I have a family member that’s on SSI and he will be dual eligible for Medicare. I just received notice that beginning next year his social security payment will be reduced by the amount of the Medicare premium. I had the understanding that SSI would automatically qualify him for QMB to pay his premium. Anyone have any information regarding this? Thanks

How does Medicaid (NC) work while out of state and international. Full coverage, only emergency or no coverage? If any coverage, do I have to pay and get reimbursed or how does it work?

NC, qualified for Medicaid (while applying on Merketplace for next year), still on Merketplace insurance. When I talked to caseworker she said we can keep Marketplace insurance and use Medicaid as secondary. Marketplace shows "cancel coverage". Caseworker said the option to choose a plan may come up in a coule of days. Did some Googling and cant really figure that out. From what I understand, if you qualify for Medicaid, you will get no subsidy from Marketplace. And why would I want that, isn't Medicaid at least as good as any private plans?

Last year I got my Medicaid approved. When I notified Humana I got an automatic increase in benefits and a monthly cash allowance. When my agent called to renew my policy she originally told me I would get a slight increase in the cash allowance, everything else would the same. When we got ready to actually sign up for the new policy she then said she made a mistake and my monthly allowance would be cut by almost half. I'm in Mississippi if it maters. Should I cancel the policy and shop around for something else. Is this happening to anyone else?

Medicaid approval letter came and it had a form for NC Medicaid CCNC CA, that had space for me to sign, I think. I did not have any info on what it is and if there is a cost. Did some quick Google and plan to call tomorrow, but figured this is probably a better place to get answer. So, what is it, pros/cons and cost?

Living mostly on savings/investments, some rental and self employment as well.

Family of 5, low taxable income. Spending from savings/investment, i.e. principal, not declared as income. Everything is done with CPA and nothing hidden here.

Marketplace insurance up to now, earlier years has sometimes said no subsidy bc income is under limit, so increased it, thinking Medicaid was not an option due to asset test.

This year Marketplace said qualify for Medicaid, caseworked will contact you, no way to continue or change income.

Caseworked called to verify income. Assumed asset test and asked her. She double checked with her supervisor and said there is no asset test in NC.

Is it really true there is no asset test whatsoever in NC?

Hi everyone I apologize if this is a stupid question but I am new to the adulting thing. So I have Cardinal care Medicaid, but I also have United healthcare as my plan. The provider I’m looking to see says they accept Medicaid- but that they accept Sentara Medicaid and Anthem Medicaid. This means I can’t see this provider since I am not on either of those plans right?

I just moved here from NC, back home there is only one Medicaid. Apparently in Virginia there’s different kinds of Medicaid?

I was approved for benefits but I am confused about the language of the renewal.

It says my "Total Countable Monthly Income" is $29.00. What does that mean? Are they are saying I make $29 a month from what info the received from me??

My friend recently won her ssdi case and received $23,000 in back pay. Will this cause her to lose her Medicaid? She has severe medical problems and would be lost if she couldn’t keep seeing her doctors. She wants to just keep it in a savings account but I worry there’s a limit to how much she can have. Thank you for any insight.

I’m going to be moving from CA to NJ and have medications that I absolutely can’t miss. (Or can’t afford on their own) they are heart meds for POTS, so as you can imagine I can’t miss a dose otherwise my heart goes chaotic.

How do I go about with this move so I don’t run out? I plan to meet with my doctor to discuss. Also I know my address so I will be able to apply prior to actually moving.

Any advice would be greatly appreciated. We are a family of 5 and struggling greatly.

So for the past 2 months I was receiving full Medicaid but this month they changed it to partial medicaid (family planning). How can I try to get full Medicaid coverage again? I have medication that I have to take and I absolutely cannot afford to pay out of pocket because I’m currently unemployed and am a college student. I also have a 2 year old that is receiving full medicaid.

Does anyone utilize monthly benefits OTC and ever seen this? I am so confused… a negative $770 balance on my kids OTC card… Glitch? Or ?

I have commercial insurance through my husbands employer, but I’m also still covered under CareSource (healthy families) Medicaid in Ga. My medication is listed on the CareSource formulary. I went to the pharmacy to pick up my prescription and decided to see if CareSource would pick up what my private insurance didn’t (the way secondary insurance Is supposed to). The pharmacy said that the policy was showing inactive but when they checked the eligibility, it showed as eligible. Does anyone know why this happens? (I know for a fact that the policy is active because it was renewed in October this year unintentionally when I renewed my children’s coverage). Obviously if I wasn’t eligible for coverage I would have been dropped when I renewed my children’s policies.

Anyone have any experience with either keystone first or health partners plans? I don't know which to pick. Which is better to deal with/is accepted more widely. I need to see specialists. I do have preexisting health conditions. I imagine having to get a pcp referral each time would get old. I don't think you have to do that for health partners plus but you do have to do that for keystone first? Thank you for any help you can provide.

What would a 24 year old female do for insurance coverage if she's pregnant, starting a new job (insurance won't kick in right away), not married, and moving to a new state: she will need to be able to see doctor for pregnancy.

