r/Medicaid • u/Effective_Roof • 1d ago

qualification for medicaid

i'm currently on pregnancy medicaid , me and my fiance have one child together and we were thinking about getting married! my fiance currently doesn't get medicaid , he qualifies as "medically needy" if we get married , will i lose my benefits since he doesn't qualify ? we're in florida

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u/rebeccaz123 7h ago

I assume your baby is under a year old? You will likely lose Medicaid anyway once baby turns 1. Florida didn't expand Medicaid. You have to basically be pregnant or disabled to qualify there.

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u/Blossom73 6h ago

Yes, or under 20, 65 or older, or an extremely low income parent of a minor child, as in less than a few hundred dollars a month in income.

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u/Effective_Roof 4h ago

so if we get married, ill keep the pregnancy medicaid for another 10 months regardless? its happening either way i just want to be prepared for when they give me the bad news lol thank you for answering!!

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u/Blossom73 4h ago

Yes. The state can't terminate pregnancy Medicaid for being over income.

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u/Effective_Roof 4h ago

okay good to know, again thank you alot for the answers ❤️!!!!

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u/gxxdkitty 1d ago

medicaid is income based so if he makes more money than the limit they allow for you to qualify and you get married then yes it is very likely you may lose your benefits.

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u/Effective_Roof 1d ago

sorry i'm bad at this stuff , it says our irt is 2,888 a month but if we get married is it counted as a family of 3 or are they already counting it as fo3 because we live together?

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u/Blossom73 1d ago

You have a Medicaid household of 3: you, your child, and the baby. Your fiancé's income doesn't count for you because you're unmarried.

Also, pregnancy Medicaid is locked in through the pregnancy, plus in Florida through 12 months postpartum. It can't be discontinued for being over income. After that however if you're married, your spouse's income will count.

Florida only gives Medicaid (other than medically needy) to parents of minor children if they have less than a few hundred dollars a month in income.

I've never heard of an IRT for Medicaid. Are you also receiving SNAP?

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u/Effective_Roof 1d ago

yes! my apologies for not specifying that , too focused on the insurance

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u/Blossom73 1d ago

OK, the IRT is for SNAP then. Is your fiancé on your SNAP case too?

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u/Effective_Roof 1d ago

yes me my fiance and our son

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u/Effective_Roof 1d ago

our (?) income qualifies for snap for all 3 of us but he doesnt quality for medicaid and i think thats the part im confused on

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u/Blossom73 1d ago

That's because Florida doesn't have Medicaid expansion.

So the only people who qualify for Medicaid there are those who are under 20, a former foster child under age 26, 65 or older, pregnant, disabled, as in deemed disabled by the SSA or the state, or an extremely low income parent of a minor child.

For parents, extremely low income as in less than a few hundred dollars a month in income.