Insurance

In the Event of an Income or Household Size Change, Medicaid Should be Notified

You should report any changes in your household or income as soon as possible. Why? Because your income affects the amount you pay for Medicaid health insurance. Then your financial obligation for your Medicaid plan may change too. 

What To Do If Your Income Has Changed?

Your household income must be disclosed and documented when you apply for Medicaid. It is always possible, however, for the unexpected to happen. You must report any significant changes in your income, whether they are increases or decreases. 

Medicaid eligibility is determined by MAGI (modified adjusted gross income), so some income changes won't need to be reported. Any type of educational scholarship for tuition and fees, including inheritance, child support received, and a teenager with a job earning less than $6,300.

Has The Size Of A Household Has Changed?

The size of your household relative to your income can also have an impact on your Medicaid eligibility and your financial contribution. As a result, you will need to report changes to your household size when it changes from what you originally stated in your application. 

Marriage, death, birth, divorce, adoption, and placement of a child into foster care are some common causes of changes in household size. You must keep in mind that foster children are counted as part of your household size on the Marketplace. The income you receive as compensation for their care is not considered income.

The Best Way To Report A Change?

You can report a change to the Medicaid office in your state. When they tell you what documents they need, they'll let you know if your eligibility has changed.

You can also report the change to the federal government through HealthCare.gov or Insurance n You to see if you’re eligible for other coverage. 

What other insurance options are available to me if I am no longer eligible for Medicaid?

  1. Plan under the Marketplace/Obamacare. Affordable Care Act or Obamacare insurance is available through the Marketplace
  2. Medicaid You also may be eligible for Medicaid, depending on your income. 
  3. COBRA. You usually have the option of COBRA if you've been laid off recently, where you pay the full premium of the insurance your employer purchased for you. COBRA is usually much more expensive than Marketplace insurance, but it allows you to keep your existing coverage.

Medicare. When you turn 65, you become eligible for Medicare.

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