Funeral And Burial Funds
The government allows some dignity when it comes to death and dying. Funds used to pre-arrange a funeral or memorial are excluded from your Medicaid assets. This includes pre-purchased burial plots, not only for you but for your immediate family.
If no preparations are made in advance, a bank account up to $1,500 can be reserved for funeral expenses and not be counted towards your Medicaid qualifying assets.
Medicaid As Secondary Insurance
Can you use Medicaid as a secondary insurance? If you take your employers insurance or you have private coverage, you might still have trouble paying deductibles and co-pays. But qualified low-income families and individuals might be able to cover co-pays, deductibles, and insurance premiums by using Medicaid as a secondary insurance.
Just keep in mind that Medicaid is always the last resort payer if you have coverage through another agency. Secondary payers usually cover the smaller amount, like coinsurance or co-pay, while primary insurance covers the bigger costs.
What If Im Turned Down By Medicaid
- You may be able to buy a private health plan through the Marketplace instead for the 2018 plan year in the fall. You may qualify for savings based on your income through a premium tax credit and savings on out-of-pocket costs.
- If you don’t qualify for either Marketplace or Medicaid savings, you still have options. Learn more here.
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How Can I Find A Doctor That Accepts Medicaid
For Healthy Louisiana plan members, contact the member services department with questions about how to access care.
For information on dental benefits please contact your dental plan.
For members enrolled with MCNA Dental call 1-855-702-6262 .
For Legacy Medicaid members, call 1-877-455-9955 to find a specialist in your area.
It is important to remember that not all doctors who are active in the Medicaid program are taking new patients. When you call for an appointment, be sure to ask if the doctor is taking new Medicaid patients.
Medicare For Drug And Alcohol Rehab
Medicare is available to anyone over 65 years old and those with disabilities. Medicare is available for a monthly premium, which is based on the recipients income. People who earn less pay lower premiums.
Medicare can cover the costs of inpatient and outpatient drug rehabilitation. It consists of four parts that cover different parts of addiction recovery programs.
| The Four Parts of Medicare | |
|---|---|
| Part A | Insurance for Hospital Stays. Medicare Part A can help pay for inpatient rehabilitation. Part A covers up to 60 days in treatment without a co-insurance payment. People using Part A do have to pay a deductible. Medicare only covers 190 days of inpatient care for a persons lifetime. |
| Part B | Medical Insurance. Part B can cover outpatient care for addicted people. Medicare Part B covers up to 80 percent of these costs. Part B covers outpatient care, therapy, drugs administered via clinics and professional interventions. Part B also covers treatment for co-occurring disorders like depression. |
| Part C | Medicare-approved Private Insurance. People who want more benefits under Medicare can opt for Part C. Out-of-pocket costs and coverage is different and may be more expensive. |
| Part D | Prescription Insurance. Medicare Part D can help cover the costs of addiction medications. People in recovery often need medication to manage withdrawal symptoms and cravings. These medications increase the likelihood of staying sober. |
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For California residents, CA-Do Not Sell My Personal Info, .
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Where Can I Find Information About A Nursing Home’s Health Or Fire
Health and fire-safety inspections with detailed and summary information about deficiencies found during the three most recent comprehensive inspections and the last three years of complaint investigations are found on the Medicare.gov Nursing Home Compare website.
Nursing Home Compare allows consumers to search for a nursing home based on location and compare the quality of care they provide and their staffing. Nursing Home Compare has detailed information about every Medicare and Medicaid-certified nursing home in the country.
For information about Louisiana nursing homes or any other nursing home inquiry, contact the LDH Health Standards Section, Nursing Home Program Desk at 225-342-0114 or visit the Louisiana Nursing Home Association website. Nursing home providers are required to post the results of their most recent inspection in the facility.
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Q How Much Income Can I Receive And Still Be Eligible For Medicaid
A. Income is money that you get from working, or money that someone gives you, or checks that you receive, such as a Social Security check, unemployment benefits, child support, retirement benefits, or sick pay. Whether your income level qualifies you or your family for Medicaid depends on the size of your family and the Medicaid program for which you are applying.
Income limits are set each year by the federal government to define the Federal Poverty Level for different family sizes. In general, if your household income is at or below the current 100% Federal Poverty Level for your household size, your family is likely to be eligible for Medicaid. Children from age 1 to under age 6 can qualify for Medicaid benefits when household income is at or below 133% of the Federal Poverty Level. Pregnant women and infants under age 1 qualify for Medicaid with family income at or below the 200% Federal Poverty Level, and pregnant women count as 2 family members.
See our tables of income limits for applying for DMMA programs to find out where your family income is, in relation to these income benchmarks.
