn’t realize I needed to keep updating information over the years. Thanks in advance for any help or guidance you can offer!

They asked for some supporting documentation few weeks ago and I mailed it out the same day. Will I get a notification or does that only happen if I'm kicked off Medicaid?

Hi everyone! I keep seeing mixed answers when it comes to the monthly income limit for medical assistance in PA. Is it $1670 or $1732?

EDIT- Sort of answered from previous posts: I think its $1732? But still would like to know why/when it became $1732 and where people get the $1670 from

I applied for medicaid for my mom back in April. We are in Texas. I know mom wouldn't qualify because she doesn't have medical bills but my daughter wanted me to get paid to be mom's caregiver, I tried to explain that that is a medicaid waiver, not regular medicaid. She said first we get her on medicaid and then you can get paid. She has no knowledge of government programs and we have never been on any and have little knowledge either.

Anyway in April we sent everything and more to apply. I called in June after the 45 days and they had not touched it. Then all of a sudden (oct 10) I get a call from some woman and didnt' answer because I didn't recognize the name and it didsn't say department of human services or anything. I googled the number later and it was linked to the texas depart . I went onto mom's online account and it showed her application was finally pending. About 8 days later I received a letter saying mom wasn't eligible for the medicare saving plan as she didn't meet the requirements and at the same time I got the yellow envelope asking for more info. The letter was dated oct 10, I got it on the 18th and they gave me till the 21st to submit the info so mailing anything was out of the question as this was friday night. They asked for copies of any insurance cards and mom's medical bills and receipts, cancelled checks, etc. Mom has no medical bills so no checks or reciepts. I took a picture of her medicare advantage card, both sides and a note telling them mom has no medical bills. I submitted it on monday the 21st as the site was down all weekend. It shows in the file uploads.

Today I get another letter asking for the same stuff (dated Oct 21) and giving me till Oct 31 to send the same documents, Why did they type the letter on the 21st and not mail it till the end of the week and then rush me? No way in hell to make a copy of her medicare advantage cards ( I have no printer and have no way to go any copy place, there is none in walking distance to me and I cannot leave mom alone to run all over town. ). I took another picture of the same cards and note and uploaded it again to her account so now there are 2 uploads of each document, from the 21st and today. I also wrote a note on the letter they sent telling them I already uploaded the info on the 21st. I asked them way they took so long to send this letter as there is no way to mail it back for them get it in 48 hours. The letter will probably get to them on the weekend which means next monday. I am so tired of this nonsense. This is not even the right medicaid to get paid as a caregiver and mom doesn't qualify for this state medicaid because she has no medical bills or expenses. Mom has dementia and cant' be left alone, but she is other wise ok, a little frail and can't get out because we dont' have a car and she can't walk long distances anymore.

I just can't get over how they take much longer than 45 days, they took 6 months to begin and then they are rushing me to submit stuff with 1-2 days notice.

My cousin (16) recently lost his girlfriend in a car accident. We're trying to get him in counseling but haven't gotten an answer from Medicaid on whether or not they offer general/grief counseling. Online it states that they offer mental health support for those with mental illnesses. But we're unsure if it will cover grief counseling. Has anyone had any experience with this?

I recently got approved for pregnancy Medicaid because I lost my insurance and was not working due to being really sick. I finally am feeling better and just accepted a job offer, it does not offer insurance but I can afford now to get insurance through the marketplace since I’ll have a job. Do I need to report when I get my first paycheck or now when I’ve accepted the job? My start date isn’t until the second week of November. I’m hoping to have my Medicaid benefits to last through November because I have an appointment and don’t want to be in between insurances.

I'm trying to help an older family member in Delaware with going through the Medicaid process. She has slightly more than $30,000 in overage that she would like her heir to inherit. She's been advised by a local Medicaid Specialist that she can use her assets to purchase a whole life insurance policy. She would then sign a form to lock in the cash value of the policy, which would prevent Medicaid from ever counting the policy as an asset. Is this accurate? All of the information related to life insurance and Medicaid that I've found indicates that Medicaid relies on face value, not cash value.

Update: I found the related information:

If the face value of combined life insurance is more than $1,500, the cash surrender value is considered a resource. If the life insurance policy is designated for burial purposes, $1,500 of its value may be excluded under the burial exclusion.

https://dhss.delaware.gov/dmma/files/ltc_steps_to_ltc_202207.pdf

I have severe bruxism that has caused several other health concerns or has exacerbated others. I recently needed 3 new crowns and a periodontal cleaning (top and bottom) because of how severe it's gotten. It's also caused my appearance to change and the frequency of my hemiplegic migraines has significantly increased. I sort of have a perpetual migraine nowadays.

My dentist recommended that I get one, but Medicaid won't cover them. They quoted me $500, and I am on Medicaid for a reason, yk? My dentist also tried to refer me to a TMJ specialist, but that provider doesn't even accept Medicaid.

I really need help with this, I am posting this at 3:30 am- although I woke up at 12 am- because the pain wakes me up. Is there anything I can do to appeal to Medicaid? A one-time cost of $500 seems a LOT more affordable than the amount they're paying for every single problem that has resulted without the night guard. My teeth don't touch anymore.

I am in therapy and I have added other methods of stress management to my daily life, but it is almost like an impulse or a tic and I can't stop. I have tried some over-the-counter guards, but they're done in about 3 days, and I feel like it's made my teeth and bite shift even more </3 Lastly, I believe I am on the Buy-in program, but I don't know how that works and I literally just found out about it on Friday...(?)

If anyone knows if there's a way to write a letter or speak to someone at Colorado Access to get this approved, or any advice about the general process, please, PLEASE let me know. I should have asked reddit a long time ago!

Can someone please explain this to me I have lost $300 income and my rent went up 11% but I lost Medicaid BCBS mmai. I've been told I now have a spend down but I have received no paperwork. I don't know if I have to sign up for something or it's automatic. I can't deal with so much stress

Supposed to lose medicaid on the 31st of October.

Does Americas Best take Medicaid vision insurance in Richmond Va, with the united healthcare community plan. My friend is having a really hard time finding somewhere that will accept it

Hoping to go home soon. Been doing subacute rehab in basically what is a nursing home. I’ve been approved for Medicaid, specifically community Medicaid when I leave the nursing home speaking with a service provider today is helping me with this, I was told my bowel program to get me turned down for services? this is in upstate New York. I’m hoping this doesn’t turn out to be true because I’ve been working very hard at Rehab. I am a quadriplegic paralyzed from the chest down, but can move my legs. My hands are awful. But I can transfer in and out of bed and for the most part put shorts on and shirts. Anybody else have any similarities to what I have going on here? Thanks

Ok so this is my first post. I’ll try to keep it short but can update with details if I need to. I have a 4 month old, me and my boyfriend/ babies dad live together. I and the baby are on Medicaid and wic. Dad wants to claim him as a dependent this year since he makes more, I’m wondering if this matters or if I am supposed to be the one to claim him? Thanks for the help!

My son was recently approved for Medicare and QMB in Michigan. My understanding is that Michigan does not issue a separate card. How do we identify to the provider that my son has QMB when receiving services? Is it automatic?

Currently in MI with SSI and SNAP and no additional income or copayments. Planning to move to Pittsburgh in spring. Is Medicaid the same all over, will it transfer with me? Or what should I expect?

ETA- mid 20s, not married and no kids. Pay rent to my partner who owns the house