Reply to Medicaid - Culling the Rolls

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]They cannot kick her off Medicare. Medicare is a completely different program. If this is what you heard someone tell you, there was a miscommunication and you need to ask for the information again. 
The good news for you is that your mom is in. Medicaid population that will be least likely to lose coverage during this process. It is good you submitted her paperwork, and she should be fine. Again, the idea that someone has kicked her out of Medicare does not make sense. 
Good luck. [/quote]

OP here. She was kicked off *Medicaid* and Medicare *plan b*. Medicaid was covering the cost of Plan B. The way that Medicaid works for nursing homes is recipients must spend down all assets the government allows them on $60 a month. Now that she has to pay her Plan B coverage (taken directly from her monthly social security check), it complicates her very tight budget and she will run a deficit now. The nursing home has been taking the previous Medicaid amount even though she has been suspended until reassessed.

TL;DR: our healthcare system is a complex nightmare.[/quote]

It sounds like what you are saying is that her Part B was suspended/terminated for non-payment when Medicaid stopped, and then reinstated when she began paying personally via a Social Security deduction. Is that correct?

Can you share the stated grounds for the Medicaid termination?[/quote]

The state is reviewing eligibility and has a huge backlog due to Covid. She has had zero changes in her life. The entire review paperwork is geared to people living in a house on their own or with kids. It isn’t set up for nursing home residents with power of attorney. I was told she will likely be fine and they will back pay all the nursing home charges but it is on me to recoup the Medicare Plan B coverage from the insurance company (in her case Aetna). Infuriating!![/quote]

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