What Assets Affect Medicaid Eligibility?
Medicaid is government-funded health insurance that helps low-income people pay for their medical needs. Applying and getting approved can be complicated. Knowing some basic facts like what assets are counted toward eligibility can make the application and approval process easier. We’re here to help. Read more about assets, including what counts and what doesn’t.
How Is Medicaid Eligibility Determined?
To determine Medicaid eligibility, an individual must first apply either online through healthcare.gov or at their local Medicaid agency. They will process the application and determine if someone is eligible based on household income, assets and family size.
From there, applicants must present documentation to prove residency, income level and personal information about others in the home. Each state has different regulations in regards to Medicaid expansion and availability, so coverage varies for those who qualify.
What Are Assets in Relation to Medicaid?
An important factor in eligibility and approving an application is what assets are owned by the applicant and other family members at the same address. Here are some examples of countable assets:
- Funds residing in checking and savings account for the past 30 days
- CDs, bonds, stocks, special trusts
- Investment property
- Additional vehicles, boats and RVs
- 401Ks and IRAs in some states may be considered an asset or count as income
Medicaid determines the appraised value of these assets by factoring in any depreciation or liens. An amount is calculated to decide how much the applicant’s co-pay or spend down may be.
These Don’t Count
Non-countable assets are not used as part of the income eligibility requirements. This includes things that may be listed in the application such as:
- A primary home residence
- Value of personal belongings
- One motor vehicle
- $1500 set aside for pre-planned funerals and burial costs
Applying for Medicaid can be confusing. Workers are there to help guide applicants through the application process and help fill out paperwork and provide proofs. In addition, a lawyer or legal aid can also assist with sorting out financial findings and paperwork.
What If Things Change?
Expecting an inheritance or a large money gift from a friend or family member? These changes should be reported to Medicaid right away if the applicant has it or is applying. Keep in mind that individuals can have up to $2,000 in countable assets and for married couples it can be up to $3,000.
The biggest benefit to having Medicaid is having affordable, quality and accessible healthcare. Because qualifying for it can be tricky due to asset ownership, reach out for help from Medicaid offices or a social worker who can assist and guide you in the right direction.
~Here’s to Your Financial Health!