Guest guest Posted June 5, 2008 Report Share Posted June 5, 2008 It depends upon the state you are in what the qualifications are. & nbsp; They will base it on your husbands income, your income, etc. & nbsp; In my case, they want me to spend $700 a month out of pocket before Medicaid will pay for anything. & nbsp; I am single and unmarried. & nbsp; When & nbsp; I was applying for SSDI, I did have medicaid until medicare kicks in which is 24 months from when you are approved. & nbsp; It was very strict on what it would cover though. & nbsp; It didn't cover any visits for me to get help for my anxiety disorder, it didn't cover all of my medications and I needed referrals to see my own rheumatologist and cardiologist each time I went even though I had been seeing them for years. & nbsp; It never hurts to apply and they will let you know of restrictions. & nbsp; Some doctors will not take Medicaid. & nbsp; I recently went to an urgent care clinic for an URI and asthma attack and they denied me medical attention. & nbsp; They said they didn't take medicaid to go where they take both medicare and medicaid. & nbsp; I tried to tell the woman that Medicaid doesn't pay for anything for me until I spend $700 of my own money each month. & nbsp; Each state has a website for instance mine is www.michigan.gov so if you try your states website like that it might have some information for you From: eandsspivey & lt;emilyspivey@... & gt; Subject: [ ] Medicaid Info Date: Thursday, June 5, 2008, 9:28 PM Does anyone know anything about Medicaid? I have RA, OA, FMS, DDD, Bursitis and a pituatary tumor and was approved for SSDI the first go round. They say I won't be eligible for Medicare for 2 years. I am currently not able to take anything for the RA or to have MRI's done for my DDD and tumor because the insurance I have through my husband is only a 80/20 plan and I'd have to pay 20% for any blood work or tests they need to do and we can't afford it. On the Medicaid website it says that anyone eligible for SSI is eligible for Medicaid, but it doesn't say anything about SSDI. Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2008 Report Share Posted June 5, 2008 It depends upon the state you are in what the qualifications are. & nbsp; They will base it on your husbands income, your income, etc. & nbsp; In my case, they want me to spend $700 a month out of pocket before Medicaid will pay for anything. & nbsp; I am single and unmarried. & nbsp; When & nbsp; I was applying for SSDI, I did have medicaid until medicare kicks in which is 24 months from when you are approved. & nbsp; It was very strict on what it would cover though. & nbsp; It didn't cover any visits for me to get help for my anxiety disorder, it didn't cover all of my medications and I needed referrals to see my own rheumatologist and cardiologist each time I went even though I had been seeing them for years. & nbsp; It never hurts to apply and they will let you know of restrictions. & nbsp; Some doctors will not take Medicaid. & nbsp; I recently went to an urgent care clinic for an URI and asthma attack and they denied me medical attention. & nbsp; They said they didn't take medicaid to go where they take both medicare and medicaid. & nbsp; I tried to tell the woman that Medicaid doesn't pay for anything for me until I spend $700 of my own money each month. & nbsp; Each state has a website for instance mine is www.michigan.gov so if you try your states website like that it might have some information for you From: eandsspivey & lt;emilyspivey@... & gt; Subject: [ ] Medicaid Info Date: Thursday, June 5, 2008, 9:28 PM Does anyone know anything about Medicaid? I have RA, OA, FMS, DDD, Bursitis and a pituatary tumor and was approved for SSDI the first go round. They say I won't be eligible for Medicare for 2 years. I am currently not able to take anything for the RA or to have MRI's done for my DDD and tumor because the insurance I have through my husband is only a 80/20 plan and I'd have to pay 20% for any blood work or tests they need to do and we can't afford it. On the Medicaid website it says that anyone eligible for SSI is eligible for Medicaid, but it doesn't say anything about SSDI. Thanks! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 You need to apply for SSDI at the social security office or you can do it online. IL will approve for medicaid with proper proof af disability & pending SS claim. Once approved, Medicaid will continue for 2 years until Medicare takes over. You will have to meet a spenddown unless your already at poverty level. --- In , " eandsspivey " <emilyspivey@...> wrote: > > Does anyone know anything about Medicaid? I have RA, OA, FMS, DDD, > Bursitis and a pituatary tumor and was approved for SSDI the first go > round. They say I won't be eligible for Medicare for 2 years. I am > currently not able to take anything for the RA or to have MRI's done > for my DDD and tumor because the insurance I have through my husband is > only a 80/20 plan and I'd have to pay 20% for any blood work or tests > they need to do and we can't afford it. On the Medicaid website it > says that anyone eligible for SSI is eligible for Medicaid, but it > doesn't say anything about SSDI. Thanks! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 Jeanette....what does " spenddown " mean? My husband only makes $15. and hour but I don't know if that's considered poverty level or not. Thanks for the info! > > > > Does anyone know anything about Medicaid? I have RA, OA, FMS, DDD, > > Bursitis and a pituatary tumor and was approved for SSDI the first > go > > round. They say I won't be eligible for Medicare for 2 years. I am > > currently not able to take anything for the RA or to have MRI's done > > for my DDD and tumor because the insurance I have through my husband > is > > only a 80/20 plan and I'd have to pay 20% for any blood work or > tests > > they need to do and we can't afford it. On the Medicaid website it > > says that anyone eligible for SSI is eligible for Medicaid, but it > > doesn't say anything about SSDI. Thanks! