Question about ACA and Medicaid enrollment

[angstlessk]

Michigan does not have exchanges, but they did expand medicaid...does the application for the ACA enroll me in the state medicare or do I have to apply at the state level?

[DireStrike]

1. I'm pretty sure you just apply for medica(id)(re)

The health insurance exchange is a separate business.

[angstlessk]

3. Thanks for the correction...

So I need to apply to the state for Medicaid...prove my income, or lack thereof etc? I do have some savings...would that be against me? A home and a truck...which does not go anywhere?

[PoliticAverse]

7. Under the ACA's expanded Medicaid it is just income considered (not your assets).

Go through http://healthcare.gov as the Federal Government is running the health care exchange
for Michigan.

[pinto]

2. Medicaid is managed at the state level. Check with your state dept of health or county.

[angstlessk]

4. Don't assets count against you when applying for medicaid?

We own our home outright..a truck that could run if we could afford insurance..and one that does not run..and a savings account...do we have to be in abject poverty?

[PoliticAverse]

5. Not with the ACA's expanded Medicaid. It is (modified adjusted gross) income only. n/t

New state Medicaid eligibility levels (.pdf):
http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/Medicaid-and-CHIP-Eligibility-Levels-Table.pdf

[duffyduff]

8. I don't know how old you are, but you need to watch it if you are 55 and over

because you will be asked on the form to sign over your estate for repayment of all charges made on your behalf when you, or, if you die before your spouse, your spouse, die. It's basically nothing but a loan with your estate as collateral. No will can supercede this.

Given how uncertain my income is and what the future holds, I am extremely reluctant to sign on Medicaid, not to mention so many doctors will not accept patients who are on it.

Estate recovery and liens:

http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Eligibility/Estate-Recovery.html

[PoliticAverse]

9. The ACA increased payment levels to primary care physicians to the same level as Medicare so

more physicians should be accepting it.

Your argument about the estate recovery issue seems to be it is better to not get health care and
die than to get health care, live longer, and possibly have the government recover the costs for
provided services from your estate.

[angstlessk]

10. As long as my spouse is okay if I die...no one else gives a crap about what I own

except for the cash savings...nothing else is worth much...even our home...in Detroit..houses are hard to sell

[PoliticAverse]

6. The Federal Government is running the exchange for Michigan, go through healthcare.gov

http://healthcare.gov

[angstlessk]

11. I got the account...but not yet verified...seems it is overloaded still

but will keep trying...you folks are AMAZING...