Individuals are eligible for the Healthy Michigan Plan if they:
- Are age 19-64 years
- Have income at or below 133% of the federal poverty level* ($16,000 for a single person or $33,000 for a family of four)
- Do not qualify for or are not enrolled in Medicare
- Do not qualify for or are not enrolled in other Medicaid programs
- Are not pregnant at the time of application
- Are residents of the State of Michigan
- You are 65 or older.
- You have been on Social Security Disability Insurance (SSDI) for two years.
- You have end-stage renal disease (ESRD) or Lou Gehrig's disease.
What kind of Medicare do you get in Michigan?
About Medicare in Michigan. Medicare beneficiaries in Michigan may enroll in Original Medicare, Part A and Part B, and then enhance that coverage with a stand-alone Medicare Prescription Drug Plan and/or a Medicare Supplement (Medigap) plan. They may also decide to receive all of their benefits through a Medicare Advantage plan.
Who determines Medicaid eligibility in Michigan?
Eligibility for Medicaid in Michigan is determined by the Michigan Department of Human Services. The American Council on Aging now offers a free, quick and easy Medicaid eligibility test for seniors.
Are you eligible for Medicaid long-term care in Michigan?
The American Council on Aging now offers a free, quick and easy Medicaid eligibility test for seniors. There are several different Medicaid long-term care programs for which Michigan seniors may be eligible. These programs have slightly different eligibility requirements and benefits.
What are the eligibility requirements for Medicare?
To qualify for Medicare, you must be either a United States citizen or a legal permanent resident of at least five continuous years.
What is the income limit for Medicare in Michigan?
Income limits: The income limit is $2,349 a month if single and $4,698 a month if married (and both spouses are applying).
What are the 3 requirements for a member to be eligible for a Medicare?
You're 65 or older.You are a U.S. citizen or a permanent legal resident who has lived in the United States for at least five years and.You are receiving Social Security or railroad retirement benefits or have worked long enough to be eligible for those benefits but are not yet collecting them.More items...•
What is the maximum income to qualify for Medicaid in Michigan?
View coronavirus (COVID-19) resources on Benefits.gov....Who is eligible for Michigan Medicaid Health Care Program?Household Size*Maximum Income Level (Per Year)1$18,0752$24,3533$30,6304$36,9084 more rows
Is everyone entitled to Medicare?
Generally, Medicare is available for people age 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has two parts, Part A (Hospital Insurance) and Part B (Medicare Insurance).
What documents do I need to apply for Medicare?
What documents do I need to enroll in Medicare?your Social Security number.your date and place of birth.your citizenship status.the name and Social Security number of your current spouse and any former spouses.the date and place of any marriages or divorces you've had.More items...
Who qualifies for Michigan Medicaid?
See if you qualify for the Healthy Michigan Plan. Individuals are eligible for the Healthy Michigan Plan if they: Are age 19-64 years. Have income at or below 133% of the federal poverty level* ($16,000 for a single person or $33,000 for a family of four) Do not qualify for or are not enrolled in Medicare.
What is considered low-income in Michigan?
low-income household: income of 80% AMI ($50,240) or less. very low-income household: income of 50% AMI ($31,400) or less. extremely low-income household: income of 30% AMI ($18,840) or less.
Is there an asset limit for Healthy Michigan Plan?
To learn more about these categories, read An Overview of Medicaid or visit “Health Care Programs Eligibility” on the Michigan Department of Health and Human Services (MDHHS) website. HMP has income limits, but no asset limits.
About Medicare in Michigan
Medicare beneficiaries in Michigan may enroll in Original Medicare, Part A and Part B, and then enhance that coverage with a stand-alone Medicare P...
Types of Medicare Coverage in Michigan
Original Medicare, Part A and Part B, is health care offered and administered by the federal government. This type of Medicare coverage is availabl...
Local Resources For Medicare in Michigan
Medicare Savings Programs in Michigan: If you receive Medicare benefits and have a low income and limited assets, then you may qualify for a Medica...
How to Apply For Medicare in Michigan
To qualify for Medicare, you must be either a United States citizen or a legal permanent resident of at least five continuous years.Those who recei...
Who determines Medicaid eligibility in Michigan?
Eligibility for Medicaid in Michigan is determined by the Michigan Department of Human Services. The American Council on Aging now offers a free, quick and easy Medicaid eligibility test for seniors.
What is Medicaid in Michigan?
Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income families and individuals of all ages.
What is institutional Medicaid?
1) Institutional / Nursing Home Medicaid – is an entitlement (anyone who is eligible will receive assistance) & is provided only in nursing homes. 2) Medicaid Waivers / Home and Community Based Services – Limited number of participants, which means there may be a waitlist for benefits.
How much can a non-applicant spouse keep in 2021?
In 2021, the community spouse (the non-applicant spouse) can retain up to half of the couple’s joint assets, up to a maximum of $130,380, as the chart indicates above. However, if the couple has more limited assets, the non-applicant spouse is able to keep 100% of the couple’s assets, up to $26,076.
How much is the maintenance allowance for 2021?
From July 2021 – June 2022, this figure is $2,177.50 / month. For non-applicant spouses that have shelter costs that are significant, there is also a maximum monthly maintenance needs allowance, which allows non-applicant spouses to receive income up to $3,259.50 / month.
