Follow
Share

Sorry, Hope this is OK, I am not exactly a caregiver, I am still able to care for myself. I had colon cancer mid year 2013, and had surgery and chemo, complications from Chemo, and wore out knees, Couldn't return to my (outside) job. I need a Yearly CT Scan, and think it's 6 months for the blood work, and get shots in my knees 4 times a year, and I think it's every 3 years, instead of 10, a colonoscopy. Plus, May have to start seeing a pain management doctor. Anyways, I WAS eligible and receiving WV State Medicaid under there QMB. (I am 62 years old, but on Medicare because of being on SSDI for over 24 months) In 2017, I was getting $1,013.00 per month. In 2018 with my recent Social security raise, of $21.00, I am now getting $1,034.00. With a $20.00 Disregard, brings me down to $1,014.00 and puts me Over The State (maybe federal) income limit of $1,012.00 So I am Over the Limit By $2.00!! That Extra $21.00 a Month Surely will not Pay for a secondary Insurance plan. So the "Big" Social Security raise actually hurt me more than helped me. Is there any way to actually Have Social security take a Few dollars off of me?

This question has been closed for answers. Ask a New Question.
If you have your letter stating that you no longer qualify for Medicaid, you should follow the appeal process on the letter. If there is nothing about an appeal process via mail, you will need to go to your local office office for Medicaid and other state benefits. You will need to take with you the following information:
1. The letter you received from Medicaid.
2. Your SS award letter for 2018.
3. Receipts and bills for any medical and drug costs that you paid out of pocket.
4. A copy of a rent receipt or mortgage payment.
5. Copies of utility bills, electric, gas, telephone cable.
6. If you received HEAP, a copy of that award letter.
7. Copies of any 1099's if you had any miscellaneous income.
8. Copies of your SSDI information.
9. If you received an Earned Income award on your federal taxes, bring that, along with your state and federal tax returns.
If you have medical orders for colonoscopy, or other medical tests, you will need to bring that as well. I also the appeal would not say you were thinking of moving to Ohio. They'll probably say goodbye and good luck.

If you are appealing the state's decision, you need to show why you need to remain on Medicaid. You may be able to get Medicaid, but not the portion that pays your Medicare Part D premium.

I wouldn't consider moving to Ohio. They check things much more carefully than WV. WV receives more federal money than Ohio. I've lived in both states. Car insurance is not lower in Ohio. Car registrations are higher. Property taxes are higher. There are waiting lists for low income housing, especially for seniors and disabled. Priority is given to residents of the town where the apartments are located. Waiting lists are always about a 2-year wait for Section 8 or Senior/disability apartments. In some counties they are much longer. Food costs are higher, along with utility costs. Rents are higher and house prices are significantly higher. Getting on 'edicaid is lengthy process in Ohio. You have to apply and then wait for either a phone interview or an appointment at your county office.
Helpful Answer (4)
Report

Have you been told that you nave been disqualified from Medicaid? If no office has sent you a disqualification letter, then don't sweat it.

I would be in touch with your Medicaid worker to find out when recertification will be mailed this year. If they disqualify you, you visit an eldercare attorney and set up a Miller Trust.
Helpful Answer (2)
Report

I'd see a professional. Sometimes the administrators have odd formulas that come into play for various reasons that you may not be aware of. PLUS, are you disabled? I realized that in my state, those who are disabled have different cut off amounts. I'd explore the facts as they apply to you, before I got too upset.
Helpful Answer (2)
Report

In my state, those who are receiving disability or who have dementia, are allowed higher incomes than others and still qualify. I read what you posted above. I'd get a legal opinion and explore if an appeal is appropriate.
Helpful Answer (2)
Report

I hope it works out for you. I can’t believe there isn’t a window, like +/- $25 bucks or so.
Nice to see our government can pay attention to detail but not with Seniors or the Disabled’s social security/benefits,  for goodness sakes.
Good luck!
Helpful Answer (2)
Report

I don't the exact number of clients a caseworker has currently on phone calls, but it is quite high. They do have extra caseworkers at larger offices to handle overflow. I don't know why anyone would tell you it was a waste of time to go to a hearing, it isn't. I would take all of the documentation along with a printout of what the website says and go in person.
Helpful Answer (2)
Report

Sorry To Act The way I acted Becky.
Thank you for your time.
Helpful Answer (2)
Report

No problem. I know it's frustrating.
Helpful Answer (2)
Report

"And you don't think these are even *unintended* consequences?"
could Be.
I know if I were 18, and pregnant, I could get help.
EDIT:
Maybe I WILL NOT get a social security raise next year, and they will raise the income Cap,
Seems medicaid raises the Cap every Year.
I can get help next year then.
I don't think there is anything I can do.
Helpful Answer (1)
Report

Thank you
Helpful Answer (1)
Report

See All Answers
This question has been closed for answers. Ask a New Question.
Ask a Question
Subscribe to
Our Newsletter