Medicaid Redetermination - Are You Losing Coverage?
After three years, the federal public health emergency funds are ending meaning states can resume removal of ineligible Medicaid enrollees. The process, called "Medicaid Redetermination", can be scary for people unaware of the situation when they receive a letter saying their coverage will be ending soon. The good news is there are still options to enroll in a different plan without suffering a lapse or gap in coverage.
Missouri's Social Services Leadership expects that nearly 200,000 individuals will be removed from Medicaid plans from April 1, 2023 to March 31, 2024. Many want to know the likelihood they will receive one of these letters so they can prepare. Eligibility can be complicated to understand and can be different for family members in the same household based on age and other factors such as pregnancy or recent childbirth. In general, a person or family is eligible if their income is less than 150% (or 1.5 times) the Federal Poverty Level (see chart below).
Options for those who no longer qualify for Medicaid include Healthcare Marketplace plans. These plans are still government-sponsored through insurance carriers but have a different set of rules and enrollment processes. And don't be scared about widely increasing costs - during the Special Enrollment Period for people affected by Redetermination, you are still eligible for subsidies to reduce your premium and health costs as long as your income is less than 400% (or 4 times) the FPL.
To find out what your premium is likely to be, you can use our easy-to-use Health Sherpa Tool or you can schedule a call with us!