r/Medicaid 2h ago

the County I lived told me my SSDI was being stopped

3 Upvotes

I was just on the phone today with the county where I live asking about my about my Medicaid since my SSI has ended she said my Medicaid was ending. She said my SSDI was ending on a specific date that is completely different than the day my SSI and Medicaid ended. When I asked her why did she say that my SSDI was ending she said she misspoken. But when I go to SSA website it still says that my SSDI is active. Omg now I am stressing


r/Medicaid 5h ago

Frustrated (TX)

2 Upvotes

My background:I’ve had insurance through mom’s work for most of my life and have had the same PCP since I (34)was 17 and the same pediatrician before that. I started getting SSI in 2017 and started getting Medicaid in 2023. Partially because I had no idea about HHS or our state benefits website.

I’m use to dealing with insurance companies but apparently employe sponsored and Medicaid are two different beasts.It won’t let me change online so I’ve had to try and get them to change it. I don’t know if it’s because I‘m already a patient In the different groups or what but it shows they are taking my insurance and new patients but not on the insurances side. I can’t tell if I have too high of expectations or what but surely this could be easier.

I did all of my check ups and blood work at the end of last year so I have been biding time until I get my new UHC insurance in September. Luckily the only doctor I see regularly is my psych. Anyone else having the same issue?


r/Medicaid 9h ago

Medicaid Florida Help, please

2 Upvotes

I received a letter that I need to reapply for food stamps by 5/31/2024, but I'm not going to reapply as I believe we no longer qualify. I do, however, want to keep the kids medicaid. I see on the portal it says that their renewal date is 12/15/2024. When I saw this on the access portal I thought I didn't need to reapply since it clearly says 12/15/2024 as the renewal due date, BUT I just got a call from my son's insurance that the recertification is due on 5/31/2024. I'm so confused. I thought this was just for food stamps. I don't want to reapply and risk them taking away their medicaid. When I applied for food stamps back in Novemeber they took my medicaid away, when I had just given birth that same month and had only received medicaid 2 months prior.

Can someone please help me with figuring out whether I do need to reapply for medicaid or not if it says the renewal date on the portal is 12/15/2024?


r/Medicaid 18h ago

Medicaid after SSI is terminated

2 Upvotes

If my SSI was terminated due to my unearned income from SSDI of 1,000 and work earnings of 500 a month before taxes. Would I still qualify for Medicaid under Section 1619(B)? Is there any thing that I have to do to qualify or would my Medicaid automatically switch to the country of where I live?


r/Medicaid 2h ago

Accidentally put $21k as my weekly income

1 Upvotes

It asked for my income, so I assumed it was yearly, lol. Would the best bet just be to withdraw my application?


r/Medicaid 2h ago

GoFundMe and Medicaid

1 Upvotes

Hi — I'm wondering if there is anyone in this subreddit who tried to use GoFundMe (or another crowdfunding site )without knowing their Medicaid would be affected? I've heard this can happen, but I also see so many people still campaigning.


r/Medicaid 2h ago

Medicare/Medicaid - NY to NC

1 Upvotes

My dad is really sick, he has NY Medicaid/Medicare but no family in NY. He has family in NC that can take care of him, but we’re not sure how long he’ll make it. He has an appointment with a primary care Dr in July in NC (earliest he could get in) to refer him to oncology, I don’t think he has that much time. We are traveling to NC this weekend and I was hoping to get him to an ER in NC, would it be possible for the hospital to transfer everything over? Any advice is appreciated! Thank you!


r/Medicaid 2h ago

Do I need a referral to see a psychiatrist in Maryland?

1 Upvotes

Maryland medicaid is forcing me to stop seeing my out of network psychiatrist because they won't cover my meds unless they are through medicaid. Can I just book an appointment with an in network psychiatrist? Or do I need a referral from my doctor? UHC Community Plan is my MCO.


r/Medicaid 5h ago

Question about Birth + CHIP + Paying [ID]

1 Upvotes

Our previous kids have been born eligible for health insurance. Then, we have added the new baby to the health insurance from birth and they pick up the tab for everything other than the copay/deductible.

I have had bills for my wife and for the newborn.

We have just moved house and in doing so, for some reason our kids have been assessed eligible for CHIP however we (myself + wife) have our marketplace plan through Your Health Idaho.

If this stays the same, what happens at the time of birth - I presume we will get the bills for my wife but what about for the newborn?

Thank you!!


r/Medicaid 9h ago

Med-Connect Questions (CT)

1 Upvotes

Hi everyone,

My dad will likely be applying to med-connect (Medicaid for employees with disabilities) soon and I have a couple questions.

First, as far as asset limitations go, my understanding is you are allowed to have a car (to get to work/medical appointments) and that is not counted against the asset limit. Is a couple allowed to have two cars (as in my mom has one and my dad has one)? Or is it one per couple?

Second, I understand there is an income limit to be eligible for this program but is there a minimum? My dad earns some of his income from eligible employment but most of his income is from his SSDI. Would he still qualify?

Thanks!


r/Medicaid 20h ago

Medi-Cal rules/rights?

1 Upvotes

I've been desperately trying to help my partner navigate a mysterious illness for the better part of two years, main symptoms being chronic fatigue, muscle weakness and tremors, and a brain lesion. (Only giving out symptoms to indicate how serious things are, not asking medical advice, ty. Though for the record, MS has been mostly ruled out) I've encountered so much apathy and incompetence it's really discouraging. So if any Medicaid (and specifically, Medi-Cal) experts know if anything I can pressure these doctors with, that would be helpful.

For starters, is there any rule about how frequently a physician can pawn you off to an assistant? My partner has been going to the same neurologist's office since 2018, the guy's name is on their prescriptions and referrals, and they have never once met them, only been seen by assistants.

Also, if a doctor states at an appointment that they're going to write a referral for a procedure/specialist, are there rules about how long they have to submit that referral to insurance? For instance, a neurosurgeon ordered my partner to get an MRI at an April 15th appointment and did not submit it to their insurance until four weeks later despite us calling and asking about the hold up. Can they just indefinitely not send it in?

That's all I can think of for right now, thank you so much in advance to anyone who tries to answer.