r/Medicaid

I started a job last month and it’s paying me more than anticipated because of training/summer hours. When September comes around, my hours will drop. Right now, I’m about to have made roughly$3500 this past month. My employer does not offer health insurance.

I’m fully independent, meaning I pay my own rent, car, electric, food, gas, phone etc and that brings me to spending almost everything I earned.

My year ends in August and going to let them know my income tomorrow. I have a phone appointment with an adjuster because I literally have no idea where to go from here as far as coverage.

How does a 32 year old survive without Medicaid? Genuinely! When I used the generator for coverage (no dependents, I live alone) it’s quoting me $587 a month! What?!
Now I officially understand why people go without health insurance!

Please no negative comments. I sincerely am asking for any advice or first hand experience of this nature.

Hi everyone,

I’m in a bit of a conundrum. As per the title, a family member, who recently passed, put me in their will. I’d receive way over the $2,000 limit.

I get Medicaid/ForwardHealth in Wisconsin because I have ESRD and am dialysis-dependent. I can’t lose my Medicaid and am afraid to outright deny the money in case they consider that assets or something. I was sent a Payable on Death claim form to fill out by the executor of my relative’s will and don’t know what to do or who to talk to.

Thanks.

If you’re living with say a partner (unmarried) or living with parents, they help you financially like paying bills, food, etc. but don’t claim you as a dependent, does this count as your income?

Hello all. I am 26 with a bmi of around 31. For a little backstory I was taking Abilify for my bipolar disorder but I got to around 260 pounds and I started wegovy and I am now around 196 but am steadily going up. I am refusing to take my Abilify without something to counteract my weight gain. Is there anyway I can get it back? If not is there some type of insurance I can add to get it back? Any help is appreciated thank you

I normally order my things right on the first as I have a baby and rely on getting diapers and wipes. It’s always been $50 a month. I just logged in and it’s saying they changed it from $50 to $25 a month. One pack of diapers is $15. Wtf is there any reason for this? Anyone else notice this?

OMG I am ecstatic, I was thinking we would all get kicked off of Medicaid if not working because of the new requirements but it turns out dividends and interest over $580 per month count as an exception to the work requirements! Good news for FIRE users all!

State: Hawaii
Island: Oahu

I am seeking guidance regarding care options for my 87-year-old mother, who lives on Oahu with her grandson and his girlfriend. She is no longer able to fully care for herself and relies on both of them for assistance with her daily needs so she can continue living safely at home.

My son's girlfriend will be leaving her job in the coming weeks, and I would like to find out if she could become my mother's paid caregiver through a Hawaii program. I have spent a great deal of time researching this but continue to reach dead ends and would appreciate any guidance.

My mother receives approximately $2,077 per month in Social Security. She currently pays for her own health insurance premiums out of her Social Security benefits and does not need government health insurance coverage. While reviewing the Hawaii Medicaid/QUEST information, I read that certain out-of-pocket health insurance premiums may be deducted when determining eligibility. Based on those deductions, her countable income would be approximately $1,300 per month.

However, when I complete the eligibility screening and indicate that she does not need health insurance coverage, she is denied. If I enter her full Social Security income of $2,077, she is also denied because her income exceeds the limit. This has left me confused about whether there is another program or eligibility pathway that would allow her to receive in-home care services.

My mother is not able to live independently, but she does not require placement in a skilled nursing facility at this time. Unfortunately, assisted living is financially out of reach. Our goal is to keep her safely in her home for as long as possible, with my son's girlfriend providing the care she needs if there is a program that would compensate family caregivers or caregiver-like household members.

Additionally, my mother has faithfully paid for a long-term care insurance policy for approximately 30 years. We intend to continue paying the premiums so that she remains eligible for benefits if and when she eventually requires skilled nursing care. After investing in this policy for so many years, we do not want to lose that coverage.

Could you please let me know if there is a program that would allow my son's girlfriend to become a paid caregiver for my mother, or if there are other in-home care options or waivers that we should be exploring? Any guidance would be greatly appreciated.

