Will YOU be Medicaid Eligible on January 1, 2013?
Ok, Maybe not exactly on January 1, 2013. But starting January 1, 2013, new rules will be implemented from Obamacare, and, slowly, changes in Medicaid eligibility will occur. Realistically, in may take a year for NC to adjust.
To qualify currently for the North Carolina Medicaid program, a person must be a citizen or lawful permanent immigrant in the United States for at least five years and must meet certain categorical, income and resource requirements. The individual must also have an income below a certain income threshold and have limited resources (depending on the size of the family) or assets to qualify.
Imagine, as of now, a person working at minimum wage ($7.25/hour), 40 hours week, and 50 weeks/year and earn $14,500/year, is generally making too much money to be Medicaid eligible. For example, a parent in a family of four would only qualify in North Carolina if his or her income was less than $7,128/year, equivalent to less than half of what a person earns on minimum wage.
The best way to illustrate who will be covered by Medicaid in the future is a chart:
2011 Income Eligibility/Year 2013+ Income Eligibility/Year
Child Age 0-5 200% 1:<$21,780 200% 1:<$21,780
Child Age 5-18 100% 1:<$10,890 138% 1:<$15,028
Pregnant Woman 185% 2:<$27,214 185% 2:<$27,214
Parent of Dep. < 19 1:40% 1:<$4,344 138% 1:<$15,028
Adult, 0 children Not eligible Not eligible 138% 1:<$15,028
After 2013, the income guidelines for an individual (single adult without dependent children) would be $15,028/year or $30,843/year for a family of four if based on 2011 federal poverty levels.
Obviously, this is a huge expansion. Low-income adults is the category impacted the most.
So, after the BIG CHANGE, will YOU be Medicaid eligible?
Posted on December 7, 2012, in Affordable Care Act, Medicaid, Medicaid Eligibility, Medicaid expansion, North Carolina, Obamacare and tagged January 1 2013, Medicaid, Minimum wage, North Carolina, Obamacare, Patient Protection and Affordable Care Act, Poverty, United States. Bookmark the permalink. Leave a comment.