Washtenaw Health Plan Services for Immigrants

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Here at the WHP we provide confidential services to all people regardless of their immigration status.  We assist individuals and families with any health coverage needs, from identifying eligibility to completing applications.  We help people figure out if they are eligible for Medicaid, MOMS, Emergency Medicaid, Washtenaw Health Plan, or the Marketplace (subsidized insurance under the Affordable Care Act).  WHP even assists individuals whom need help understanding their employer’s insurance options.

To ensure that all individuals and families have access to services and resources at WHP, we have Arabic, French, and Spanish speakers on staff.  In addition, we have access to a language line that provides real-time interpretation services for anyone who prefers to receive information in their native language.  Our language line services assist us in helping families in understanding documents, and gives families the confidence to ask the questions they need answered. The language line can assist with over 240 different languages.

WHP staff (and Public Health staff) have access to interpreter services for Acholi to Zyphe from Language Line Solutions.  

WHP staff (and Public Health staff) have access to interpreter services for Acholi to Zyphe from Language Line Solutions.  

In addition to helping individuals and families identifying what health coverage they are eligible for, WHP can provide families with referrals and resources to address additional needs that go beyond health. We refer families to agencies throughout Washtenaw County. Some of our referrals include: Catholic Social ServicesJewish Family Services and Hope Clinic.

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With the current immigration climate, we are aware that many individuals and families need the necessary resources to feel safe in their community. WHP provides families with Know Your Rights information, including updated lists of attorneys helping community members with immigration questions and community organizations that advocate for immigrants such as the Washtenaw County ID Project and Washtenaw Interfaith Coalition for Immigrant Rights (WICIR).  WHP can now notarize Power of Attorney forms and translate foreign driver’s licenses.

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In May 2017, the Washtenaw County Board of Commissioners approved funding and resolutions to aid immigrants regardless of citizenship or immigration status. One of the resolutions includes Washtenaw County being a welcoming community, respecting and cooperating with all families.  Another resolution specifies that Washtenaw County policy is to only ask about immigration services for specific purposes, allowing people to feel safe when interacting with the county government. Lastly, having a policy in place to aid in restricting deportation and provide more appropriate immigration sanctions for immigrants and non-citizens who have been convicted of crimes.  As Washtenaw County employees, we support these resolutions everyday in our work. 

The Washtenaw Health Plan is dedicated to helping people access and receive healthcare regardless of their immigration status.  All WHP staff recently attended the Welcome Michigan Statewide Convening to discuss supporting and welcoming immigrants across Michigan. 

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-T. South Peterson

Have questions about healthcare?  Call 734-544-3030 or walk-in to our office Monday - Friday from 9am-4pm.  Post a question in the comments section below and we will answer you. 

Healthcare Counts blog posts in Español / Spanish are here.

Information about immigration and healthcare from Healthcare Counts is here.

Washtenaw County Immigration Policy May 2017

Michigan Immigrant Rights Center

National Immigration Law Center

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Fight Repeal and Replace (Graham-Cassidy-Heller)! Support CHIP (Children's Health Insurance Program)!

Never let your guard down!  An effort to Repeal and Replace [the Affordable Care Act] has reared its ugly head again, threatening to take away healthcare from millions by ending Medicaid expansion (the Healthy Michigan Plan); raising costs for everyone; eliminating protections for pre-existing conditions; cutting coverage for low income seniors, children and the disabled; and attacking women's health and family planning.  

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The Congressional Budget Office (CBO) will not have time to fully score this bill before September 30th, 2017, and so there are not as many details about the costs and implications of this bill as there would be otherwise. However, the CBO has rated similar bills, and under those bills, 15 million people would lose Medicaid alone, and 32 million people might lose insurance. The Graham-Cassidy-Heller bill also privileges rural states over urban/suburban states, and Michigan is a clear loser. Large cuts to funding begin in 2020 but accelerate over time. Follow this twitter thread for a lot of details.

Under this bill, there would be huge premium increases for people with pre-existing conditions

Compare the bill to the ACA using the Kaiser Family Foundation comparisons web site.

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But What About MIChild?

The Children's Health Insurance Program (CHIP), which provides coverage to children who do not qualify for Medicaid but whose families cannot otherwise afford health insurance, is also under attack.  In Michigan, CHIP is the MIChild program. CHIP funding is set to expire on September 30, 2017. Although there is, in principle, bipartisan agreement on extending the CHIP program, including MIChild, this agreement is being set aside while the Senate focuses on the Graham-Cassidy-Heller bill.

This piece from the Georgetown Center for Children and Families does a good job explaining the conflict between the two efforts. As Kelly Whitener writes,

For example, it would not be possible to have a good faith negotiation on extending CHIP funding (which covers 9 million children) while there is a live debate on gutting Medicaid (which covers 37 million children). This is not simply a matter of Congress learning to multi-task – you simply cannot work toward two totally different goals simultaneously.

