Expert Q & A: Medicaid gap
Written by Katie Carpenter
Dec 6, 2013 4:29 PM
Q: Pamela Parson asks:
"There are some people who will not be covered because Governor Corbett has chosen NOT to expand Medicaid. I am one of those people. So what do I do now?
I was able to get on the site in the first few weeks and completed the process. My eligibility letter states that I do not qualify for Medicaid or subsidy or the marketplace. I have the eligibility letter to prove it. The letter also states I'll be exempt from tax penalties. So what do I do now? The cheapest bronze plan is too expensive for me."
A: Pamela you are caught in the gap between where the subsidies start under the Affordable Care Act (ACA) and where the limits for Medicaid were before the ACA. This is the perfect storm that was caused by the US Supreme Court’s decision that vacated the part of the ACA that would have forced states to increase the Medicaid eligibility.
Unfortunately, there are no good answers for you. However, there is a light at the end of the tunnel (and it isn’t an oncoming train).
The Governor has proposed an expansion of Medicaid in PA that is different from what other states are doing, but none-the-less would increase the income limits for Medicaid to roughly $16,000 for an individual or $32,000 for a family of four. Hopefully, this will be approved by the Federal Government, and you will become eligible for Medicaid.
John DeLorenzo, director for Legal Services, PinnacleHealth