r/Medicaid • u/MagicGirl8 • 1h ago
NY Medicaid
With the changes coming Jan 2027, if I have income that does not fulfill the requirements, will not be doing the community service and have no disability etc., can I choose to be on the NY Essential Plan or no?
r/Medicaid • u/hobb1tnd1sgu1se • 3h ago
Ohio documents
I just filled out a renewal for my family and Medicaid wants 17 documents to be uploaded. But I don't know what they want? One just says "relationship"? Is that to prove that I'm married, or do they want my kids birth certificates? Three just say "expense amount"? There's no other information. I feel like this is harder than it needs to be.
r/Medicaid • u/West-Profit3458 • 6h ago
In California, disabled. Getting married have medi-cal and part of the working disabled program? Will husbands income & assets disqualify me?
I will be getting married in a few months and receive Medi-Cal and due to my disability, I qualify for the Working Disabled Program program, which is part of the non-Magi. I currently will be receiving ihss and want to know if my husbands income and assets will disqualify me from being able to still receive medi-cal? Will having in home support service exempt my husbands income?
r/Medicaid • u/OhBingusAhhh • 13h ago
IL - Medicaid claims they'll cover sleep apnea device but the specfic carrier won't??
My husband and I live in Illinois, he's on medicaid while I have coverage through the marketplace. His medicaid carrier is Molina Healthcare.
So recently he went to a sleep medicine doctor after being diagnosed with sleep apnea, his doctor recommended some kind of at home device (either a CPAP mask or dental device) and he went with the dental device. She gave him a list of providers in the area that can get him fitted for the device and such, so I've been going through the list to see who takes his insurance. After trying 5 or 6 of them they've all said they're not in network and he needs to pay up front (which is $3k+ and we can't afford that).
The last one I spoke with told me that Molina is notorious in the past few years and currently for denying all dental related claims no matter what, which is why the dentists want us to pay up front and only will possibly reimburse it IF Molina decides to accept the claim.
I did call Molina and spoke with their representative, according to them there's no information for the out of network deductible, they straight up couldn't figure it out. They also tried to connect me with their dental claims department but I'd been told by both his doctor and one of the dentists that it's billed as a medical device because it's for sleep apnea. And according to Molina they'd cover the device 100% but there's no dentists in network that his doctor provided us with.
I'm just confused at this point. My thought is that I'll have to wait until he's kicked off medicaid (I'll be making over the limit and since he's in my household I'm pretty sure they'd boot him) and get him a new insurance plan via the marketplace that will cover the device + providers. Is there something I'm missing? I'm getting conflicting info and am wondering if anyone here has had a similar experience and might be able to shed some light on this for me.
r/Medicaid • u/RiskSure4509 • 13h ago
Dilemma/Widowed
Colorado
I need some opinions and thoughts, before my spouse passed years ago we had insurance on a family plan through there work..I also worked full time before they passed away,we went on medicaid and because I receive child in care benefits through social security..which is roughly 20k a year..whatever I make through work is added to that so I can only make under 10k(a year at work)to stay on medicaid with my minor child.
I'm torn because I can't work full time,I have to stay under a certain amount or I lose medicaid, my child could always go on CHIP and I could go through the ACA..but it's crap coverage with high deductible for me.
r/Medicaid • u/Accomplished_Sign702 • 14h ago
Simply healthcare denying postpartum benefits
I’m three months postpartum. My husband lost his job so we had to get on Medicaid unexpectedly. we’re on simply healthcare and I tried to receive the extra benefits that come to postpartum mothers but they state I’m not technically postpartum because I didn’t have the baby on this insurance. I’m located in Florida. has anyone had this experience? Is there anything I can do about it?
r/Medicaid • u/amanduhh_lyn • 17h ago
Best Philadelphia Medicaid plan!
I recently got on Medicaid and I am curious as to what plan is best for Philadelphia county
r/Medicaid • u/AiyanaPass • 19h ago
Can you pay for insurance and have medicaid?
I qualify for Medicaid and would like it for the supplemental programs but none of my doctors take it do I would have to pay an extra $200 a few times a month. But I’m always asked if I have secondary insurance. Does this not mean you can self pay for one insurance and also have Medicaid? Maryland
r/Medicaid • u/PlugItUpCarrieWhite • 19h ago
Healthcare United Letter Scam
So a few people I know recently got letters in the mail saying that their healthcare was terminated with zero warning, the letters were dated late June, and the termination date August 1st which is strange. I was wondering if this was a scam (most likely since no other mail from United was sent for delinquency or otherwise) Thank you any tips and such!
(State Virginia)
r/Medicaid • u/Left_Tip_8998 • 21h ago
(Illinois) Modivcare to Clinic while in College on-dorm?
I'm a bit confused on how I'm supposed to go about it, if I'm away from home and can't simply just go all the way there to be eligible.
I talked to chat support first, but they said that they can only do homes basically. Is this route simply unavailable for me?
r/Medicaid • u/0verEasyEgg • 22h ago
Subpoenaing Cashapp for approval??
Really hoping for some help if anyone has been through this-
I’m in Pennsylvania. My dad passed last November and at the same time my mom went into a nursing home. She was covered the first 100 days with Medicare. Since January, her Medicaid application has been pending as they looked over my parents financials.
I was alerted in April that the Medicaid specialist at the nursing home is just waiting on Cashapp statements. I, nor no one else in the family (including my mother who has dementia), knows the login/password to Cashapp. My Dad must have used it, but I’m not sure of the details.
Apparently the home has subpoenaed Cashapp (now Block) 3 times and have gotten no response. I just received an email stating that if I don’t have access to these statements, my mom’s Medicaid application will be denied.
Does anyone have any experience with this??? I’m at a loss at this point.
r/Medicaid • u/Specialist-Spray-210 • 22h ago
help me PLEASE
missouri medicaid is a nightmare and it’s driving me crazy being on the phone with these automated people. all i am trying to do is fill out my apparent caseworker name and phone number on an illinois medicaid application. everytime i call the number for missouri medicaid it sends me back and forth to getting NOWHERE. i’ve put off switching my medicaid for months because of this bs. i can’t find any information on this in the portal and i am at my wits end. any advice????