Without CHIP renewal, MIChild will end when the state's reserve runs out (likely, early spring of 2018). This puts the health of over 40,000 of Michigan's children at risk. 

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Building Immigrant Friendly Communities: Welcoming Michigan and Welcoming America Celebrate Welcoming Week

September 15-24, 2017

Welcoming Week began in Michigan with a Welcome Michigan Statewide Convening on Friday, September 15, 2017 at Washtenaw Community College in Ypsilanti, MI.  Participants from all over the state came together to continue work making Michigan a welcoming state for all immigrants.  Highlights include the keynote speaker, Tracy Keza, discussing her photographic work, Hijabs and Hoodies, and workshops addressing legal issues, responding to bias and hate crimes, advocacy and community engagement.  

Washtenaw County government, as well as the cities of Ann Arbor and Ypsilanti, are committed to being welcoming to immigrants. Recently the Washtenaw County commissioners have committed funding and resources to supporting immigrants. Read more here.The City of Ann Arbor and Washtenaw County join other Michigan municipal governments that have signed on as a “welcoming city,” including Detroit, Lansing, Kalamazoo and Macomb County.       

Agencies and community organizations across Michigan have many events planned as part of Welcoming Week.  Here are some highlights:

Michigan-wide events

Local events:

Welcoming Week events hosted throughout Washtenaw County (September 15-24):

  • Fri., 9/15: Welcoming Michigan Symposium showcasing municipal initiatives across Michigan, Washtenaw Community College, Morris Lawrence Building (8:30am-4pm)
  • Sat., 9/16: International Dance Day, Riverside Park, Ypsilanti
  • Sun., 9/17: Many Faiths One Voice: Prayers for Unity, West Park Band Shell, Ann Arbor 
  • Sun., 9/17: Community Resource Fair, Ann Arbor YMCA
  • Fri. & Sat. 9/22 & 9/23: Futsal Tournament, Ann Arbor YMCA. Futsai is an informal five-on-five soccer game bringing together people of different ethnic, racial, and national origins. 
  • Sun., 9/24: International Family Festival and Potluck Celebration, Pinckney 

Follow Welcoming Michigan on twitter and facebook to find out more about what's happening in our state.   

Welcoming Michigan is part of Welcoming America, which leads a movement of inclusive communities becoming more prosperous by making everyone feel like they belong. Welcoming America believe that all people, including immigrants, are valued contributors who are vital to the success of our communities and shared future.  

See our Immigrant Info page to read more about immigrants and healthcare.  

Organizations and Resources 

The Michigan Immigrant Rights Center has lots of resources and information. If you or someone you know needs help with an immigration issue, they may be able to help you or refer you to someone who can help you. Right now, they have a lot of information about the ending of the DACA program.

The National Immigration Law Center also has many resources and a lot of information on their website.

 

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Medicaid Covers Hearing Aids

Most Medicaid Plans Cover Hearing Aids

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Your hearing is important and you can get hearing exams if you have Medicaid Healthy Michigan Plan,  Healthy Kids, MIChild, or Traditional Medicaid. Some Medicaid plans do not cover people over age 21.   People age 21 and over should check with their individual health plans.  There could also be a small copayment for people 21 years of age or more.

 

What does Medicaid Cover?

  • Medicaid covers both routine and comprehensive hearing exams to diagnose and treat diseases of the ear and also tests to determine the need for hearing aids or alternative listening devices (ALDs).
  • Medicaid covers hearing aids (once every 5 years), fittings, cords, tubing, connectors, oscillators, receivers, and huggies. 
  • Medicaid covers alternative listening devices (ALDs) for people 21 years of age or more (once every 3 years).
  • Medicaid covers Cochlear Implants for all ages.
    • Infants to 23 months of age with a hearing loss of at least 90 db.
    • 2 years and older with a hearing loss of at least 70 db.
  • Medicaid covers delivery, adjustments, and modifications of hearing aids within a 24 month period.  The manufacturer’s warranty must cover a 90 day trial period in which the hearing aid can be exchanged or returned if the user is not satisfied.
  • Medicaid also covers battery and ear mold replacements, maintenance, and repairs.

 

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What to Expect at a Hearing Exam

Your primary care physician will start by asking questions about you and your family's medical history, and hearing problems that you are having.  In most cases your primary care physician will complete the first routine hearing exam and, if necessary, refer you to an otolaryngologist or an otologist. Prior authorizations and medical documentation are required for the coverage of hearing aids. 

A typical hearing test at a specialist's office. 

A typical hearing test at a specialist's office. 

