0
Persons who meet the "non-financial" factors of eligibility (e.g., citizenship) but whose countable income and assets exceed the State's limits can be enrolled in Medicaid with a spend-down. Homestead property and personal property including a motor vehicle do not count.
The monthly spend-down amount is the difference between the person's countable income and assets and the State's limit. When the person's medical expenses (paid or unpaid) meet or exceed the spend-down amount for a given month, the person may receive Medicaid for that month. Expenses can be carried over to meet spend-down for a different month.
Wiki User
∙ 14y ago
Wiki User
∙ 14y agoMedicare has no spend down rules. That only applies to Medicaid.
Add your answer:
Earn +20 pts
If you receive medicaid and medicare disability at the same time do you have to pay for it?
If your income exceeds the Medicaid standard in your State, you will have to "spend down" the excess to qualify for Medicaid.
Can i submit a bill nys Medicaid for medicare hmo deductible?
You cannot bill Medicaid for your HMO deductibles. However, if you are medicaid eligible, you don't need a Medicare HMO - Medicaid should be paying your Medicare co-payments, deductibles, and any other covered expenses that Medicare doesn't pay. If you are on Medicaid spend-down, your HMO deductible is a medical expense that can be applied to spend-down.
Can I pay your Medicaid spendown online?
Spend down is the different between your countable income and assets and the Medicaid standard for your State. You do not owe this to the State; rather, to received Medicaid you must show that you have incurred (but not necessarily paid) medical expenses equal to your spend down. In view of this, I suppose that medical bills you pay online could count toward your spend down if you can provide third party verification of those payments.
How much is medicaid when pregnant but have no medicaid?
If your income/assets are below the threshold (typically, 200% of Federal poverty level for a pregnant person), Medicaid should be free. Otherwise, you might owe a "spend down."
Can you draw disability and Medicaid?
Yes; however, if your disability income exceeds the threshold in your State, you will have a "spend-down."
Do working people pay into Medicaid program?
Medicaid does not have premiums. However, there is often a co-pay for services. Also, many Medicaid recipients must "spend down" excess income/assets. Spend down is the amount one must incur in medical expenses (paid or unpaid) before Medicaid eligibility begins. It is the difference between one's non-exempt income and assets and the income and asset standards in one's State - e.g., non-exempt income = $800/month/non-exempt assets = 0; State income standard = $700/month; spend down = $100.
What does spend down mean?
Spend down is the amount one must incur in medical expenses (paid or unpaid) before Medicaid eligibility begins. It is the difference between one's non-exempt income and assets and the income and asset standards in one's State - e.g., non-exempt income = $800/month/non-exempt assets = 0; State income standard = $700/month; spend down = $100.
Can someone receiving disability benefits get kicked off of medicaid insurance?
No. However, disability income may exceed the standard in the person's State. In such a case, the person will have a spend-down to meet before qualifying for Medicaid.
Can you sell assets while on medicaid and gain the profits?
You can sell your assets, as long as you receive fair market value for them. However, doing so might put you over the asset limit for Medicaid in your State, whereupon you will have to "spend down" those assets to resume Medicaid eligibility.
If medicaid pt has spendown can they receive charity care from the hospital?
That's up to the hospital. However, it seems unlikely that the spend-down amount will cover a significant part of the expense - i.e., Medicaid is going to end up paying most of the bill.
Will my mother who lives in a nursing home lose her Medicaid since inheriting a small sum of money?
Depending on other assets your mother has, if any, Medicaid might require her to apply some or all of the inheritance toward her medical care, including the nursing home. Therefore, she might lose her Medicaid coverage temporarily, by going into "spend down." She should not have to re-apply and/or re-establish her Medicaid eligibility.
When you sell home and get the proceeds from sale of the home and spend that money then can you receive medicaid without the liend?
no
