Medicare Blog

what are rules on medicare in indiana for heathy spouse

by Dr. Ella Goodwin III Published 2 years ago Updated 1 year ago

Enroll in Medicare Part A when you turn 65 (remember: it is usually free!). When you, or your spouse retires, or your active employment health insurance ends, you have eight months to enroll in Medicare Part B without any penalty. Note: Health plans offered as a retiree benefit are not considered active employment group health plans.

Full Answer

What are the eligibility requirements for long-term care Medicaid in Indiana?

However, the focus here will be specifically on long-term care Medicaid eligibility for senior Indiana residents (65 years of age and over). With long-term care, services may be provided in a variety of settings, including one’s home, the home of a relative, an adult foster care home, a nursing home, or an assisted living facility.

Who is eligible for the Healthy Indiana Plan?

Generally, adults who are not disabled or institutionalized will be served through the Healthy Indiana Plan. Individuals must be age 19 or older. Having Medicare or private insurance may affect eligibility. Family size is based on the tax household.

Does Indiana Medicaid pay for nursing home care?

Phrased differently, if an Indiana resident is medically and financially eligible for nursing home care, then the Indiana Medicaid program is required by law to pay for it. Waiting lists cannot exist.

How can I get Medicare Part A for my spouse?

You may want to call Medicare (contact information below) and your spouse’s insurance company for details. Generally, you qualify for premium-free Part A when you’ve worked at least 10 years (40 quarters) paying Medicare taxes.

What is the income limit for the Healthy Indiana Plan?

Healthy Indiana Plan Income RequirementsHousehold SizeMaximum Monthly Income1$1,064$1,4862$1,437$2,0073$1,810$2,5294$2,184$3,0506 more rows

What is spousal protection?

What are the “Spousal Impoverishment Protections”? The spousal impoverishment protections are Medi-Cal rules designed to prevent the impoverishment of. one spouse, when the other spouse enrolls in Medi-Cal payment for nursing home care, or “Home and. Community Based Services.”

How do I protect my assets from Medicaid in Indiana?

The key, therefore, to protecting your assets and ensuring that you qualify for Medicaid is to include Medicaid planning in your comprehensive estate plan long before you find yourself in need of help paying your LTC bill.

Who is eligible for Medicaid Indiana?

The Healthy Indiana Plan is a health insurance program for adults ages 19 through 64 who are not disabled. The Healthy Indiana Plan uses a proven, consumer-driven approach that requires you to make a minimal monthly contribution to your coverage based...

What happens to my house if my husband goes into care?

A: As long as you are living in the marital home no-one will make you sell it and the property value will not be taken into account in determining how much, if anything, your husband must contribute to his care costs. The same applies to an unmarried couple.

What happens to my husband's pension if he goes into a nursing home?

If you move into permanent residential or nursing care and you have a partner still living at home, you can choose to pass on half your private pension to them. This then means that 50 per cent of your private pension will be disregarded from the Financial Assessment.

Can Medicaid Take your home in Indiana?

Yes. A Medicaid recipient's house and real estate may be subject to estate recovery.

How can I hide money from Medicaid?

5 Ways To Protect Your Money from MedicaidAsset protection trust. Asset protection trusts are set up to protect your wealth. ... Income trusts. When you apply for Medicaid, there is a strict limit on your income. ... Promissory notes and private annuities. ... Caregiver Agreement. ... Spousal transfers.

What is the Medicaid look back period in Indiana?

Indiana has a 5-year Medicaid Look-Back Period that immediately precedes one's Medicaid application date. During this period, Medicaid checks all past asset transfers to ensure no assets were sold or given away under fair market value.

Is Healthy Indiana Plan Medicaid?

The Healthy Indiana Plan (HIP) is the name of the State of Indiana's health insurance program. It is one of the Medicaid programs available to Indiana residents between 19 and 64 years old that are eligible.

What are Medicaid requirements?

Who Is Eligible for Medicaid?children through age 18 in families with income below 138 percent of the federal poverty line ($29,974 for a family of three in 2020);people who are pregnant and have income below 138 percent of the poverty line;certain parents or caretakers with very low income; and.More items...•

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. For example, in 2022 it is $13,590 for a single adult person, $27,750 for a family of four and $46,630 for a family of eight.

How long does Medicaid last in Indiana?

It’s important to be aware that Indiana has a 5-year Medicaid Look-Back Period. This is a period in which Medicaid checks to see if any assets were sold, gifted, or transferred during the 60 months immediately preceding one’s Medicaid application date.

What is Medicaid in Indiana?

Medicaid is a wide-ranging, jointly funded state and federal program that provides low-income individuals of all ages health care coverage. However, the focus here will be specifically on long-term care Medicaid eligibility for senior Indiana residents (65 years of age and over). With long-term care, services may be provided in a variety ...