An otolaryngologist is a doctor who specializes in problems of the ears, nose, and throat.  An otologist is a doctor who specializes in problems of the ears, nose, and throat and also in the medical and surgical management of dizziness, hearing loss, and tumors of the ear.  The otolaryngologist or otologist will perform other tests and get medical clearance. For people over 18 years of age the otolaryngologist or the otologist can complete the medical clearance.  The otolaryngologist or otologist then refers you to an audiologist if hearing aids are recommended. 

An audiologist will go over your medical history, perform more tests and prescribe hearing aids, if they are medically necessary. 

 

How to find a hearing care provider

If you or a member of your household are experiencing problems with hearing, contact your Primary Care Physician first.

For a listing of Hearing Care Providers that accept Medicaid please call your individual health plan or by clicking on the web links below and follow the instructions provided.

 

Aetna Better Health Plan

1-866-316-3784 (TTY: 711)

https://www.aetnabetterhealth.com/michigan/find-provider

  • Click on Medicaid, MIChild, Healthy Michigan
  • Enter zip code
  • Click ENT for otolaryngology/otology
  • Click search

 

Blue Cross Complete

1-800-228-8554 (TTY: 711)

http://www.mibluecrosscomplete.com/find-doctor.html

  • For provider type click specialist
  • Enter city and state or county, township
  • Click submit

 

McLaren Health Plan

1-888-327-0671 (TTY: 711)

Traditional/Straight Medicaid http://www.mclarenhealthplan.org/medicaid-member/Find-a-Provider-medicaid.aspx

Medicaid - Healthy Michigan Plan http://www.mclarenhealthplan.org/healthy-michigan-member/Find-a-Provider-medicaid.aspx

  •   Click on specialty type otolaryngology
  •   Click on county add Washtenaw
  •   Enter zip code
  •   Click find

 

Meridian Health Plan

1-888-437-0606 (TTY: 711)

Traditional/Straight Medicaid https://corp.mhplan.com/en/member/michigan/meridianhealthplan/benefits-resources/tools-resources/provider-search/

Medicaid - Healthy Michigan Plan https://corp.mhplan.com/en/member/michigan/healthymichiganplan/benefits-resources/tools-resources/provider-search/

  • Click on more search options
  • Enter zip code
  • Enter results in 10 mile radius
  • Click on specialty type otolaryngology
  • Click search

 

Molina Health Plan

1-888-898-7969 (TTY: 711)

https://providersearch.molinahealthcare.com/Provider/ProviderSearch?

  • For Cover Plan select Medicaid/Healthy MI Plan/MIChild
  • Click search by county
  • Enter state
  • Enter county For coverage type click on Medicaid/Healthy Michigan/MIChild
  • Click on specialist for provider type
  • For the specialty select otolaryngology or pediatric otolaryngology
  • Click search

 

UnitedHealthCare Plan

1-877-892-3995 (TTY: 711)

http://www.americhoice.com/find_doctor/first.jsp?xplan=uhcmi&xtitle=Doctor

  •   Click on specialty type - otolaryngology
  •   Enter Plan Name
  •   Click find doctor

 

No health insurance?

Please click on the link below if you or a member of your household are experiencing problems with hearing and do not have health insurance.  These organizations may be able to provide financial assistance for hearing care and hearing devices.  Check with your local doctor and other agencies that provide assistance in your community. 

Hearing Loss Association of America

http://www.hearingloss.org/content/financial-assistance-programs-foundations

Have a question?  Leave a comment and we will answer you. 

-T. South Peterson

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Why it could be worse (or better) to be sick in some states than others

Where you live could mean the difference between life and death.  

How did Medicaid start? 

Why doesn't the United States have Universal Health Care?  

Who lobbied against socialized medicine when most of the world adopted it?

Why is Medicaid different from one state to the next?

Vox.com made a great video to explain the history of Medicaid and how block grants, expanded Medicaid and legislation have created health care disparities from one state to another.  

What about Michigan? 

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Michigan expanded Medicaid to cover adults under 138% (133% with a 5% disregard) of the poverty level in 2014. In order for Medicaid to be expanded in Michigan, Michigan legislature insisted upon two modifications (aka waivers). The modifications involved cost sharing:  people have to pay small co-pays and premium-type payments for their Medicaid.  (Read more here: Paying for Medicaid: Co-pays and Contributions.)  

Expanded Medicaid or as it is called in Michigan, the Healthy Michigan Plan, has helped millions of people become healthier.  People have gained access to care, boosted the economy, and received mental health and substance use abuse treatment. 

If you are wondering if you are eligible for Medicaid, call 734-544-3030 or walk-in to our offices from 9am-4pm Monday - Friday. We Help People - Like You! 

 

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WHP Profile / Perfil Personal: Spring Quiñones

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Spring Quiñones is a Bilingual Outreach Worker at the Washtenaw Health Plan (WHP). She primarily focuses on doing outreach to the Latino community to help them understand and obtain health care coverage, working to remove barriers and ensure that the Latino population enjoys equal access to health care services.

