Based on some of your answers below, she hasn't been in a facility and using Medicaid to pay for LTC she has been using Medicaid benefits to cover the supplemental insurance and maybe Medicare premium cost? I'm not sure they will ask to be repaid for that depending on the state anyway I think that is more income based and the only change will be if her monthly income (SS + annuity?) is over the cutoff she will loose the benefit covering her Medicare premium and the supplemental portion so she will have to start paying those premiums again but I'm not sure it makes a difference as far as them coming after reimbursement for time she didn't have the income.
They will ask her to repay if she received benefits she wasn’t eligible for which is a possible scenerio here since she is still receiving Medicaid benefits after receiving the inheritance.
If you are able to help her find a supplemental insurance once Medicaid cuts her off she should be able to purchase any plan she chooses.
There is a rule about being cancelled from your prior coverage that lets you basically start over, so she has that as a benefit. Find a Medicare insurance broker, they do exist, I used one.
Supplemental plans often cost less than annual deductibles for advantage plans. Oh yes, no preexisting exclusions apply when she has been cancelled, as long as it is NOT for nonpayment.
Good luck, this sounds like your aunt is in for a bit of a spanking, did she falsify documents? Or is it now renewal time and she's contemplating? Just nosey.
no, she didn't falsify any documents. she legitimately became eligible for Medicaid six years ago. Then about eighteen months ago she inherited a good bit of money from her brother which included a lucrative annuity. She informed Medicaid of the situation in writing and they haven't responded. I know that she informed them because I sent the information myself. She's heard nothing back. There's no fraud here except that she can't be eligible and I worry that when they catch up to her she may have a hefty bill to pay. I don't really know though because I know nothing about this sort of thing.
Is Medicaid paying for Moms care in the AL? Or, is she just receiving Medicaid for health insurance?
My nephew is on Medicaid as a suppliment to his Medicare. He is allowed more than 2k in his bank account. He is allowed to work. Longterm care has stricter criteria.
she will likely be required to pay 100% of her own medical care until she has spent it down to $2,000 again.
it might take them a while to get back to her, so she needs to save that money because once that decision comes down it will be retroactive to the date she received the money. Then she will owe the NH for the time interval.
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There is a rule about being cancelled from your prior coverage that lets you basically start over, so she has that as a benefit. Find a Medicare insurance broker, they do exist, I used one.
Supplemental plans often cost less than annual deductibles for advantage plans. Oh yes, no preexisting exclusions apply when she has been cancelled, as long as it is NOT for nonpayment.
Good luck, this sounds like your aunt is in for a bit of a spanking, did she falsify documents? Or is it now renewal time and she's contemplating? Just nosey.
My nephew is on Medicaid as a suppliment to his Medicare. He is allowed more than 2k in his bank account. He is allowed to work. Longterm care has stricter criteria.
As katiekate said, keep that money, you don't know how they will deal with it and you don't want to get caught out and she looses her coverage.
she will likely be required to pay 100% of her own medical care until she has spent it down to $2,000 again.
it might take them a while to get back to her, so she needs to save that money because once that decision comes down it will be retroactive to the date she received the money. Then she will owe the NH for the time interval.