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Expanded Medicaid’s fine print holds surprise: ‘payback’ from estate after death
The Seattle Times ^ | 12-15-13 | Carol Ostrom

Posted on 12/16/2013 7:39:27 AM PST by afraidfortherepublic

As thousands of state residents enroll in Washington’s expanded Medicaid program, many will be surprised at fine print: After you’re dead, your estate can be billed for ordinary health-care expenses. State officials are scrambling to change the rule.

It wasn’t the moonlight, holiday-season euphoria or family pressure that made Sofia Prins and Gary Balhorn, both 62, suddenly decide to get married.

It was the fine print.

As fine print is wont to do, it had buried itself in a long form — Balhorn’s application for free health insurance through the expanded state Medicaid program. As the paperwork lay on the dining-room table in Port Townsend, Prins began reading.

She was shocked: If you’re 55 or over, Medicaid can come back after you’re dead and bill your estate for ordinary health-care expenses.

The way Prins saw it, that meant health insurance via Medicaid is hardly “free” for Washington residents 55 or older. It’s a loan, one whose payback requirements aren’t well advertised. And it penalizes people who, despite having a low income, have managed to keep a home or some savings they hope to pass to heirs, Prins said.

With an estimated 223,000 adults seeking health insurance headed toward Washington’s expanded Medicaid program over the next three years, the state’s estate-recovery rules, which allow collection of nearly all medical expenses, have come under fire.

Medicaid, in keeping with federal policy, has long tapped into estates. But because most low-income adults without disabilities could not qualify for typical medical coverage through Medicaid, recovery primarily involved expenses for nursing homes and other long-term care.

(Excerpt) Read more at seattletimes.com ...


TOPICS: Business/Economy; Government; News/Current Events; US: Washington
KEYWORDS: aca; biggovernment; estates; exchanges; healthcare; marriage; medicaid; medicaidestates; medicaidexpansion; medicaidloan; obamacare; subsidy
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1 posted on 12/16/2013 7:39:27 AM PST by afraidfortherepublic
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To: afraidfortherepublic

This stipulation/rule/whatever you want to call it is NOT a byproduct of Expanded Medicare. It has been there for decades IIRC.

People think when you get ‘benefits’ from the government that means you are free and clear. No way. You have to pay what you should, if you have the resources. Read the fine print.


2 posted on 12/16/2013 7:42:13 AM PST by Gaffer
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To: afraidfortherepublic

They have something in the estate and they are on Medicaid?


3 posted on 12/16/2013 7:43:02 AM PST by AppyPappy (Obama: What did I not know and when did I not know it?)
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To: Gaffer

Medicare should be Medicaid.


4 posted on 12/16/2013 7:43:09 AM PST by Gaffer
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To: afraidfortherepublic
The difference between government and extortion rackets is twofold:

1.) Extortion rackets aren't backed by the force of law.
2.) Ordinary extortionists normally don't try to steal everything.

5 posted on 12/16/2013 7:44:32 AM PST by Standing Wolf (No tyrant should ever be allowed to die of natural causes.)
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To: AppyPappy

It astounds me that when a sick elderly person is thrown into Medicaid at the mercy of the rest of our taxes, that dependents expect that person should be able to keep, and more importantly will over the assets to the children.

The ride is free, but you can’t keep what you squirreled away unless you do it 3 years before.


6 posted on 12/16/2013 7:45:12 AM PST by Gaffer
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To: afraidfortherepublic
I'm not so sure this is a bad thing. Yes, it's harsh ... but I don't see a problem with forcing people to tap their own net worth to pay their medical bills if they are uninsured. That's what the rest of us have to do, isn't it?

This approach actually does people a favor by allowing them to defer payment until after they die.

7 posted on 12/16/2013 7:45:17 AM PST by Alberta's Child ("I've never seen such a conclave of minstrels in my life.")
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To: Alberta's Child

I agree. Most of the ‘heirs’ are thinking only of having one’s cake and eating it too. Without the cost of having to take care of their parents.


8 posted on 12/16/2013 7:46:45 AM PST by Gaffer
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To: Gaffer

I didn’t think you could keep anything. When the assets dwindle to nothing, Medicaid begins. Medicaid is triggered by everything running out.


9 posted on 12/16/2013 7:47:33 AM PST by AppyPappy (Obama: What did I not know and when did I not know it?)
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To: Standing Wolf

So, requiring that folks with the means to pay for their own medical care actually do pay for their own medical care is extortion?