Medical assistance programs other than Medicaid have different income level requirements. For example, uninsured children under age 19 who live in families with incomes at or below the 200% Federal Poverty Level are eligible for low cost health insurance under the Delaware Healthy Children Program.
Q What Medical Services Does Medicaid Cover
A. The Delaware Medicaid program pays for many medical services to keep you healthy and to treat you when you are sick. The major services are:
- Prescriptions
- Inpatient and Outpatient hospital care
- Lab tests
- Dental care
Covered services for the Delaware Healthy Children Program are listed on the DHCP Benefits page.
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Can I Get Medicaid And Medicare At The Same Time
You may in some situations. Medicare is a health insurance program for:
- People ages 65 and older
- People younger than age 65 who are disabled
- People with end-stage kidney disease
With Medicare, you have to pay monthly premiums and other costs, such as copays and deductibles, when you go for medical care. If you are on Medicare and have a limited income, you may qualify for help from Medicaid to pay the costs of Medicare. If you have both Medicaid and Medicare, you may hear people refer to you as being dually eligible.
What Is Considered A Household For Medicaid
Because Medicaid eligibility depends on household size and income, you may want to understand what counts as a household. Medicaid usually defines households based on tax relationships.
Parents can claim adult children as dependents under some circumstances. If your parent claims you as a dependent on their taxes, your household is the same as theirs. That means your household includes:
- You
- The parent’s spouse
- Any other person your parent claims as a dependent
If no one claims you as a dependent, your household usually consists of yourself, your spouse and anyone you claim as a dependent. Sometimes an adult child is living with a sick or disabled parent, and in these situations, the child may claim the parent as a dependent. However, any income received by your parent still counts toward your household income.
Your parents will always be considered part of your household if you are under 19 and live with them, regardless of tax filing status. Be aware that there are limited exceptions to these rules, and some states have slightly different ways of defining households.
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Do I Qualify For Medicaid
Medicaid provides free or low-cost health coverage to some low-income people, families and children, pregnant women, the elderly, and people with disabilities. Many states have expanded their Medicaid programs to cover all people below certain income levels. Medicaid qualifications depend partly on whether your state has expanded its program.
Q If I Have Private Health Insurance Can I Be Eligible For Medicaid
A. It depends. If your income is low, and you have minor children, you and your children can have private health insurance and still be eligible for Medicaid. Certain Medicaid qualifying programs require that you not have any other health insurance in order for you to get Medicaid. If you have both private health insurance and Medicaid, you should show both your Medicaid card and your private health insurance card to your medical provider each time you receive services.
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What Does Medicaid Cover In Virginia
Medicaid in Virginia has three levels of benefits.
Full coverage provides members with the complete range of benefits. This includes pharmacy, hospital, and doctor services for qualified individuals.
Time-limited coverage is for people who meet the spend-down or women who get 24 months of services regarding family planning once the Medicaid coverage they had expires at the end of their pregnancy.
Medicare-related coverage is where Medicaid will pay for Medicare premiums. This might also include payments for Medicare coinsurance and deductible.
What Is The Income Range For Beneficiaries Who Are Dual Eligibles
Generally, beneficiaries earning less than 135 percent of the federal poverty level are eligible for the MSP if they also have limited savings . This equates to $17,226 annually for single beneficiaries and $23,274 for married couples. Beneficiaries qualify for full Medicaid benefits if their incomes and assets are even lower .
Many seniors who live in nursing homes are dual eligible: they qualify for Medicare based on their age, and Medicaid because of their financial circumstances. It is also common for Medicare beneficiaries who are under 65 and live on Social Security Disability Insurance to receive Medicaid benefits.
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Medicaid And Unmarried Couples
In most cases, Medicaid eligibility is dependent on financial need. People with high incomes or too many assets may not qualify for Medicaid benefits. Medicaid often evaluates a person’s eligibility based on Modified Adjusted Gross Income which considers a person’s household size and income. Understanding what constitutes a household can help you evaluate whether you will qualify for Medicaid.
Generally, Medicaid doesn’t consider unmarried couples to be a household. That means even if you live with a boyfriend or girlfriend, Medicaid will likely treat you as if you were single. Medicaid’s treatment of unmarried couples is good news if you or your partner want to qualify for benefits, but the other person’s income or assets would create an eligibility problem.
Q Who Qualifies For Medicaid
A. Citizenship and Residency – To obtain full Medicaid benefits in Delaware, you must be a Delaware resident and either a U.S. citizen or a legally residing noncitizen. Full coverage for noncitizens which include DACA recipients is dependent on the availability of state funding. However, noncitizens can qualify for coverage for emergencies and labor & delivery services if income requirements are met.
