Medicaid Debacle

[FLM2]

In Florida, about 2 months ago I processed an app for a 28 year old mother and her 3 year old son, the eligibility results didn't give any subsidy to mom who was at 300% of the FPL and the minor was referred to medicaid.
Why the eligibility results I don't know. I was told that somebody from the Marketplace told the mom that if the minor was eligible for medicaid (he is not), she doesn't get a subsidy----WTF!
Fast forwarding, they also instructed that she should apply separately to medicaid and present the results to the Marketplace in order to review the results.
According to the app, as I chose to forward the data of the minor to "Healthy Kids", it should have been done months ago. Actually, it looks like the marketplace doesn't send anything to Healthy Kids or Medicaid and if you go to the web page link the Marketplace has on the part referring to medicaid and fill the app, it's completely useless, you have to do it on the Medicaid page.
Well 2 months have passed and still can't get through this hurdle.

If healthcare.gov says a child could be eligible for Healthy Kids, you finish the subsidy-based app and go directly to the Healthy Kids website and complete an application, it takes about 6 weeks to process. That is what I did for the one family I had in that situation.

While the app is in process you enroll the kids in an Off Exchange plan for a month or 2 at the most, what is so difficult about that?

 

[xrac]

They knew. They pretended that President Obama didn't know the website wouldn't work. Pleeeeeeze. Everyone on this forum knew. The insurance company executives knew. Website designers knew. They pretended President Obama thought everyone that liked their plan could keep it. Pleeeeeeeze. They pretended President Obama thought everyone who liked their doctor could keep it! Please! I was writing 2 years ago to be prepared for narrow networks. They knew. I don't know how long they can pretend that the President is uninformed.

Liars just keep lying.

 

[RayNY]

What's scarier?
1) Our dear leaders blatantly lie to our faces like we're imbeciles.
2) Most people in the country ARE imbeciles, and believe what they say.
3) What they're saying is actually true, they're not pretending, and our dear leaders actually are imbeciles.

 

[unic.consulting]

What's scarier?
1) Our dear leaders blatantly lie to our faces like we're imbeciles.
2) Most people in the country ARE imbeciles, and believe what they say.
3) What they're saying is actually true, they're not pretending, and our dear leaders actually are imbeciles.

I think 2 is the scariest, because that means they'll keep electing the same idiots and liars, however I think 3 is true as well.

 

[xrac]

What's scarier is we now have a court system staffed by judges who support the liars who are lying to us.

 

[VolAgent]

What's scarier is we now have a court system staffed by judges who support the liars who are lying to us.

You act like this is something new. The judiciary in most states and at the Federal level is selected by the other two branches of government. All were lawyers, as are many politicians, and many were actually politicians as well.

Some days it is a miracle our judiciary is as independent as it is.

 

[AllenChicago]

4-9-2014

Another reason to avoid Medicaid if you possibly can. The odds of getting an appointment with a doctor quickly are only 60%, vs. 85% for those who have private health insurance.

The study was completed in the Spring of 2013, before millions of additional people started flowing into our already over-stressed Medicaid system.

Story: Primary Care Shortage? Not For The Insured, Study Shows – Capsules - The KHN Blog
ac

 

[AllenChicago]

June 12, 2014

When it comes to Medicaid enrollment and eligibility problems, the (our) Government is its own worst enemy and offender. Far more people are being booted from states' Medicaid roles due to Federal and State enrollment errors than from intentional deceptions by applicants.

Story: Federal Bungling Of ObamaCare Verification Creating Nationwide Chaos In Medicaid Departments - Forbes

Does being kicked off of Medicaid enable a private plan Special Enrollment Period (SEP)?

More fuel for the growing ObamaCare Sucks movement, and the push-back coming this November at the voting booth.

ac

 

[AllenChicago]

December 15, 2014

One significant aspect of ObamaCare's Medicaid Expansion Experiment is starting to wind down already. In 2015, payments to primary providers will be slashed by 40% to 50%.

Story: Doctors Face Steep Medicaid Cuts as Fee Boost Ends - ABC News

HHS says that regardless of the 2015 pay cuts to physicians, it will be campaigning hard to get every state to expand its Medicaid program.

 

[cadylou]

Well, I just had this happen this a.m. and had it happen with another family during enrollment. these kids do not qualify for Medicaid in the states I service. Since we didn't have the Medicaid expansion in KS or MO, these kids will not qualify under existing rules. There should be a question on the application specifically asking if they would qualify, and if the answer is "no", then they should be included with the family. It's awful that the parents now have to purchase a separate "off Exchange" policy for one child, and the kid isn't included in the overall family deductible or MOOP. The whole thing stinks . . . .