HELP I NEED RECOMMENDATIONS! IF you have AHCCCS, what plan do you have?(See pole below) I have to switch from MERCY CARE to another AHCCCS PLAN because 3 of my doctors are dropping mercy care, sooooo these are what I have to choose from (and tbh I have only heard of the 1st 3.Pls vote&share advice

View Poll

If I apply for Medicaid in Washington state (Washington Apple Health) can I choose Kaiser as a managed care plan? Do they offer Kaiser?

Does anyone had any experience with Florida share of cost Medicaid? After emergency hospital visit I got a very high bill that I definitely can’t cover. I applied for emergency Medicaid and I was approved but every time I submitted bills nothing was covered. I called to hospital and to Medicaid and my bills were submitted online even over the phone second time but none of them were covered even though amount criteria was met. Now hospital sent that bill to collections and I have absolutely no idea what to do.

Hi guys, I have a question about the NC medicaid application status, I just logged into the ePASS system and it shows Insurance Affordability Status: approved, dose it mean I am approved for Medicaid? If so, how long will it be mailed to me? Thanks!

Medicaid is asking for self employment records for my husband as he does uber. He is sick and has not done anything for the past month so What documents do I show for no earnings in last month?

hi, i recently got 4 wisdom teeth pulled out and was ensured by jefferson health that it was covered by insurance. now im being bombarded with calls from jefferson saying that there’s 150 left on my balance because medicaid is saying i maxed out my benefits?? what do i do?

Hi I had to sell my house due to legal issues and I’ve been living w my parents but I don’t plan to be here long. Plan to use the proceeds towards new home. I’m wondering how long I have to report an address change? I don’t want to lose my benefits I have a medically complex baby so this is causing a lot of anxiety

I uploaded documents about my loss of income but am wanting to cancel the benefits as it is too much for me.

Also doesn't benefit me in the slightest to have it anyways. Medically Needy and have never gotten it activated. My son has full medicaid and would be cancelling his benefits but im going to get Florida Kidcare for him in the mean time.

Can I go ahead and cancel benefits right now before they complete the changes or do I have to wait? Located in Florida.

Thanks!

So my Dad has been on Medicaid and in nursing home for the past 2 years. He has dementia and was too much for my mom to take care of him, so she worked with someone at the nursing home to qualify for Medicaid. My mother died from cancer in Sept. I learned in Nov that my dad's SS payment would fully go to the nursing home since the community spouse died. My sister and I live in the house, ladybird deed. He's not terrible but care giving is tiring. I'm now thinking of putting him into an assisted living facility, using his SS payment for funding. Going to forego nursing care since he came home with a UTI and fungal skin infection- not great care.. Can we sell his house while he's alive and he keeps proceeds, or would Medicaid do estate recovery or have lien on house?

Edit: we're in FL

Hi there so I always thought kids in Texas get kicked off Medicaid at 18. But I'm seeing some stuff online about kids on the star medicaid staying on until 19. Does anyone have experience with this?

So I applied for Medicaid in North Carolina after loosing my job and was accepted. I did not think it would be accepted as quick as it was. The notice says I have coverage starting Dec 1st. Currently, I have COBRA coverage until the end of this year (premiums already paid). I have a dental procedure scheduled for Dec 2nd and will be using the COBRA coverage for that. So do I need to do anything about the double coverage for Dec? Should I tell my Medicaid caseworker this? Or maybe tell them to drop Medicaid until the end of the year and start it on Jan 1? I really don’t want to do that since it’s already approved.

This question relates to Medicaid for my 85-year-old mother who will likely be going into a nursing home soon. Since technically this annuity generating income was wondering if NY will exempt the principal as a resource and only take $150 a month income or are they going to count the entire annuity as a resource?

Hi freaking out a bit and I need some advice on what to do. Here is my situation/question.

Context: I am in Long Island. I enrolled in Medicaid managed care with Healthfirst this November.

• My application was processed and expected to start December 1st.
• I enrolled because my parents’ health insurance will run out on my birthday in late January when I turn 26.
• I also need coverage for medications I take daily. That I didn’t want to lapse with my parents’ insurance ending.

-I expected this Medicaid enrollment process to take anywhere from 2-3 months. I was wrong it was processed quickly and it was planned to start December 1st.

THE ISSUE: Yesterday I got a letter saying, my health coverage with Medicaid managed care will not start because I still have 3rd party insurance. They say I have medicaid but not the managed care. This is very confusing to me. There is information in the letter about starting the appeal process. Which scares me a lot because I have never done this. Im worried they won’t understand my situation and I will have to wait to be without any insurance to get coverage. Then leading to a gap in coverage and my medication.

This is my first time applying I feel like l really messed up. I can’t call now because it too late in the day, but I will call soon.

Has anyone else experienced something like this?

(Edited for clarity and spelling)

Hello! I had a baby in 2023 and we were both covered under medicaid. This month is my renewal and I realized I never reported that I moved in 2023 and my fiancé bought our house flat out with money from a lawsuit, it still had my childhood address. I also didn’t realize that when I applied for food stamps in 2021, it still had my fiancés job from that time period listed. I have an option to go with private insurance that my fiancé has, i’m scared if I try to renew and report this new information that I will get in trouble but I honestly didn’t even realize or know.