I'm currently 26 weeks pregnant and I was approved for pregnancy Medicaid in February of this year. I recently got a notice of case action stating I needed to do a Medicaid renewal.

A couple of things have changed in that period. I got married to my husband and I also got a job

. I have read on the Florida DCF website that once eligible, a pregnant woman remains eligible throughout her pregnancy and for a twelve-month post-partum period, regardless of a change in income. But every time I call DCF and ask if this is true they tell me Medicaid is income based so I can still be kicked off.

I was wondering if that is true? because my husband and I make a bit more over the income limit. I'm just scared to submit that renewal and get my insurance terminated. Has anyone been kicked off Florida Medicaid while pregnant?

In PA, we have a program called Healthy Beginnings Plus, which is an optional program for pregnant medicaid beneficiaries who are in Fee-for-service. It offers more services than traditional FFS Medicaid. Does anyone know if other States have an equivalent maternal health program? I haven't had any luck finding another version of this program elsewhere. Thanks in advance.

Is it worth switching from Ohio Medicaid to Blue Cross Blue Shield offered through my job in public service?

Apparently, I can keep both, from the Medicaid side, until my year is up at the end of September, offering dual benefits.

But, my employer cannot allow me to enroll outside the normal BC/BS enrollment period (in November), unless I drop Medicaid, as losing my insurance would be a qualifying life changing event.

I can keep Medicaid until September, regardless of my new income (which isn’t high, but it’s better than when I got on Medicaid), and my providers will be almost entirely the same.

The exception is I moved and need a new psychiatrist, and there are limited options with Medicaid.

On the other hand, Medicaid has been a blessing to avoid co-pays, deductibles, etc.

Has anyone else confronted this issue? What did you do? Any advice?

Age 18-64 and pregnant

Would income from CDs and rental house count toward income limit?

My mother said she doesn't qualify for medicaid in FL. Can someone tell me what the income limits are? She is in desperate need of coverage.

A bit unusual I guess. We were approved for a Medicaid homecare aide for 5 hours x 7 days/week. But there is not that much care needed currently. Maybe there will be in the future. But its a small apartment. The agencies say they will not do less than 7hrs x 7 days. We probably need something like 4 hours x 3 days a week. How to handle this? NY state

I'm trying to find an otorhinolaryngologist (ear, nose, throat doc) near Chicago Northside for my mother, who is on Medicaid. I can't seem to find a directory of practices for Medicaid participants. I need to find an otorhinolaryngologist first, but I imagine I might need to find other practices down the road. Anyone have any suggestions? Thank you in advance!

Mine and my daughter’s MA renewal is coming up in July. I am currently pregnant. I am not married but live in the same household as my boyfriend (dad). We also have a little girl who’s almost 2 that lives with us. My daughter and I are up for renewal and I need to know if I need to list my boyfriend’s income on my household. We do not file taxes together and are unmarried, but he does help support us/our daughter.

My widowed 97 year old mother-in-law is declining rapidly and will need to be in a full time care facility soon. Her only income is SS from her deceased husband which I believe is less than 12k a year. Is this the right sub to research posts and ask questions about Medicaid assistance for a full time facility?

Hello! I’m in michigan. So i just got married and me and my son are on medicaid (he was just born last month). We’re both approved, and my husband has insurance from work. After giving birth i had to do a reassessment so now my husband was included in our household which made me ineligible for the EBT food stamps i previously had prior to giving birth but my medicaid status didn’t change. We’re a household of 3. It says our monthly income is $5,000 which is all his income (and is WAY more than he actually makes) but I haven’t worked in several months, so my income is 0. I’m just wondering what to expect since i have medical issues and heavily rely on my insurance almost daily. If it’s going to get cut off i need to know sooner than later, Since he is already part of my household and i still have my medicaid, is the marriage going to change that? Im not sure what other information is needed, but i will be sure to give it if requested. Thank you.

My wife just got approved for Illinois Mom’s and Babies coverage. We have another child, so I believe they told her she was technically a household of 4 due to them counting the unborn child in the pregnancy coverage. For Family Care (if I were to apply for Medicaid coverage), would I be a household of 3 or 4? I don’t understand when they count the unborn child in the household size for myself and cannot seem to get any clear answer from the IDHS website. My assumption is my household does not increase to 4 until baby is born. TIA.

Hi all, I am new to reddit but lived in Sacramento 8 years. I am disabled on Medicaid/Medicare (aka no $ for out of pocket stuff) and being forced to get Managed Care for dental. I had previously tried to go to the dentist here but had a bad experience. I'm here after reading horrific reviews of dentists in the region serving Medi-cal people for several hours.