What is CSRA in Medicaid?

This, in Medicaid speak, is called the Community Spouse Resource Allowance (CSRA). As with the spousal income allowance, this asset allowance does not extend to non-applicant spouses whose spouses are regular Medicaid applicants. It’s important to be aware that Indiana has a 5-year Medicaid Look-Back Period.

How much can a spouse retain for nursing home?

For married couples with one spouse applying for nursing home Medicaid or a HCBS Medicaid waiver, in 2021, the community spouse (the non-applicant spouse) can retain half of the couples’ joint assets, up to a maximum of $130,380, as the chart indicates above.

How much is the shelter cost for a non-medical spouse in 2021?

As of January 2021 through December 2021, this figure is $3,260.00 / month. This spousal impoverishment rule is not relevant for non-applicant spouses of regular Medicaid applicants.

What income is counted for Medicaid?

Examples include employment wages, alimony payments, pension payments, Social Security Disability Income, Social Security Income, IRA withdrawals, and stock dividends.

Is Medicaid for Indiana seniors?

There are several different Medicaid long-term care programs for which Indiana seniors may be eligible. These programs have slightly different eligibility requirements, such as functional ability and income and asset limits, as well as varying benefits. Further complicating eligibility are the facts that the criteria vary with marital status ...

How old do you have to be to get Medicare?

In a case such as this, you must be at least 62 years old.

How long do you have to work to qualify for Medicare?

In the United States, as soon as you turn 65 you are eligible for Medicare benefits if you are citizen or have been a legal resident for five years or more and have worked for at least 40 quarters (10 years) paying federal taxes.

Can you get Medicare at different ages?

If you and your spouse are different ages, you will likely become eligible at different times. Primary Medicare recipients and their non-insured spouses are entitled to the same benefits under Medicare if both have reached the age of 65.

Do you have to enroll in Medicare Part B or D?

If you wish to sign up for Medicare Part B (Medical Insurance), and/or Part D (prescription drug insurance), you must enroll separately during your initial enrollment period, Open Enrollment or during Special Enrollment Period to avoid paying late enrollment penalties.

When can a spouse receive Medicare?

Now let’s look at when your spouse is older than you and your spouse didn’t meet the 40 quarters requirement, but you do. When you turn age 62 and your spouse is age 65, your spouse can usually receive premium-free Medicare benefits.

How long do you have to be married to qualify for Medicare?

You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits.

How to apply for Medicare Part A?

To qualify for Medicare Part A benefits at age 65 based on your spouse’s work history, you must meet one of the following requirements: 1 You have been married to your spouse who qualifies for Social Security benefits for at least 1 year before applying for Social Security benefits. 2 You are divorced, but were married to a spouse for at least 10 years who qualifies for Social Security benefits. You must now be single to apply for Medicare benefits. 3 You are widowed, but were married for at least 9 months before your spouse died, and they qualified for Social Security benefits. You must now be single.

How long does it take to get Medicare if you don't work?

Medicare is a benefit for individuals who worked and paid Social Security taxes for at least 40 quarters of work, which is roughly about 10 years. If a person’s spouse didn’t work, they may still qualify for Medicare Part A based on their spouse’s work history when they turn age 65.

What is the number to call for Medicare?

If you have further questions about Medicare benefits, you can call the Social Security Administration (SSA) at 800-772-1213 or visit your local SSA office for more information. Read this article in Spanish.

What is Medicare Advantage?

One of these options is Medicare Advantage (Part C), which bundles both Part A and Part B together and offers additional coverage and benefits. If extra coverage, like dental, vision, or hearing care, is important to maintaining your individual health, give some thought to whether original Medicare or Medicare Advantage will work best for you.

Does Healthline Media offer insurance?

Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance. Last medically reviewed on December 20, 2019.

How old do you have to be to get Medicare?

If your spouse is at least 62 years old, and has worked at least 10 years paying Medicare taxes, you can enroll in Medicare when you turn 65, including premium-free Part A. If your spouse is younger than 62 when you turn 65, you won’t qualify for premium-free Part A until your spouse turns 62 ...

How long do you have to work to get Medicare?

Generally, you qualify for premium-free Part A when you’ve worked at least 10 years (40 quarters) paying Medicare taxes. Beneficiaries typically pay a Part B premium.

Do you have to pay Medicare premiums if you haven't worked?

Beneficiaries typically pay a Part B premium. If you haven’t worked and paid taxes for that long, you may have to pay a monthly premium for Medicare Part A, depending on your spouse’s age and how long he or she has worked and paid taxes. If you’re married and haven’t worked in a paying job:

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