funnygarcia
Hyena, Dis Diva, vegan-in-training
- Joined
- Feb 24, 2002
- Messages
- 15,633
. We have patients at our practice on insurance who also have medicaid!
That's not that unusual.
If you can get insurance thru an employer but your income is still low enough to qualify for medical aid or if diabled.. or if it is a child on medical aid is disabled ... the state will require the person to enroll in the employer insurance if it is deemed "cost effective". The state will cut a check for the family to offset any premium costs for the person covered by medical aid.
Example: I had family coverage insurance thru an employer paid $400 a month in premiums. My dh qualified for medical aid as disabled, the state deemed the insurance as "cost effective", I sent paperwork each month, the state sent me a check for $180 to cover dh's portion of the premium.
Example: Medical aid for disabled income is factored differently than non-disabled adult or children. The earnings of a disabled individual is discounted by 1/2 , dropping hte income for many to still qualify for medical aid. My dh is disabled, working, has insurance thru employer. He has Medicare (ESRD status- kidney failure) as primary, insurance as secondary, medical assistance covers his Medicare premium, deductible, co-pays.
Example:
My sister's children are disabled due to autism and developmental delays. The children get medical aid (TEFRA), they also are covered by her dh's employer insurance.
--------------------------------------------------
A pregnant mother counts as two on aid applications, income limits for preg moms and child up to one year of age is quite high ..
MN family of 4 (mom counts as two, other child, dad = 4) $5,056 per month, $60,000+ per year.
If preg mom was on medical aid at baby's birth, baby is covered for one year automatically. Qualifying for medical aid is an instant qualification for WIC as well.
Depending on the career choice of the couple, even if they had informed the state of the correct household income, chances are they still would have qualified.