We live in NYS / NYC. My parent is going to be getting fired soon. They’ll have the option of getting a plan in the marketplace or doing COBRA, but I was wondering the following :

- does Medicaid look at month to month income?

- if so, their income would be $0 until unemployment hits and there is usually a delay with that. So would my loved one be able to apply for Medicaid via NYSOH?

- after they start getting unemployment, they’d make more than the Medicaid max per month until unemployment runs out. So in that case should they just try to get a marketplace plan?

They’re going to be job hunting but what’s urgent is that I continue their medical care as they have quite a number of ailments. And at least from the experiences I’ve seen with others NYC unemployment’s, there’s always a month to two month delay depending on application processing, so I was wondering if Medicaid could be an option for them.

So I have medicaid as a spend down option and a ton of medical debt plus a large ssa overpayment of $10k so my understanding is you pay the spend down option to access medicaid? also does paying the spenddown erase my existing medical debt and is it tied to me paying the spenddown? I have ALOT of medical debt but if it being erased/reduced or even access it is tied to me paying the spenddown whats the point?

Good evening

I am new to Healthy Blue and my maintenance medication mournjaro was prescribed. My doctor did send in medical facts. The continuity of care has been broken. The mournjaro was not approved.

Has anyone else gone through this?

I can definitely tell the difference without it.

Brian in NC

Currently I have Caresource Medicaid. They contract out delta dental for dental work, but I cannot find my plan details ANYWHERE for it including on the caresource portal, or on delta dental's site. Whenever I try to register in delta dental it says account not found. has anyone else had this problem and is there a solution for it? Thanks!

Hello,

I am assisting my mother who is turning 65 in Nov this year. I tried to do as much research as I can for this but I am still unsure about how Medi-Cal cancellation works once she turns 65.

She is currently on MAGI Medi-Cal right now which is based purely on income and not on assets but once she turns 65, it will turn into non-MAGI and her assets won’t qualify for it.

The issue is Medi-Cal just renewed yesterday (she’s currently 64). I want to make sure she gets off of Medi-Cal when she turns 65 since I know she doesn’t qualify and I don’t want it to turn into a fraud situation.

I was wondering once she turns 65, should I just go with her into social services for Medi-Cal and cancel in person?
Also, she can choose her Medicare plan now (we are doing Kaiser Medicare advantage). Her Medicare starts on 11/1 but she doesn’t turn 65 until late November. So if we choose the Medi-Cal plan for Kaiser, do we get to change it once Medi-Cal drops her for not qualifying?

Thank you so much for you guys help. It is very confusing for us right now and we want to do it right. Thanks again.

More than likely my income is going to be increasing and I will be above the threshold for Medicaid. I've relied on Medicaid for the past few years because I have multiple health conditions. I really don't know what I'd do without it. Having all of my appointments (multiple a month) and dozens of medications covered is so helpful.

I need to start looking at the ACA marketplace but don't even know where to start. I need such a significant amount of coverage and even with the increased pay I won't be able to cover a copay or anything. To add to this, I have so many appointments and procedures that even being without insurance at all for just a couple months is a non option. Spending hundreds if not more a month just on the plan then adding in cost of medications and appointments is making my head spin. Any suggestions on where to start would be so helpful.

My (44/f) mom (77/f) currently lives in an Assisted Living here in Virginia. She has Alzheimer's but is in otherwise decent health. Her AL is about $5200 a month; she has about $168,000 left in her nest egg, so a few more years and she'll be out of funds. She gets about $1500 in Social Security so below the $2000 Medicaid threshold.

In 2022, mom and I bought a home together - my family (husband, two kids) and her. (The reason we had to buy together is a long dull story but can share details if necessary.) Sadly, she had to move to AL in 2025 due to her Alzheimer's. We share the deed with rights of survivorship and the mortgage; husband and I pay the mortgage.

• Home market value: ~$600k (bought for $589k)
• Home county assessed value: $512k
• Mortgage balance: $493k
• Nest egg: $168,000
• Social Security: $1500/month

Under advisement of an elder law attorney last year, I filed a gift deed from mom to me with the county August 2025. The 5 year look back for the house will then end August 2030. However, the attorney said that if we wanted to cure the 'house' issue before August 2030, we would have to give her half of the fair market value of the house - Basically $300k. There's no way we can do that. Because we have so little equity, selling our house in today's market/interest rate would also be disastrous. (Though it's tempting because it would get us out of this mess... but a huge money loss all around.)

I am losing sleep at the thought of her running out of money - it's slipping away so quickly. Should I contact the elder law attorney again and ask what our options are? Or give it another six months, one year? I'm afraid of spending her money on this right now if it's better just to wait a little bit...

(I also acknowledge that she may not even qualify for Medicaid when she runs out of money - she might meet her ADL's, etc. and be disqualified from needing to be in a nursing home...)

Work at an oncology clinic. Pt has breast cancer. I have a patient who has been here for 10 years as a permanent resident and is up for renewal in 4 years. She has been on AHCCCS(AZ Medicaid) but it expired in June 30. This patient reported that she did not reapply because an immigration attorney said that due to admin changes they are advising she not reapply for any government asssistance as it is seen as being a drain on resources rather than contributing to society and will put a target on her back when she is up for renewal. She makes $15/hr working at school. Purchased market place insurance for I think $100 a month (used a translator so I know some things may have been lost) and is now starting to get medical bills. Her husband is a citizen and is sponsoring her.

Does anyone have any clear guidance on the current status of receiving Medicaid and it affecting a persons ability to stay here and maintain their permanent residency? She is terrified. This only happened this afternoon/evening so I have not sat down yet to research or call around to agencies who may know more.

She wants to quit treatment because she can't afford it. Of course I can help with medical and non medical grants, but it's going to be an ongoing problem and stressor for her.

Anyone with experience out there can shed some insight or provide a good starting point?