Good News for Medicare Advantage, Medicaid Patients in 2026

         If you need a medical procedure, you may have to hold off on treatment until you have received approval from your health insurance plan. In many cases, Medicare Advantage and other plans have denied their patients certain services despite doctors’ orders. (In one survey, medical practices reported that 97 percent of their patients faced unnecessary […]

States With the Highest and Lowest Assisted Living Costs

         Today, 58 million adults in the United States are 65 and older. Seniors make up more than 17 percent of the American population. The U.S. Census Bureau expects this number to reach 83.7 million by 2050. Meanwhile, one in every seven older adults must rely on long-term care services in their later years. As a result, […]

Elder Law: Can Medicaid Take Your House?

Nursing home residents do not automatically have to sell their homes to qualify for Medicaid. However, that does not necessarily mean the house is entirely safe from estate recovery. The state will likely put a lien on the house while the resident is living and then attempt to recover the property after the resident has […]

Medicaid Redetermination: In One State, Many Didn’t Renew

Results of a recent survey led by the Department of Health and Human Services in Utah reveal that more than half of the state’s residents who lost their coverage during Medicaid’s “unwinding” process in 2023 did not attempt to resecure their benefits. What Is Medicaid? Medicaid is a federal program that serves Americans with limited income, providing health […]

Protecting Your House from Medicaid Estate Recovery

         You may have heard the term “estate recovery” before and wondered what it meant. This is a process that can occur after a Medicaid recipient dies. Their state may attempt to recoup whatever benefits it had paid for their care from the deceased person’s estate. For most Medicaid recipients, their house is the only […]

2024 Standard Protections for Spouses of Medicaid Applicants

         Each fall, the Centers for Medicare & Medicaid Services (CMS) renews the federal guidelines that seek to protect individuals whose spouses are applying for or receiving Medicaid long-term care benefits. These protections, known as the Spousal Impoverishment Standards, help to support the financial well-being of seniors who continue residing at home while their spouse on […]

Using a Prepaid Funeral Contract for Medicaid Spend Down

No one wants to think about their death, but one useful way to begin preparing is with a prepaid funeral contract. Securing a prepaid funeral contract can be a good way to spend down assets in order to qualify for Medicaid. In addition, it can help your family to feel assured that they are carrying out your […]

Dual Eligible Special Needs Plans – Are They Right For You?

         As of 2020, approximately 12.5 million people have Medicare and Medicaid coverage. Medicare is a federal health insurance program for people over 65 and specific disabled individuals. Medicaid is a joint federal and state program that helps provide medical care for those with limited income and resources. Medicaid recipients include children, pregnant women, and individuals who are blind or […]

Why Georgia’s New Medicaid Program May Impact You

In June 2023, Georgia announced the implementation of the Pathways to Coverage program, effective July 1, 2023. If successful, it could allow able-bodied adults who have not previously qualified for Medicaid to join the program and have access to health coverage if they meet certain conditions.  What Is Medicaid? Medicaid is a public assistance program that […]

What to Do If You Lose Your Medicaid Coverage

         During the COVID-19 pandemic, states could not remove Medicaid coverage from any residents enrolled in this program. In recent months, however, this has been changing. If you are on Medicaid, take some time to understand whether your coverage may be at risk. How the COVID-19 Public Health Emergency Affected Medicaid Enrollees Enacted in March […]