Income Level – Qualifying for Medicaid is also based on need. Household income must be under certain limits as defined by the Federal Poverty Level and is based on family size. For Long Term Care programs, financial resources must also be under a certain amount. There are also specific programs for individuals who meet certain medical or disability tests, or who qualify due to age or pregnancy. To find out more about different Medicaid and other medical assistance programs, visit DMMA Programs & Services.
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Does My Parents’ Income Affect My Medicaid
Your parents’ income may affect your eligibility to receive Medicaid if:
- You live with them, or
- They could claim as you a dependent on their taxes
If you’re under 19, your parents’ income will affect your Medicaid eligibility as long as you live together. If you’re 19 or older, your parents’ income will affect your Medicaid if they claim you as a dependent on their taxes.
In most cases, Medicaid income eligibility is determined by your Modified Adjusted Gross Income . MAGI is calculated from household size and total household income.
Your MAGI must be less than a set amount to qualify for Medicaid. Using MAGI allows people with larger households to have higher household incomes and still qualify for Medicaid. Income limits are different in every state. For example, in Texas, a three-person household can have a total income of $43,481. In Colorado, the income limit is $29,207.
If your parents are considered part of your household, they will impact your Medicaid eligibility. Although your parents will increase your household size, living together may prevent you from receiving Medicaid if their incomes are too high.
What Are Medicare Savings Programs
Medicare Savings Programs can pay Medicare Part A and Medicare Part B premiums, deductibles, copays, and coinsurance for enrollees with limited income and limited assets. There are four different types of MSPs, and they provide varying benefits. Two of the MSPs only help to pay Medicare Part B premiums , and one MSP helps disabled working individuals pay their Part A premiums.
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Who Can Get Medicaid
- No matter your state, you may qualify for Medicaid based on your income, household size, disability, family status, and other factors. But if your state has expanded Medicaid coverage, you can qualify based on your income alone.
- Enter your household size and state. We’ll tell you who is eligible for Medicaid, if your state expanded and if you qualify for Medicaid based only on your income.
- If you think you have Medicaid eligibility, you can create an account and fill out a Marketplace application. If it looks like anyone in your household qualifies for Medicaid or CHIP, we’ll send your information to your state agency. They’ll contact you about enrollment. You can apply any time of year.
- If you don’t qualify for Medicaid, we’ll tell you if you qualify for financial help to buy a Marketplace health plan instead.
Do You Have To Apply For An Msp During Medicare’s Annual Election Period
No. You can apply for MSP assistance anytime. As noted above, youll do this through your states Medicaid office, which accepts applications year-round.
But the marketing and outreach before and during Medicares annual election period can be a good reminder to seek help if you need it. You might decide to make a change to your coverage during the annual open enrollment period, and simultaneously check with your states Medicaid office to see if you might be eligible for an MSP or Extra Help with your drug coverage.
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Medicaid For Drug And Alcohol Rehab
Medicaid is a public insurance program for low-income families. Under the 2010 Affordable Care Act , also known as Obamacare, insurance providers must cover all basic aspects of drug and alcohol dependency recovery. While Medicaid covers substance abuse treatment, not all facilities accept Medicaid as a form of payment. To find a recovery provider that accepts Medicaid, get in touch with the Substance Abuse and Mental Health Services Administration .
Featured Centers Accepting Medicare And/Or Medicaid
Addiction Center is not affiliated with any insurance.
What If I Am Not A U S Citizen
To be eligible for Medicaid in Louisiana, you must be resident of Louisiana and either U.S. citizen or a non-citizen who is lawfully present in the U.S. Non-citizens can qualify for coverage for emergencies and labor and delivery services if income requirements are met.Medicaid and LaCHIP coverage may be available to children up to age 19 who are lawfully residing and are otherwise eligible.
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Q Can I Have Both Medicaid And Medicare At The Same Time
A. It depends. If you receive Supplemental Security Income from the Social Security Administration, you are automatically eligible for Medicaid and often receive Medicare as well. If you receive both Medicaid and Medicare, Medicaid will pay your Medicare premium, co-payments and deductibles. If you have both Medicare and Medicaid, you should show both cards to your medical care provider each time you receive services. Resources for Those Who Have Medicare and Full-Benefit Medicaid
Q How Long Will My Medicaid Benefits Remain Active
A. Medicaid is based on month to month eligibility. However, your benefits are redetermined on a yearly basis by DMMA to confirm whether you still remain eligible for the program you are receiving. Certain Medicaid programs require you to report changes in your situation within 10 days of the change. One example of a change that must be reported is new employment.
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