Realize that whenever your State pays you your Federal deductions back, if you own a home that amount will become a lien on your home/estate; whatever the State pays you will go back to them when you sell or die.
In Florida, the homestead is protected from medicaid estate recovery. There are ways to eliminate (or significantly reduce) estate recovery for non homestead properties. The aggressiveness of medicaid estate recovery program differs per state.
You actually enroll in a plan (e.g. Humana, United, FCC, etc...), depending on which county in Florida you reside. That plan will send out an insurance card for you to present to doctor's offices, pharmacies, etc... like any other health insurance card.
I'm from Florida. I have Medicare and Medicaid. I used to received SSI before my father applied for retirement and I gets 50 percent since my disability began at childhood. I don't know why, but it said I'm qualified individual. It supposed to be Qualified Medicare Benefitiary. Anyway, my question: am I'm eligible for protected Medicaid and that income is excluded for that eligibility?
Your income, even if disability income, counts against you for qualifying for any of these programs. If your income is too high for QMB (even if SSDI or DAC), you might consider a pooled special needs trust, which can help you qualify for QMB.
To the extent that your home is your primary residence/homestead, they cannot put a lien on the home. However, non-homestead assets that go though probate can be subject to Medicaid-estate recovery. This is why its always a good idea to plan to avoid probate (e.g. via a lady bird deed or revocable trust).
Usually: higher level Florida Medicaid programs give you all the benefits of lower-level Medicaid programs. For example, if you apply (and qualify for) QMB, you get all the benefits of SLMB and QI-1 PLUS additional benefits that come with QMB. So, you wouldn't need to apply for multiple programs.
Hello, how much is your consultation? My mom just got approved for QMB, she has Medicare as well, does she have to call Medicare about her premiums? Or is it automatically done. Also, she would be interested in the D SNP, partly why I would need a consultation for her. She is on a extremely low budget, hopefully it’s not too expensive. Thanks
Hi there - you may not need an attorney, you might want to reach out to the Medicare Advantage broker who helped you enroll in the D-SNP to make sure mom is not unnecessarily paying premiums when they should be covered.
Great video. My mother is on QMB and is about to sell her house, move to another city, and not use the cash to buy another house, but rather pay rent for an apartment. Does this cash from home sale disqualify her from QMB?
Thank you! Yes, the sales proceeds can disqualify her. We can discuss how to protect the funds so she can sell the house, keep Medicaid, and still benefit from the proceeds.
One concern is if you have Medicaid in addition to Medicare, there are MANY physicians that will not accept you as a patient. Is QMB part of Medicaid? Or is it a Medicare savings program?
Hi Jeremiah - QMB is a Medicare Savings Program (which falls under the "Medicaid" rubric in Florida). To confuse you further :-) when on QMB you qualify for a D-SNP Medicare Advantage Plan (only available to those who qualify for both Medicare and Medicaid), which has huge marquee names (e.g. Humana, United, etc...) which usually have large PPO or HMO doctor network. In addition, by having QMB (and therefore being able to qualify for D-SNP) these plans have lots of "extras" like a more generous dental, vision or hearing benefit. D-SNPs also offer preloaded debit cards that can be used toward paying utilities or buying healthy foods or OTC supplements. You can read more about D-SNPs here: www.elderneedsinsurance.com/blog/dual-eligible-special-needs-plans-d-snp-a-primer
Realize that whenever your State pays you your Federal deductions back, if you own a home that amount will become a lien on your home/estate; whatever the State pays you will go back to them when you sell or die.
In Florida, the homestead is protected from medicaid estate recovery. There are ways to eliminate (or significantly reduce) estate recovery for non homestead properties.
The aggressiveness of medicaid estate recovery program differs per state.
Great vid!
Thank you for watching!
@@elderneedslaw You’re welcome friend.
If approved do I get new Medicaid Card
You actually enroll in a plan (e.g. Humana, United, FCC, etc...), depending on which county in Florida you reside. That plan will send out an insurance card for you to present to doctor's offices, pharmacies, etc... like any other health insurance card.
I'm from Florida. I have Medicare and Medicaid. I used to received SSI before my father applied for retirement and I gets 50 percent since my disability began at childhood. I don't know why, but it said I'm qualified individual. It supposed to be Qualified Medicare Benefitiary. Anyway, my question: am I'm eligible for protected Medicaid and that income is excluded for that eligibility?
Your income, even if disability income, counts against you for qualifying for any of these programs. If your income is too high for QMB (even if SSDI or DAC), you might consider a pooled special needs trust, which can help you qualify for QMB.
Does QMB put a lien against my home?
To the extent that your home is your primary residence/homestead, they cannot put a lien on the home. However, non-homestead assets that go though probate can be subject to Medicaid-estate recovery. This is why its always a good idea to plan to avoid probate (e.g. via a lady bird deed or revocable trust).
Great video - can you apply for all 3 savings programs to see which if any or you haven’t choose one and apply?
Usually: higher level Florida Medicaid programs give you all the benefits of lower-level Medicaid programs. For example, if you apply (and qualify for) QMB, you get all the benefits of SLMB and QI-1 PLUS additional benefits that come with QMB.
So, you wouldn't need to apply for multiple programs.
One of my meds was $6500 everytime (2 mos) añd l pay zero.
Yes, this is one incredible way QMB can be an amazing program. Thank you for sharing!
Hello, how much is your consultation? My mom just got approved for QMB, she has Medicare as well, does she have to call Medicare about her premiums? Or is it automatically done. Also, she would be interested in the D SNP, partly why I would need a consultation for her. She is on a extremely low budget, hopefully it’s not too expensive. Thanks
Hi there - you may not need an attorney, you might want to reach out to the Medicare Advantage broker who helped you enroll in the D-SNP to make sure mom is not unnecessarily paying premiums when they should be covered.
Great video. My mother is on QMB and is about to sell her house, move to another city, and not use the cash to buy another house, but rather pay rent for an apartment. Does this cash from home sale disqualify her from QMB?
Thank you!
Yes, the sales proceeds can disqualify her. We can discuss how to protect the funds so she can sell the house, keep Medicaid, and still benefit from the proceeds.
One concern is if you have Medicaid in addition to Medicare, there are MANY physicians that will not accept you as a patient. Is QMB part of Medicaid? Or is it a Medicare savings program?
Hi Jeremiah - QMB is a Medicare Savings Program (which falls under the "Medicaid" rubric in Florida). To confuse you further :-) when on QMB you qualify for a D-SNP Medicare Advantage Plan (only available to those who qualify for both Medicare and Medicaid), which has huge marquee names (e.g. Humana, United, etc...) which usually have large PPO or HMO doctor network. In addition, by having QMB (and therefore being able to qualify for D-SNP) these plans have lots of "extras" like a more generous dental, vision or hearing benefit. D-SNPs also offer preloaded debit cards that can be used toward paying utilities or buying healthy foods or OTC supplements. You can read more about D-SNPs here: www.elderneedsinsurance.com/blog/dual-eligible-special-needs-plans-d-snp-a-primer