r/Medicaid • • 20h ago

Denied Medicaid due to exceeding income limit

31 Upvotes

In NC. Just was added to my guardians insurance, sign the proof of income letter, waited and now I am reading that I was denied Medicaid due to having exceeded the income limit. Don’t know how else I’m going to get insurance. My current job doesn’t offer that many benefits as it is so I am sort of at loss. I only make $17 and hour and I didn’t plan to stay at that job for long. What can I do or how can I get access to health insurance??


r/Medicaid • • 18h ago

(CA Medi-Cal) How does the income reporting work?? I'm so lost.

26 Upvotes

I'll try to keep this short: I've never been anywhere near the income to be disqualified for Medi-Cal before. I'm going, this month, from being unemployed to full-time employed. So, I'll go from disqualified for one reason (next year, that is) to disqualified for another.

Will I have any grace period or will I lose it January 1st?
How often do I need to report my income?
Do I need to ask my employers to preemptively cut my hours?
Or is there some kind of legal loophole here?

I'm really lost; this job is barely above minimum wage, I can't afford insurance and I really can't afford to lose my insurance (it's been a literal lifesaver for me).

I'm a single adult, not pregnant, not a dependent, or have dependents. Let me know if there's any other pertinent information I should provide.


r/Medicaid • • 17h ago

CA Medi-cal, what information do i need to keep it next year? (bipolar disorder)

7 Upvotes

i have bipolar 1 and idk what information im gonna need to give them to keep it. i haven’t been able to keep a steady job which is why i only worked about one month this year. i dont think ill find a job in time for the changes. this is how i get my medication. if i dont have my meds ill end up dead.


r/Medicaid • • 22h ago

Retroactive Medicaid coverage for hospital bills?

5 Upvotes

My mother in law suffered a serious stroke at the beginning of April where she lost the function of the limbs on the left side. We applied for Medicaid at the end of May - early June and was medicaid pending until just now when we finally got notified of her approval.

Getting approved for Medicaid has been exciting news as she has been at a nursing facility under Medicaid pending status.

We want to circle back to her medical bills relating to the stroke which covers the hospital stay, acute rehab stay, and the skilled nursing stay. We were advised to hold off paying the hospital bills until we got a decision on her Medicaid application.

Now that she's got the approval, whats the next step to retroactively apply Medicaid benefits for her stroke related medical bills? Do we just contact the hospital/facility billing department and inform them of my mother in laws Medicaid approval status?

Edit: forgot to mention that we are in the state of Texas.


r/Medicaid • • 23h ago

Ohio Medicaid: Age 62 on Social Security

5 Upvotes

Asking for a friend who had open heart surgery, followed by a stroke that left him speech impaired. He is single and took early Social Security retirement this year. (He had applied for disability but was denied and has filed an appeal.) His early retirement Social Security benefit is very modest. But will it count toward the $580 monthly income for “community engagement,” so he can still qualify for Medicaid in 2027? The Ohio website and materials all seem to imply that the only income that qualifies for this purpose is work income. There is no clear definition provided for “monthly income” in this context. Has anyone received clarification on this?


r/Medicaid • • 23h ago

Illinois here- i'd like to know if i'm screwed here...

3 Upvotes

My application was denied and I waited too long to reapply because im a pos. Am I boned? I already have massive bills. Would they allow me more leeway? Will go to the office this week with correct papers.


r/Medicaid • • 20h ago

HELP (PA)

2 Upvotes

I have been trying to do my medicaid renewal for a few nights in a row now but I cannot get past this screen online. It’s the one where you input your county, case #, medicaid renewal due date and SSN. It tells me “Oops! Something went wrong.
The information you entered does not match any individual in our records.” but everything is correct and my benefits are still active. I’m freaking out


r/Medicaid • • 22h ago

Any Patron-Choice SCN/Medicaid Food Delivery Options?

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2 Upvotes

New York City, Queens County, New York State


r/Medicaid • • 26m ago

Can I Reapply for SNAP and Health Insurance After Missing the Deadlines? PA

• Upvotes

I went to the DHS office to apply for health insurance and SNAP (food stamps), but the caseworker I dealt with wasn’t the easiest to work with. I already struggle with pretty bad anxiety, and the whole process became overwhelming for me.
I had some additional paperwork to complete regarding my rent and who lives in my household. I wasn’t able to get everything submitted in time, and I eventually received what I believe was a fair hearing notice. Unfortunately, I got overwhelmed by that process, too, and never followed through with it.
Now, the original deadlines for both SNAP and health insurance have passed, as well as the extended deadlines.
My question is: Can I go back to the DHS office and start the application process over from scratch? Would I be able to fill out all the paperwork again and request a different caseworker?
I know I should have handled things sooner, but my anxiety really got the best of me, and now I’m trying to figure out what my options are.
Has anyone been in a similar situation or gone through this process? I’d really appreciate any advice or insight. Thank you!


r/Medicaid • • 58m ago

AZ - Been Trying to renew medicaid since September

• Upvotes

I'm on medicaid in AZ currently and trying to get it reneweed by November, but it has been nonstop problems for the last 2 months.

Initially I sent the app in september since I got an email saying it was time to renew, but I was told by the case worker that was too early.

Then I resubmit in October and did my interview. I run a business and usually just send tax return, but they wanted a ledger this time, so I made one after the call and sent it in, but their uploader wasn't taking the PDF so I called in and got it uploaded through their other uploader. Since it wasn't matching my tax return though (my income is chaos so of course it wasn't) we did a reported income change.

He said all was good, and to wait for results. I then get an email saying they need documents and to answer all the questions again...

I look in my account and I have 2 brand new applications up. So I sent all documents for both of them just in case. I tried calling again after but it just says the application is pending. But there are now 3 applications on the portal.

My insurance expires in november. How can I get this done?


r/Medicaid • • 8h ago

What are the best medicaid plans for kids in Pennsylvania?

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1 Upvotes

r/Medicaid • • 10h ago

Caplyta? How can I get Medicaid to approve this? Ohio

1 Upvotes

My husband is currently taking this. It has been the only medicine that works for him. And he is on 2 days left of his samples. It is quite literally an emergency. Three months ago my mom passed away, we lost the house we were living in. He lost his job. And now, three months after all of this after things were getting better his dad is admitted to the hospital having multiple strokes/ heart attack and swelling on the brain. We more than likely are going to lose him and my husband will not make it through this without his mood stabilizer. I am absolutely panicking. We don’t have $1700 a month. What can I do????


r/Medicaid • • 8h ago

Getting opinions on if I qualify for pregnancy Medicaid in Texas

0 Upvotes

My husband’s salary is $83,000. We are a family of 6 (including my unborn baby.) I am getting mixed messages online if I qualify for pregnancy Medicaid. I see that a family of 6 has an income limit of $7321 monthly income, which we make about $400 less than that a month. I do have insurance through my husband’s work but it is very expensive. I figured I would ask here to see if it’s worth trying to apply.

Thank you!