This is in the US and in Maryland.

My parents recently went to a lawyer to prepare for my father’s inevitable upcoming need for a nursing home. They wanted to protect as much money as they can from Medicaids 5 year look back. The lawyer they went to set them up multiple trusts and ensured them the “At a minimum, 50% of your assets are protected even if you need a nursing home tomorrow. If you wait longer, say a year or so, then it can be closer to 60% or 70%.”

Well, it turns out my dad is headed there sooner rather than later and his physical therapist and occupational therapist said he can’t take care of himself and he is not safe at home.

Can someone explain like I’m five how this kind of protection works?

We also don’t know when the 50% of assets actually kicks in - like how will they know they are now qualified for Medicaid if on paper they still have money but based on the trust and what the lawyer said they are qualified for Medicaid.

At the core of it, I’m afraid my parents were hoodwinked because I’m not finding any answers online for how this arrangement works. But I know what I heard from the lawyers.

Thanks in advance.

For some background information, I am a 16 year old female who got pregnant. I know what I did was reckless, but it wasn’t all my fault. I won’t get into the details of what happened but I want an abortion.

Before anyone says anything, I know that this is something I want. This is the best thing for me so I don’t want to hear anything.

I know that abortions cost money but I have none. I have zero money so have been hesitant to set up an appointment. I know that I’m under my mother’s health insurance and have my own card but want access to my own to see if my insurance plan will cover the abortion. But unfortunately, I don’t want my mother to know. I live in California so I can thankfully get one without parental consent but I can’t due to money issues. Is there anyway that I can get the insurance card (without her knowing), set up an appointment, and get the procedure done (without her knowing)? Or does planned parenthood offer any other services that I can try and apply to? Please I need help.

I am going to be forced to go on it soon and am curious

Not sure where else to post this but I have an appointment soon with a women’s health clinic and I haven’t been to a doctor by myself so forgive me on my cluelessness on the new patient forms but if my only health coverage is AHCCCS how do I fill out the insurance portion of the form? My insurance card (Mercy Care) only has my name and my AHCCCS ID so not really sure how to fill out the co pay or the activation date portion. It has two sections that say primary insurance information and if applicable secondary insurance information and that alone confuses me.

In the insurance portion it asks for NAME OF INSURANCE COMPANY, POLICY #, NAME OF INSURED, GROUP#, ADDRESS OF INSURANCE COMPANY, COPAY AMOUNT, CITY, STATE, ZIP PHONE #, DEDUCTIBLE, RELATIONSHIP TO PATIENT, EFFECTIVE DATE, and EXPIRATION DATE

Thanks

Hello, I recently received a letter from NYState of Health telling me that I have until July 15, 2026 to renew online or that I'll lose coverage. I am a single adult, under 65 y/o.

I signed into my account to complete the application, and reported my expected income for 2026. Now I get this message:

"We received your application for insurance using the new information you have told us about your household and your income".

Then, it says:

"Not Eligible for Financial Assistance . You are not eligible to receive help paying for your health coverage. You can still purchase a qualified plan through NY at full cost . If your circumstances change, you can update your application to see if you can get help paying for health coverage.

You are ineligible because you already have coverage."

????? What is this? This is a contradiction.

It's July 3, and the letter I received in the mail says I have until July 15 to do this.

My income is under the federal limit so I should qualify.

Anyone has any suggestions?

Thank you.

I'm in Colorado. My folks are getting a new car that I intend on using for getting to medical appointments and getting groceries. The car is a new 2026 Crosstrek Subaru premium. Part of the reason this car was picked was because the trunk has a hatchback and level with my body as I sometimes need to use a wheelchair due to having a joint disability, My dad wants to put me on the title as a co-owner to help get my credit score up as well as letting me use the car's warranty as it is only claimable by the original title owners (the car has unlimited lifetime powertrain warranty). My dad is intending putting a down payment on the car and payments will come out of his bank account, I am not involved with any payments. I do not have my name on another car title. Am I allowed to do this and not lose Medicaid? DHS in my area are not giving me a straight answer and say they can only know if they look it up after I already get the title.

