Navigating Marriage and Medicaid

Navigating Marriage and Medicaid

My husband and I tied the knot at the end of 2024, and now we’re figuring out how to file taxes together and manage insurance. Currently, he’s on Medicaid due to his income, but my salary puts him over the eligibility limit. Unfortunately, my employer only allows me to add dependents during the enrollment period, which doesn’t open until May.

I have a couple of questions:
1. Will Medicaid allow him to keep his insurance coverage until May?
2. If he maintains his coverage until then, will he have to repay for any procedures or appointments he receives?

Thank you for your patience with my lengthy questions! I appreciate any guidance.

One thought on “Navigating Marriage and Medicaid

  1. Congratulations on your recent marriage! Navigating tax and insurance changes can be complicated, especially when it comes to Medicaid. Here are some insights to help you with your questions:

    1. Will Medicaid allow him to keep insurance coverage until May?
    2. Generally, Medicaid coverage continues until a recipient is officially determined to be ineligible. If your husband’s income surpasses the threshold due to your marriage, he should report this change to his Medicaid office. They will then assess his eligibility based on the new household income. If he is still eligible based on any other factors, he may be able to keep his coverage until the next enrollment period and the official decision is made.

    3. If he keeps it until May, will he have to repay for any procedures/appointments that he gets done?

    4. If your husband is still eligible for Medicaid when he receives services, he typically would not have to repay for those services. However, if he is found ineligible retroactively (for example, due to an income review), he may be responsible for repayment for any services rendered after he is deemed ineligible. It’s essential for him to report his income change promptly to avoid any potential issues.

    Given these complexities, it may be wise to reach out directly to your local Medicaid office for specific guidance based on your situation or consult with a tax professional who can provide tailored advice.

    Best of luck, and I hope this helps clarify your questions!

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