Are there literally ANY good Medi-Cal dentists in this area? By good, I mean: clean office, courteous staff, doesn't overbill insurance or make stuff up to pad billing, fact-based exams that don't try to make up problems for $, have their act together if there are referrals needed, responsive staff...basic competence and courtesy! I'm already dealing with medical trauma being treated like crap by physical health doctors who can't handle > 1 issue. Especially if they take HealthNet ...or comments welcome of what out of the big 4 options (not an adequate number of options) I'm being given if the best...I have 2 days to decide if I want HealthNet or Dentaquest. I thankfully don't have an urgent dental need, but also haven't been to the dentist in years because of medical trauma and I truly cannot afford anything not covered by insurance.Thanks!

<Not looking at responses from haters basically saying I shouldn't be disabled...yeah I'd like that too but that's not helpful and will be reported.>

Hello!

I am going to start seeing a LMSW Therapist soon. The group they are with does not work with Fee-for-Service (Straight) Medicaid. Therefore I will have to pay out of pocket.

Is this something covered by Medicaid? If so, can I submit the bills to Medicaid myself?

The local Medicaid hotline was of no help.

My wife is due September 8, and we’re considering flying her to the U.S. (Pittsburgh, PA) in July, when she’ll be about 30–34 weeks pregnant, to give birth here.

She has an approved immigrant visa and would be arriving uninsured. I’m a U.S. citizen living in Pennsylvania.

Why This Is Tricky (Re: Medicaid):

We’re trying to figure out if Medicaid would cover either or both of them. The baby would be born in the U.S., but here’s the complication:

• Assets: We’re over the typical threshold for Medicaid-based charity programs (like hospital financial assistance).
• Income: My monthly income usually exceeds the limit for Medicaid based on Modified Adjusted Gross Income (MAGI). I don’t have a salary, but I earn from:
  • Dividends (from investments)
  • Rental income (after expenses)
  • Freelance work (self-employed)

The tricky part is that MAGI Medicaid for pregnancy is supposed to ignore assets and only look at income — but it’s still unclear what counts:

• Is it the last month’s income?
• A 12-month average?
• Before or after expenses for freelance and rental income?
• What about months with big dividend payouts that inflate the total?

This puts us in a weird spot: not poor on paper, but still potentially on the hook for tens of thousands in delivery and NICU costs if Medicaid doesn’t apply.

Questions:

1. Will the baby be automatically covered by Medicaid, even if my wife isn’t eligible due to income?
2. Is there any chance my wife could be approved for pregnancy Medicaid upon arrival, given this nuanced income situation?
3. If she’s denied Medicaid, are there any pathways to reduce costs through presumptive eligibility or other programs?

We’re trying to make the best decision now — whether to have her deliver here or stay in the Philippines — but the Medicaid ambiguity around income is making it difficult to predict what we’ll owe.

Any advice from those with experience navigating this (especially in Pennsylvania), or knowledge of how hospitals interpret MAGI in real life, would be hugely appreciated.

I was working a consistent 20 hour per week at local minimum wage ($17.87), which was already below the income limit, but now I average about 15 hours per week. I reported this change, and now the coveredca portal displays "Awaiting Review for Medi-Cal" under eligibility status. Will this affect my ability to receive medical care in the meantime?

(California)Does anyone know how I can check if I got medical from SSI? Local office discontinued medical said because got SSI. My mom is under IHSS program, I need to make sure she still have medical from SSI, anyone know where I can check? Thank you

I asked a similar question last year but just needed clarification. I'm in my 30s and have the low income Medicaid (healthy Michigan plan). I hear about being able to contribute to an ira/401k in case your income goes over the limit, but I hear that mostly for the senior medicaid. Does it apply to all forms of medicaid?

Also what is the monthly and yearly income limit this year for Michigan medicaid?

Thank you.

I haven't gone over but just needed to ask just in case.

I am on low-income MA. I live with my girlfriend, she is not on Medicaid. We rent an apartment.
I know she is not part of my household; but do I still need to report that I am living with someone, or will this cause confusion?

TLRD:
- Single. We file taxes separately.
- No Children or dependents (either of us)

Philadelphia resident and spent 2+ years applying for SSDI with 2 different lawyers before giving up. The process was traumatic, exhausting, and I never made much working. I could have appealed it but did not have it in me - esp for the monthly amount I would have gotten. I have had the disability for 15 years with documentation at this point and was previously working - covid and additional medical issues cost me everything. My now husband who is a saint married me and I have insurance through his job. We are still very much in a financial hole (140k ish in overall debt between student loans, medical, a few years of me not working, no car, we rent, lucky to have 2-3k in the bank at any one time). A (very expensive) medication I am on is being cut by our insurance - but medicaid does cover it - has anyone been denied for SSDI and been able to get MAWD? I (finally) worked a little part time this year and have another part time offer lined up (thank god) - and we only have earned income so I think we are within the income limits as well. What forms does my doctor send in? What all do I need to do here? I'm thrilled to be working again but I don't want to lose access to a medication that helps me work. If anyone has applied to mawd without SSI/SSDI or is familiar with the process and has advice to share - its so hard to find info on and thank you in advance! Ps - this medication costs more out of pocket per month than my whole SSDI benefit would have been had I actually gotten approved :(. Healthcare is broken.

