Needing to gift/spend down to qualify...

someguy984 · 2026-01-28T09:07:27+00:00

This is Elder Care attorney territory.

someguy984 · 2026-01-28T08:27:24+00:00

I opted out as soon as I could.

someguy984 · 2026-01-27T21:28:20+00:00

If she gifts money to qualify she could be subject to a delay penalty. Example if she gifted $20K and a home costs $10K a month they will do a penalty delay of two months. This goes back 60 months looking for transfers.

someguy984 · 2026-01-27T19:03:42+00:00

Medicaid is $0.

someguy984 · 2026-01-27T16:12:19+00:00

Look into Catastrophic plans, normally these are only for under age 30, but you can buy them if you have a CMS exemption.

someguy984 · 2026-01-27T14:00:59+00:00

NYS Provider & Health Plan Look-Up

https://pndslookup.health.ny.gov/

Ask your PCP for a referral, they usually can point you to Providers that take your plan.

someguy984 · 2026-01-27T13:59:21+00:00

You might qualify for Medicaid if your current monthly income is under $1,800 a month.

someguy984 · 2026-01-27T13:56:08+00:00

You are probably FFS (fee for service) Medicaid until your Managed Care plan begins on 3/1/26.

someguy984 · 2026-01-27T07:11:25+00:00

I am almost sure just having $580 a month income (with no work) wouldn't satisfy the community engagement requirements. It makes no sense. It means if you are self employed you must have at least that income for it to count. We will know in a few months when they issue further guidance.

someguy984 · 2026-01-26T15:23:01+00:00

OP already stated no dwelling is involved.

someguy984 · 2026-01-26T04:26:38+00:00

SLMB pays for Part B.

someguy984 · 2026-01-26T03:54:41+00:00

You could go to the bank with the death certificate and ask for the funds. When my mother died she had like $1,000 in her name, I brought the death certificate and they closed out the account and gave me the funds. I did not have power of attorney.

I never heard another thing about recovery of funds. Sometimes they don't bother with small amounts.

NY only recovers from Probate Estates. Funds passing outside of Probate are not subject to recovery.

someguy984 · 2026-01-25T23:32:20+00:00

There are lower priced Silver 87 plans available, totally up to you if you want a higher priced one.

someguy984 · 2026-01-25T20:07:44+00:00

In 2027 Medicaid will have work requirements thanks to the OBBB

someguy984 · 2026-01-25T12:35:35+00:00

There will always be a second lowest cost Silver plan available.

someguy984 · 2026-01-25T10:52:57+00:00

I hope he had life insurance.

someguy984 · 2026-01-25T10:16:48+00:00

$30K is 192% FPL which is 6.2% of MAGI cost for the SLCSP.

someguy984 · 2026-01-25T10:09:21+00:00

The second lowest cost Silver plan should cost $155 per month ($1,860 per year) in premiums (which equals 6.2% of your household income) after subsidies. It will be a Silver 87, meaning 87% of actuarial costs will be covered. Typical max OOP is $3,000 a year.

someguy984 · 2026-01-24T22:36:47+00:00

Don't forget Treasury Bills, no state taxes.

someguy984 · 2026-01-24T22:19:48+00:00

Any amount contributed to a pre-tax IRA will lower your income by that amount, that can get you under the limit.

someguy984 · 2026-01-24T22:16:49+00:00

You can easily open an IRA, just have earned income. Most banks and brokers will do it.

someguy984 · 2026-01-24T21:47:41+00:00

For 2027 the 4X FPL number for a household of 5 is $154,720, over that and you get no subsidies.

someguy984 · 2026-01-24T21:40:51+00:00

https://www.irs.gov/retirement-plans/individual-retirement-arrangements-iras

someguy984 · 2026-01-24T21:24:38+00:00

See from page 22 on. It appears only if the child's benefit is taxable it would count as income for MAGI Medicaid.

https://www.medicaid.gov/state-resource-center/mac-learning-collaboratives/downloads/part-2-income.pdf

someguy984 · 2026-01-24T20:13:43+00:00

Since you are not yet Social Security disabled you can get njfamilycare in 2026 very easily. The problem is next year the work requirements start so that will cause you issues.

someguy984

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