10 posted on 12/16/2013 7:48:27 AM PST by Mr. Lucky
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To: AppyPappy

They won’t take a house, or a car, or attach earnings. But when you die, they go after what’s left, ahead of heirs, I believe.


11 posted on 12/16/2013 7:48:51 AM PST by Gaffer
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To: afraidfortherepublic
Payback govt after death? Can you say redistribution of wealth? The Progs hidden agenda----decimates the trans-generational transfer of wealth which the Progs abhor.

GO AHEAD---DISCUSS THIS AROUND THE HOLIDAY TABLE Boobamba's got plans.....secret, nefarious plans for grampa/ma duped into Medicare/Aid. The BOOB can't get 'em to sign up on the flopola healthcare.guv website---so he's throwing hundreds of thousands onto MEDICAID------and all the costs of medical care will be charged back.

How can he do that? By slapping federal and state LIENS against signers' homes, and other assets. NOTE that the Obamacare con artists eliminated the ASSET TEST, (which would have prevented those with assets to even be considered for Medicaid coverage.

So those who now think, "Golly gee, my government loves me, Obama says I qualify for subsidized Medicaid care, I'll be well- taken care of"---have been suckered into a REVERSE ASSET LIQUIDATION FEDERAL MONEY GRAB......And, once in the hands of the Obama Chicago criminal hordes, all that money is untraceable.

======================================================

Obamacare con artists eliminated the ASSET TEST, (which would have prevented those with assets to even be considered for Medicaid coverage). Every person herded onto Medicaid signed away their entire estate to the govt. Heirs get nothing---everything goes to the state to re-coup the expenses incurred under Medicaid. The Obama criminals duped people into a reverse mortgage scheme......

Here's how it works.

The Obama con artists herded seniors WITH ASSETS onto Medicaid---a program specifically structured for the poor.

Herding sickly elderly with assets into Medicaid has ominous consequences intriguing to sap-happy leftists. B/c assets, perhaps a home owned free and clear, securities, annuities, investment property, can be seized to pay for govt treatment.

Thus intergenerational transfers of wealth (a longtime liberal/progressive bugaboo)----are decimated.

12 posted on 12/16/2013 7:49:42 AM PST by Liz
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To: afraidfortherepublic

This is all part of the plan... elimination of private property rights and rights of inheritance are Planks #1 and #3 of the Communist Manifesto.


13 posted on 12/16/2013 7:49:53 AM PST by E. Pluribus Unum (Who knew that one day professional wrestling would be less fake than professional journalism?)
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To: Mr. Lucky

Money does horrible things to children. The scheme, rationalize, cajole and wheedle. That money in their parents’ home, their savings, etc. is THEIRS, and by damn, even if the rest of us have to usher the parents off to death on our nickel, they by damn better get theirs.


14 posted on 12/16/2013 7:50:31 AM PST by Gaffer
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To: Gaffer

Most of the Obama supporters don’t worry about this because there typically isn’t anything to take.


15 posted on 12/16/2013 7:51:15 AM PST by nascarnation (Wish everyone see a "Gay Kwanzaa")
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To: E. Pluribus Unum

It is not elimination of private property. It is compensating the public for a debt incurred. Geez.


16 posted on 12/16/2013 7:51:20 AM PST by Gaffer
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To: nascarnation

That is true. But in ANY case wrt Medicaid, I believe the cost of managing one’s death at taxpayer expense should be repaid.


17 posted on 12/16/2013 7:52:24 AM PST by Gaffer
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To: Liz
Thus intergenerational transfers of wealth (a longtime liberal/progressive bugaboo)----are decimated.

A federal deficit in excess of $20T is not an intergenerational transfer of wealth?

18 posted on 12/16/2013 7:53:21 AM PST by Steely Tom (If the Constitution can be a living document, I guess a corporation can be a person.)
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To: Gaffer

Yes, Medicaid is a welfare program, for the poor. If you’re not poor, but rather hiding assets and taking the benefits, and then your estate turns out to have money in it after all, the government claws that back.

Those are the rules of the game, hardly fine print and absolutely not new. If you depend on the government’s benefits, you play by the government’s rules.


19 posted on 12/16/2013 7:54:31 AM PST by babble-on
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I’ve been shouting this on this and other forums for months now.

Medicaid is a reverse mortgage on steroids and crack.


20 posted on 12/16/2013 7:54:38 AM PST by USCG SimTech (Honored to serve since '71)
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