Does anyone know if Medicaid will be limiting eligibility because of the social security income increase from 2023? I have a prospect who would qualify for full medicaid, but the her increase in social security this year makes her over the limit to qualify. It seems that the state's Medicaid office would increase their income limits to match social securities increase, but maybe not?
Also, it seems that in the past, if someone qualified for a d-snp because they had a qmb medicaid designation, their co-payments in the mapd would also be paid by the issuing insurance company. After all, if they qualify for the mapd, and the summary of benefits shows all $0 for every copayment, you'd think the owner of the policy would pay $0 for any medical service. But I know that qmb only means that their part B premium is paid for by the state. What is everyone's experience? Should our clients expect to pay $0 copayments in an d-snp if they have qmb?
Also, it seems that in the past, if someone qualified for a d-snp because they had a qmb medicaid designation, their co-payments in the mapd would also be paid by the issuing insurance company. After all, if they qualify for the mapd, and the summary of benefits shows all $0 for every copayment, you'd think the owner of the policy would pay $0 for any medical service. But I know that qmb only means that their part B premium is paid for by the state. What is everyone's experience? Should our clients expect to pay $0 copayments in an d-snp if they have qmb?