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 Just a note: SSDI and SSI are different options. SSDI is based on your work history. Suz > > > > Does anyone know anything about Medicaid? I have RA, OA, FMS, DDD, > > Bursitis and a pituatary tumor and was approved for SSDI the first > go > > round. They say I won't be eligible for Medicare for 2 years. I am > > currently not able to take anything for the RA or to have MRI's done > > for my DDD and tumor because the insurance I have through my husband > is > > only a 80/20 plan and I'd have to pay 20% for any blood work or > tests > > they need to do and we can't afford it. On the Medicaid website it > > says that anyone eligible for SSI is eligible for Medicaid, but it > > doesn't say anything about SSDI. Thanks! > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 " Spend Down " is a term used in medicaid to indicate the amount of money(or resources that can be converted to money), you have over the property limit. This is usually $2,000 dollars. The Spend Down is the amount you will need to spend to be under the property limit. For example, the only assets you have is a saving account with $3,400 in it. Subtract 2,000 from 3,400 and the amount you would need to 'spend down' is $1,400. If you have to Spend Down, remember to keep your receipts. Oh, and the staff doesn't care what you spent the money on, new computer, repairs to your car, or a trip to visit relatives, doesn't matter, just that you have $2,000 or less in liquid assets. In some states, they allow you to be over the income limit for medicaid by having a " Share of Cost " . A Share of Cost is a little like a monthly deductible, if you have no medical expenses for a month, then you pay nothing. In months where you do have medical expenses you pay the Share of Cost first and then Medicaid kicks in. Hope this helps. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 Actually, I am single, do not own any assets, property, or anything & nbsp;that can be converted to money, do not have any savings and the state of michigan still requires me to spend $700 out of my SSDI money each month before they will cover one single thing. This is even knowing that my monthly living expenses are $500 just for rent and utililites, let alone food and medical that I have to pay for MEdicare & nbsp; spenddowns From: cynthiadew1 & lt;cynthiadew1@... & gt; Subject: [ ] Re: Medicaid Info Date: Friday, June 6, 2008, 6:12 PM " Spend Down " is a term used in medicaid to indicate the amount of money(or resources that can be converted to money), you have over the property limit. This is usually $2,000 dollars. The Spend Down is the amount you will need to spend to be under the property limit. For example, the only assets you have is a saving account with $3,400 in it. Subtract 2,000 from 3,400 and the amount you would need to 'spend down' is $1,400. If you have to Spend Down, remember to keep your receipts. Oh, and the staff doesn't care what you spent the money on, new computer, repairs to your car, or a trip to visit relatives, doesn't matter, just that you have $2,000 or less in liquid assets. In some states, they allow you to be over the income limit for medicaid by having a " Share of Cost " . A Share of Cost is a little like a monthly deductible, if you have no medical expenses for a month, then you pay nothing. In months where you do have medical expenses you pay the Share of Cost first and then Medicaid kicks in. Hope this helps. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2008 Report Share Posted June 6, 2008 visit this sight http://www.cms.hhs.gov/MedicaidEligibility/Downloads/POV07ALL.pdf Poverty level has gone up a LITTLE for 2008. You will notice it goes by your family size. If your yearly income is $10,210. or less, then the government pays all allowable medical costs. In IL that means drs, labs, certain xrays/tests and most perscriptions. Assets include home ownership, cars owned (they don't care if you have to make payments on it) property owned, life insurance, CD's, pension, anything of value that can be cashed in (because they expect you to.) I was told I was allowed $3000 in assets, don't know if that's per person or because I'm married. Also, they will only give food stamps if you at or below poverty, not above, and it's not much. In fact it could be a whole $10.00! Spenddown is what you have to pay out of your pocket before medicaid pays. You collect medical receipts & bills to equal your spenddown & turn them in (give them copies & keep the originals!) Then you will get a medicaid or mediplan card/coverage for the rest of the month or for the month you request. Personally, I spend money one month & request coverage for the next month. I time my lab work & dr visits for the covered month. Jeanette Kercheval Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2008 Report Share Posted June 8, 2008 I'm a family size of one person without assets. & nbsp; Being that my income is just almost $1000 a month, there is no way I can meet my medicaid spenddown every month of $775 otherwise I'd be on the streets...I think the whole system is just insane. & nbsp; I know of a few individuals, healthy, not sick, that just are too lazy to work, she's in her 40's has a 6 year old and gets all kind of state benefits. & nbsp; It's very frustrating. & nbsp; She has no spenddown for herself or her child and she has assets. From: Jeanette Kercheval & lt;jhkerch@... & gt; Subject: [ ] Re: Medicaid Info Date: Friday, June 6, 2008, 11:55 PM visit this sight http://www.cms. hhs.gov/Medicaid Eligibility/ Downloads/ POV07ALL. pdf Poverty level has gone up a LITTLE for 2008. You will notice it goes by your family size. If your yearly income is $10,210. or less, then the government pays all allowable medical costs. In IL that means drs, labs, certain xrays/tests and most perscriptions. Assets include home ownership, cars owned (they don't care if you have to make payments on it) property owned, life insurance, CD's, pension, anything of value that can be cashed in (because they expect you to.) I was told I was allowed $3000 in assets, don't know if that's per person or because I'm married. Also, they will only give food stamps if you at or below poverty, not above, and it's not much. In fact it could be a whole $10.00! Spenddown is what you have to pay out of your pocket before medicaid pays. You collect medical receipts & amp; bills to equal your spenddown & amp; turn them in (give them copies & amp; keep the originals!) Then you will get a medicaid or mediplan card/coverage for the rest of the month or for the month you request. Personally, I spend money one month & amp; request coverage for the next month. I time my lab work & amp; dr visits for the covered month. Jeanette Kercheval Quote Link to comment Share on other sites More sharing options...
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