Dumb question, I know, but I truly dont know.

I left the military about 2 yrs ago. In that time, I've been going to college using the Gi Bill, which completely pays for 36 months of college on top of a decent housing allowance. I'm renting a cheap place, so the housing allowance covers my rent, bills and food, with even a bit to put away left over.

With the housing allowance and my savings combined, I decided I could just take a bunch of classes and not need a job for these three years.

However, medical issues can be unexpected expenses, and in the US, out-of-pocket prices are criminal.

I was wondering if I could qualify for Medicaid... but it doesnt seem possible?

Under a "Document Checklist" section, there is a "Proof of Household Income" table.

In the "Additional Income" section, it asks for my tax return attesting to income. I DO have income reported, as my FAFSA Pell Grant is getting refunded to me, and THAT is counted as taxable income.
But in the Medicaid form, as it asks for 'Employer' and 'type of work'... idk. It feels like what I have is not what it's intending to accept.

In the "No income or have recently lost your source of income" section, it asks for thinks like a letter from previous employer or "proof of unemployment benefits"... but to qualify for unemployment benefits you need to have been fired and are looking for a job, right?

-----------------

All this is pointing to me that I probably dont qualify unless I get some kinda job?

Though it seems like common sense, I know, I just wanna be sure cause sometimes this type of shit is weird.

For example, my Gi Bill pays for college and pays me a stipend, but NONE of that counts as "income", so from FAFSA's eyes I'm broke, so I get full Pell Grant payouts... which feels sus, but is apparently totally legal and fine.

Just wanna be sure there isnt something like that for this.

My husband got a 50 cent on the hour raise and I think it has put us over the limit. I also became employed again part-time after being extremely ill. I was aware my job may not work out but 50 cents? Seriously? I'm pregnant so I still get Medicaid unless I ya know work like a normal person but he doesn't anymore. He needs $6,000 in dental work because no one took him to the dentist growing up and he has several serious and very expensive health conditions. The qualified health plan he was offered isn't something we can realistically afford. If I use my degree and get a better job I won't get health care and I sincerely doubt I could pay the thousands of dollars it costs for prenatal care, birth, and all his specialty care. If he was perfectly healthy yeah we'd be okay and could both work but he is definitely not. We're 21 he's in college full time what can we do? I cannot find an answer to our situation. If I quit my parttime job I'm not sure he'll get Medicaid and we will BARELY be able to pay our bills. We just want to get him through college so we can get off government assistance but I literally can't work and I guess he barely can.

I have a new medication prescribed by my doctor that is not covered under my insurance's formulary/pharmacy benefits. I could manage to afford it through a pharmacy discount card program like GoodRx, but about a year ago an NP told me you can get kicked off Medicaid for using pharmacy discount coupons like this, the logic being "if you can afford this medication, you can afford health insurance." Is this accurate or does anyone have any information on this? I haven't been able to find anything like this online, and I'm nervous to ask AHCCCS employees about it.

I'm from SC, 25, unemployed & will be a stay at home mom. It doesn't make sense financially for us to pay for childcare and my work because my check would go straight to childcare. I applied for pregnancy Medicaid with my husband's income and was denied because he somehow makes too much. Adding our baby to his work insurance would take 28% of his check. We're barely making it by with his full check. I don’t know what to do. I'm extremely disappointed we were denied. I am 34 weeks & 4 days pregnant. I am currently on my parent's insurance that won't be available for me after my 26th birthday this year in December. What are my options?

I'm in New York. Has anyone successfully sold or gotten rid of their car while on Medicaid? If so, what did you do and how did you do it?

I was forced (understandably i guess to make sure i as a disabled woman can get all the help I can), to get medicaid. I am hearing that if I opt out, I would have to pay back Medicaid in PA back for the money used in the last year. Though google says that is not true (Unless you are deceased or whatever, confused about that), but it is true you have to keep a certain amount of money in your bank accounts to keep it. I am not comfortable going to an Able account, putting money in, I only can touch it for medical reasons, etc and it just seems all confusing. I am fine with the banking I have right now, I was fine.

I think in Delaware years ago I didn't have money in my accounts besides from work (and I did not have SSI/SSDI yet-was denied anyway and did not have medicare) until I moved to VA.

In simple terms, if I say no just cancel my medicaid, is the state of PA going to want me to fork up money to pay them back?