Can you transfer Medicaid to a non-applicant spouse?
This rule, known as a spousal impoverishment rule, allows the Medicaid applicant to transfer income to the non-app licant spouse to ensure he or she has sufficient funds with which to live. That said, this rule is not applicable for all pathways to Medicaid eligibility.
Is Medicaid important in Michigan?
When applying for Medicaid in Michigan, it is extremely important that seniors are certain that they meet all of the eligibility criteria, as discussed in detail above. If one has income and / or assets over the limit (s), or are unclear as to whether the requirements are met, Medicaid planning becomes crucial.
What is Michigan medicaid?
Michigan Medicaid. Having medical insurance is something that every family, as well as every individual person, needs in order to maintain a healthy lifestyle. Medicaid is a program that helps these individuals get the coverage that they need. The qualifications needed for the program are strict and there are a set amount ...
What is Medicaid program?
Medicaid is a program that helps these individuals get the coverage that they need. The qualifications needed for the program are strict and there are a set amount of guidelines that must be followed in order to participate in the program.
Do you have to verify your citizenship to get medicaid?
Certain programs will also need you to verify your citizenship as well. If your family makes more than the amount needed to be eligible for Medicaid, you may still get the program but with a spend down amount that must be met, which is a certain amount of money that must be paid out-of-pocket every month.
How to contact Medicare in Michigan?
Free volunteer Medicare counseling is available by contacting the Michigan Medicare/Medicaid Assistance Program (MMAP) at 1-800-803-7174. The MMAP can help beneficiaries enroll in Medicare, compare and change Medicare Advantage and Part D plans, and answer questions about state Medigap protections.
What is the income limit for Medicare in Michigan?
Qualified Medicare Beneficiary (QMB): The income limit is $1,063 ...
How much does HCBS cover in Michigan?
Michigan limits income for HCBS coverage to $2,349 a month if single and $4,698 a month if married (and both spouses are applying). Spousal impoverishment rules allow spouses who don’t have Medicaid themselves to keep an allowance that is between $2,155 and $3,216 per month.
What is the Medicare Savings Program in Michigan?
A Medicare Savings Program (MSP) can help eligible Michigan Medicare beneficiaries pay for premiums and cost-sharing. Applicants in Michigan can qualify for Medicaid ABD if their income is less than $1,063 a month if single or $1,437 a month if married in Michigan. In Michigan, applicants with incomes too high to qualify for Medicaid ABD can enroll ...
How much home equity do you need for Medicaid in Michigan?
Michigan requires applicants seeking Medicaid LTSS to have no more than $595,000 in home equity. Applicants for nursing home care or HCBS cannot transfer or give away assets for less than their value without incurring a penalty period in Michigan.
How much do you have to pay for nursing home insurance?
Enrollees must pay nearly all their income each month to their nursing home, other than a small personal needs allowance ( of $60 a month) and money to pay for health insurance premiums (such as Medicare Part B and Medigap).
How much can a spouse keep on Medicaid?
If only one spouse needs Medicaid, the other spouse can keep up to $128,640. Certain assets are never counted, including many household effects, family heirlooms, certain prepaid burial arrangements, and one car. In Michigan, applicants for Medicaid nursing home benefits can’t have more than $595,000 in home equity.
Scope
Healthcare
Participants
- 2) Medicaid Waivers / Home and Community Based Services Limited number of participants, which means there may be a waitlist for benefits. Provided at home, adult day care, adult foster care, or in assisted living.
Components
- Countable assets include cash, stocks, bonds, investments, credit union, savings, and checking accounts, and real estate in which one does not reside. However, for Medicaid eligibility, there are many assets that are considered exempt (non-countable). Exemptions include personal belongings, household furnishings, an automobile, irrevocable burial trusts, and ones primary ho…
Safety
- Its important that one does not give away assets or sell them under fair market value in order to reach the Medicaid asset limit. In Michigan, doing so puts one in violation of Medicaids 5-Year Look-Back Period, resulting in a period of Medicaid disqualification.
Qualification
- For Michigan residents who are 65 years of age and over who do not meet the eligibility requirements in the table above, there are other ways to qualify for Medicaid.
Example
- Unfortunately, Michigans Medicaid Spend-down program does not provide assistance in spending down extra assets for Medicaid qualification. Therefore, if income requirements are met for eligibility purposes, but not the asset requirement, the Medically Needy Pathway cannot assist one in spending down extra assets. However, there is a way in which one can spend down excess as…
Issues
- 2) Medicaid Planning the majority of persons considering Medicaid are over-income or over-asset or both, but still cannot afford their cost of care. For persons in this situation, Medicaid planning exists. By working with a Medicaid planning professional, families can employ a variety of strategies to help them become Medicaid eligible. Read more or connect with a Medicaid planner.
Programs
- Nursing home care is an entitlement covered by the Michigan Medicaid / Medical Assistance program. For all state residents that meet the financial and functional requirements, the state will pay for their care regardless of their length of residency in Michigan. In addition, Michigan offers several other Medicaid funded programs that provide for care outside of nursing homes. These i…
Health
- 2. MI Health Link a managed care program for persons who are dually eligible for Medicaid and Medicare, a variety of supportive services are available to promote independent living. Benefits may include personal care assistance, meal delivery, chore services, and personal emergency response systems. This is not a statewide program.