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JLMJMM Asked September 2018

I just got a call from Mom's insurance to see if she is able to get her medical paid by state. If we apply and approve how does this work?

JoAnn29 Sep 2018
I just read your profile. It says LTC is recommended? Will she private pay or need Medicaid for her care?

Lets say you need to go the Medicaid route. First you need to apply thru ur county office. Do not go thru the Nursing Home. I feel they do not know all the ins and outs when dealing with Medicaid. Everyones story is different. You should not apply until you have spent down or know u will spend down in the 60/90 day period they allow before you have to refile.
Spend down depends on the state but its about 2k that is allowed in assets. All assets have to be liquidated for her care. This includes shares, stock, bonds, CDs. IRA's etc. This money can be used for private pay until it runs out. So you get approved for Medicaid. They will allow the house but it should be sold unless a coowner or someone who has lived with Mom to care for her for a certain number of years. (This has to be proven) Best thing is to sell the house (has to be market value). The money needs to be used for her care, only. Moms SS and any pension will go to her care which means there is no money for the upkeep on the house. No guarantee if u pay that Medicaid will allow u to be reimbursed.

Once on Medicaid for NH care, Mom will get medical, dental and vision. Medicare will be her primary. You can then drop her supplimental. They will have to pay any bills up to when u stop the coverage.

If you are looking at just Medicaid for health insurance if not in a home, then u go to the local office and apply.

k12144 Sep 2018
It may depend on what state you are in, and what care you need... long-term care, or just medical bills/expenses?

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k12144 Sep 2018
It may depend on what state you are in, and what care you need... long-term care, or just medical bills/expenses?

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