Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

Moosepoop

(2,075 posts)
17. This isn't about nursing home residents.
Sat Mar 1, 2014, 12:37 PM
Mar 2014

This is about Medicaid-eligible people aged 55 and up -- but not yet on Medicare -- being required to "pay back" ANY Medicaid expenses they incurred before they got old enough for Medicare if they happen to also own their house.

It's about them -- and ONLY them -- being at risk for "repayment" through the later taking of their homes, for GENERAL MEDICAID COVERAGE between the ages of 55 and later Medicare coverage.

The nursing home thing is a separate issue, except that the "rule" that allows the repayment of nursing home care through the taking of the home creates the possibility of that same thing now happening to people who receive Medicaid for the decade or so before Medicare kicks in. In the ten states in question, the "55+ but not yet retirement age" group can theoretically be forced to pay back their Medicaid coverage years after they've left the program and gone on to Medicare -- only because of their age group (which is below elderly) and because they own a home.

WILL those ten states actually do this to these people, just because they can? Hopefully not -- but the idea of it is being used to scare middle-aged people away from signing up for Medicaid even if their income makes them eligible for now. The "rule" or whatever it is needs to be fixed so that this is not a possibility in the first place.

Do you think that all Medicaid recipients should be made to pay back the costs of their medical care when their income goes up or if/when they die? Do you think that Medicaid should be on a "loan" basis for all, subject to repayment at a later date?

If not, do you now see the problem as it pertains to only one age group? Nobody else outside of nursing home patients has to "pay back" their Medicaid coverage. Only those 55+ and below retirement age, possibly, in 10 states. This is the problem.

Recommendations

0 members have recommended this reply (displayed in chronological order):

k&r for exposure. n/t Laelth Mar 2014 #1
Wow-- there are lots of "blue states" in that group Art_from_Ark Mar 2014 #2
The practice is abhorrent, but ProSense Mar 2014 #3
Maybe that's the idea. Brigid Mar 2014 #7
"Yuppy Law" rules. nt adirondacker Mar 2014 #52
Wow. Thank you for posting this. theHandpuppet Mar 2014 #4
You're welcome. n/t ProSense Mar 2014 #6
But doesn't this happen already newfie11 Mar 2014 #5
An owned residence is an asset like cash and must be used before Medicaid pays, yes. Gormy Cuss Mar 2014 #9
I don't know why it would YarnAddict Mar 2014 #12
It's because people want to be able to leave something for their children. Gormy Cuss Mar 2014 #13
My personal philosophy is YarnAddict Mar 2014 #15
At least make sure there is enough to pay for the funeral nobodyspecial Mar 2014 #31
That is something normal people like us... awoke_in_2003 Mar 2014 #48
This has been happening since the 80s. It was in answer to the practice of some rich people who jwirr Mar 2014 #14
I think it's been this way for years YarnAddict Mar 2014 #8
The difference here is that they aren't asked to spend down their asset. Gormy Cuss Mar 2014 #10
Understood. YarnAddict Mar 2014 #11
Living at home is less expensive than living in a nursing home. Then they pay for Medicaid after jwirr Mar 2014 #16
Yup, and that's the way it works. YarnAddict Mar 2014 #19
Yes. jwirr Mar 2014 #20
This isn't about nursing home residents. Moosepoop Mar 2014 #17
180 days in a nursing home is paid by Medicare. After that by your social security or by jwirr Mar 2014 #21
I didn't mean to imply that it did. Moosepoop Mar 2014 #22
Yea. Only the wealthy should be able to establish any form of inheritance for their children. adirondacker Mar 2014 #53
I think this happens in Missouri also WhiteTara Mar 2014 #18
every nursing home you look at asks immediately if they have a house. bettyellen Mar 2014 #23
Kick! n/t ProSense Mar 2014 #24
I am not understanding the objection. I am "land poor," meaning that I have little enough Mar 2014 #25
one problem is it is just one age group singled out questionseverything Mar 2014 #27
OK, don't sign up for Medicaid. Then, hospital and docs will take your house before you die. Hoyt Mar 2014 #26
Why should the taxpayers pay for your medicaid bills and not get reimbursed after kelly1mm Mar 2014 #28
I just don't ProSense Mar 2014 #29
By taking the asset to repay the taxpayers for the medicaid expenses paid out kelly1mm Mar 2014 #30
OK, a ProSense Mar 2014 #32
Yes to answer your question yeoman6987 Mar 2014 #33
Really? ProSense Mar 2014 #35
You are going further into your question yeoman6987 Mar 2014 #37
"We are not talking poor people here they owned a home." ProSense Mar 2014 #40
Ok you win the argument yeoman6987 Mar 2014 #43
Well, ProSense Mar 2014 #44
Thank You!!! adirondacker Mar 2014 #54
Yes, I would. Chan790 Mar 2014 #38
What ProSense Mar 2014 #41
Why do they get millions exempted in estate taxes? Chan790 Mar 2014 #45
Huh? ProSense Mar 2014 #46
Read. Chan790 Mar 2014 #47
Yes, I read that, and ProSense Mar 2014 #49
Regardless of precedent, I don't have an issue with it. Chan790 Mar 2014 #50
Do you think ProSense Mar 2014 #51
Yes. It is not their house. It is the person who passed house. If they had 200k in the bank kelly1mm Mar 2014 #34
The piece ProSense Mar 2014 #39
No, I would do not envision a single payer system doing that at all. That is not how any of the kelly1mm Mar 2014 #42
Yes. n/t Chan790 Mar 2014 #36
Latest Discussions»General Discussion»Tell these 10 states: Don...»Reply #17