An acquaintance of mine (not a friend), has been apparently gaming both SNAP and Medicaid programs in Pennsylvania.

He served time (ten years) for attempted child molestation and was released around 2009….

in 2010, he met his new wife- who in 2007 had an affair at 52 years old- with a 71 year old maintenance worker at her church. her husband, a 24 year employee of Pa DCNR - employed at a Pa state park- found out abo the affair and unalived the 71 year old and himself. This happened in Clearfield county , Pa 2008 .

So in 2009, he married the wife of the longtime DCNR employee who shot the man and himself.

The wife (newly wed) found out that if she remarried before the age of 55 in Pa - she would lose her survivor’s benefits (Pa state medical care)!

The new husband ( child molesting inbred) then had the idea of going to a neighboring couny (Cameron ) and getting married because they didn’t have marriage records online- only on paper so that she could keep her survivors medical benefits from her late husband Therefore gaming the system so she could continue receiving her dead husband’s DCNR health benefits.

Though on Megan’s and having served ten years for attempted molestation, he considered himself to be too godly to live with her in sin And married her in Cameron county, Pa ! Cameron county supposedly didn’t upload marriage records online - only on paper…

He insisted on being married- but hid it so she could continue to receive medical benefits from her dead husband that PA law denies her if she remarries before age 55. She was 53 in 2009 when she met and married the Megan’s law fifth.

Pennsylvania state employees are NOT permitted to collect on their spouse’s if they remarry before age 55. She married the pedophile at age 53 and his the fact by going to a neighboring county that at the time, didn’t download to the net supposedly.

So he/they had be lying about being married to the state of Pa for around 10 years so far- in the meantime he’s been collecting SNAP benefits and Medicaid throughout.

What might be the penalties for these two?

im seriously tempted to turn them in .

Thank you in advance!!

so hypothetically, if I don't have a job but I won $5000 in one sitting on a gambling website, when I report that in my renewal, is that going to affect my eligibility if that's the only "income" I've received?

My adult son moved out of our house, and when we tried to update his case for medicaid and apply for snap for him, the person in the new county denied his case because he is no longer at a known address. They demanded to see his name on a lease, but he isn't on the lease, he's staying with friends. They rent the house, he can get mail there just fine. As far as I'm aware, IL allows for 'self-attestment', but they insisted he can't. We moved from our old house and he is not on our lease either, because he doesn't live there. I don't know when/if he will ever get on the lease at the friend's house, but he needs medical care and food and we can't afford to help with either.

PA resident, Have been on Medicaid approx 4-5 years for income eligibility. Recently they cut me off for lack of income history since I haven't filed federal taxes the last few years. Sole income currently is online sales, which consist of roughly 80-90% clothing items only. My last caseworker had me send sales receipts via email from whatever sites I sold on. This year it seems my caseworker has changed & really didn't give me the same option and eventually disqualified me for income/lack of income etc...reason

I then appealed and was reinstated until said hearing which is rapidly approaching. It will be via phone with judge or magistrate, And I have absolutely No idea what to do/say/claim etc to stay on at least until I find steady income or qualify for disability which might also be an option.

Any advice, good or bad greatly appreciated🙏🏼

Does anyone know when NJ Familycare checks your bank account balance?

SS benefit was deposited early and my balance was over $2000 at the beginning of the day on the first of the month. Pending balance was below $2000 as does the balance showing for July 1st today...

I’ve been on MAGI Medicaid for two years in Ohio due to health issues and I’ve recently been offered a part time job. I understand Medicaid eligibility is based off of gross income. Do pre tax contributions lower MAGI? I’ll be extremely close if not over the income limit if I accept the job. However, if I contribute to the employer 401k, will my gross income be lower? Because I’ve been on Medicaid, they won’t be able to use the tax return to see my AGI so I’m assuming it will just be paystubs? If so, how is the projection calculated? Thanks in advance, pretty stressed about this.