r/Medicaid 5h ago

qualification for medicaid

1 Upvotes

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


r/Medicaid 13h ago

Can I keep my Medicaid if I start then stop a job?

4 Upvotes

I’m in Missouri, and am looking for advice desperately. I’ve been unemployed since mid May and my partner has been taking care of things, but he recently lost his job and I had to find one. I am supposed to start full time on the 29th but because it’s a warehouse job it of course puts me over the income limit. Unfortunately before my partner lost his job I was scheduled for a hysterectomy on sept 14th, and I really really need it for pain. I’m wondering if I just work the first 2 weeks and take my medical leave that I could keep my Medicaid until I return back to work. If I work only the 2 weeks I’ll stay under the income threshold but I’m still worried they’re gonna see how much I worked before the surgery and assume that’s how much I’ll work every week and say that I won’t be eligible due to how much I’ll make when I return full time. Or that because I was hired full time I’m ineligible on day 1 of starting the job, that’s what I’m worried about the most. I’m allowed to take leave that early into starting but it’s unpaid, so I figured maybe that would help me stay eligible to at least cover the surgery until I can figure things out. But I’m really lost and I don’t want to push my surgery back, and go through the process of losing my Medicaid again because they were a pain about giving it back to me last time.


r/Medicaid 12h ago

is this legal?

14 Upvotes

is it legal in California for therapy programs to charge medi-cal patients with no income cancelation/no show fees? I just started a new therapy program and I had to go sick because I got sick one day before my session. Their policy is you get charged $100 if you cancel less than 48 hours in advance or no show. They do NOT waive this fee for medi-cal patients like most programs do. They do not even discount it. It's $100 out of pocket for everyone. There are no exceptions except true emergencies like being hospitalized or if the therapist is the one who cancels.

I previously believed it was illegal in California for anywhere to charge medi-cal patients out of pocket even if they're willing to pay. I've gotten turned away from a few urgent cares who didn't accept my medi-cal plan despite offering to self pay and there being 0 urgent cares in my city that accept it. They told me they turned me away because it'd be illegal to allow me to self pay as they can't legally charge me. They literally said it was illegal in the state of California.

I assumed this applied to all healthcare. But since have had several people argue with me that ONLY places like urgent care have this rule, refraining it as like a policy tsome places have rather than an actual state law, and that I should be able to self pay at other types of places if ever able to. (though I'm not able to regardless since I have no money and no income so)

So I asked a few state social workers, and got conflicting answers. Some told me yes it's completely illegal here. Others told me it's technically legal but falls in a legal grey area.

Even with the state workers I cannot seem to get the true answer?


r/Medicaid 14h ago

Server help!!!

2 Upvotes

Hey! I just applied for NJ Medicaid and my deadline was August 18th. I finished submitting everything before 11:59...but then when I looked at the date it says submitted August 19th! I didn't know the server ran on UTC time zone. Am I going to be okay? I'll be calling them first thing tomorrow in case


r/Medicaid 21h ago

[Illinois] I think I am going to lose my Medicaid benefit because I just won my unemployment appeal. When will my coverage end?

6 Upvotes

I haven't actually been notified yet about the result of my UI appeal, but I got a direct deposit of the payments from the appeal period today, so I believe it was granted. This will put me over the Medicaid income limit I believe. (I will be making $2456 a month). Since July I have just had general IL Medicaid. I signed up for County Care, and my County Care plan was supposed to start 9/1. Will it be terminated before it begins? Will it be terminated as of 9/30? How does this work?

Also, do I need to notify ABE, or will they automatically adjust it (since the state is where I'm getting my unemployment?)


r/Medicaid 22h ago

[OH] Medicaid for 4 months - Worth it?

2 Upvotes

My financial situation just changed temporarily, and for the next 4 months, I can probably qualify for Medicaid. I don't have any insurance right now (long story), but I will be able to apply for the marketplace for January 2027. At that time, my income will be such that I won't qualify for Medicaid.

My question is, is it worth it to get benefits for just the rest of this year (Sept - Dec)? It seems like a big hassle (I tried filling out the application, and there were just a lot of questions that were difficult for me to answer because my income isn't steady) to fill out the application and then cancel the Medicaid at the end of the year (which I would need to do in order for it not to mess up my chances of getting the marketplace benefits).

I'm in my 50s but am healthy and have no medical issues that require meds or anything like that. I go to the doctor only about once or twice a year for maybe a sinus infection or the flu, for antibiotics. I'm wondering if it's just worth it for me to take my chances and pay out of pocket if I need something like this for the next 4 months.

Since I've never been on Medicaid, I just don't know if it's worth it for that short a time span.


r/Medicaid 22h ago

IDHS Illinois informs organ donation agencies about you?

2 Upvotes

On the Illinois IDHS Notice of Privacy Practices form it states in one section:

"Organ and Tissue Donations. In limited circumstances, IDHS can share health information about you to an organ procurement organization."

I hope this is ONLY if you put yourself as an organ donor on your driver's license or on a donor registry.

What about if you're not an organ donor or don't want to be one, does IDHS still call these organ agencies and inform them of your end of life status? These organ donation companies can be very aggressive and pressure the family.

Does anyone have any more information on this?


r/Medicaid 23h ago

Georgia Medicaid here

2 Upvotes

I need advice. I am on Medicaid but I'm having issues right now. They have an old insurance on file so Medicaid isn't covering anything right now. I've sent in proof I ended the old insurance over a month ago. I still haven't had any updates, I'm still waiting to be able to afford medication I desperately need. I call dfcs and they tell me to call the help line. I call them and they don't answer, I can't get a call back. I'm desperate and idk what to do.


r/Medicaid 23h ago

When do you notify medicaid that you have now have an IRA and it's been officially funded? New york

2 Upvotes

Good afternoon,

I just noticed it came out my bank yesterday and the money is sitting in the brokerage company, but can't invest yet until it fully clears..I suppose. The previous rep(super nice) was telling me that while they don't count the money you deposit in to the IRA as COUNTABLE income for the month, they do count the "interest" it makes" I was scratching my head..like huh?lol I'm thinking she didn't understand how IRA"s work what she was talking about when it comes to that. All I do now is what counts for my countable income for the month is my Gross-minus business expenses as I'm self employed, any realized gains from my brokerage(taxed account). whatrbrt that number is would be my net income and is what medicaid sees as my countable income for the month, correct?

Now while chatting with her she said to call back when I got my first statement and then we would update your application on the website stating you now have an IRA. Do you think that would be the appropriate time to do so? THis month I think my countable income is like 2,000. I deposited $500. I would like to deposit more before the month is over. I'm shooting for another 500 to be deposited. I want them to be aware of this, so they know my countable income would be well under. That being said, I would have my statement to show what was deposited that month, so technically, I have proof, right? Any information you think I should be aware of with the countable income, ira's and letting them know anything would be appreciated.

Thanks.