Spring Quiñones es una trabajadora de alcance bilingüe para el Washtenaw Health Plan (WHP). Ella se enfoca principalmente en ayudar a la comunidad latina para entender, obtener cobertura de salud, y eliminar barreras que les impiden disfrutar de acceso igual a los servicios de salud.

Prior to her start at WHP, Spring worked with Ann Arbor Public Schools as a Teacher’s Assistant for 6 years, working specifically with children with autism—which she absolutely loved. Spring first joined the WHP in 2013 under a federal grant from the Centers for Medicaid and Medicare Services (CMS) to work with immigrant and homeless populations, ensuring they had equitable access to healthcare coverage.  Her primary focus was enrolling children and their families from the Latino Community and collaborating with the Education Project for Homeless Youth (EPHY) to make sure that they had Medicaid, MiChild and or the Marketplace. Spring also brings her skills as a Certified Bilingual Medical Interpreter to help facilitate questions around medical issues.

Antes de trabajar en el WHP, Spring trabajo con las escuelas públicas de Ann Arbor como asistente de profesor por 6 años, específicamente ella trabajo con niños con autismo—lo cual fue algo que disfruto mucho. Spring se unió al WHP en 2013 bajo una beca federal de los Centros de Servicios de Medicaid y Medicare (CMS) para trabajar con inmigrantes y personas sin hogar, asegurándose de que ellos tuvieran acceso equitativo a la cobertura de salud. Su objetivo principal era matricular a los niños y sus familias de la comunidad latina y colaborar con el Proyecto de Educación para Jóvenes Sin Hogar para asegurarse de que ellos tuvieran Medicaid, MiChild, o el Mercado de Seguro. Spring también trae sus habilidades como una Intérprete Médica Bilingüe Acreditada para ayudar a facilitar preguntas sobre temas médicos.

Spring’s compassionate nature and dedication to her work is contagious. She goes above and beyond to make sure her clients feel listened to, and her involvement in helping the Latino community does not stop with her work at WHP.

Spring es una persona muy compasiva y dedicada, su pasión por su trabajo es contagiosa. Ella va más allá para asegurarse de que sus clientes se sientan escuchados, y su participación en ayudar a la comunidad latina no termina con su trabajo en WHP.

Spring and Frania at an outreach event for families providing information about healthcare.

Spring and Frania at an outreach event for families providing information about healthcare.

Spring is also involved with the Washtenaw County Spanish Healthcare Outreach Collaborative (SHOC), where she helps facilitate meetings with organizations to discuss issues affecting the Latino community.  This collaboration is a valuable resource for information and network building that helps to eliminate barriers facing the Latino community. Spring emphasizes the importance of practicing cultural humility when engaging and educating the Latino community about issues surrounding health care, recognizing that things such as immigration, language, and culture can have a significant impact on health care delivery and access to health care services. 

Spring también está involucrada con el Spanish Healthcare Outreach Collaborative (SHOC), donde ayuda a facilitar reuniones con organizaciones para discutir cosas que afectan a la comunidad latina. Esta colaboración es un recurso valioso para informar ycrear redes sociales que ayudan eliminar los obstáculos que enfrenta la comunidad latina. Spring enfatiza la importancia de practicar la humildad cultural al participar y educar la comunidad latina sobre asuntos relacionados con la salud, reconociendo que elementos como la inmigración, el lenguaje, y la  cultura pueden tener un impacto significativo en la entrega y acceso a los servicios de salud.

Milo curls up and his markings form a heart.  

Spring has two children, an 18 year old daughter, and a 19 year old son, and a dog named Milo. She is originally from Colombia and previously lived in New York, and has now lived in Ann Arbor for the past 11 years.

Spring tiene dos hijos, una hija de 18 años, un hijo de 19 años, y una mascota llamado Milo. Ella es originalmente de Colombia, vivió previamente en Nueva York, y ha vivido en Ann Arbor por los últimos 11 años.

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What Are Cost Sharing Reductions And Why Do They Matter?

Under the Affordable Care Act, there are subsidies for insurance. Both parts of the subsidies--the Advance Premium Tax Credits (APTCs) and the Cost Sharing Reductions (CSRs)--are part of the law. To cover those costs, the government pays the insurance companies that participate in the Marketplace for these subsidies. President Trump has proposed just not paying the CSRs, BUT--as Vox explains--

If CSR payments were not paid, insurers would still be required to reduce cost sharing, but they would now have to do it without the government’s help. They would have to raise premiums dramatically to make up the lost revenue. The irony is that if plans do raise premiums, the federal government would be on the hook for much of those costs. The government absorbs premium increases through the tax credits that help people afford coverage. The law is designed to keep premiums manageable for people, so it falls on the government to cover any excess increases.

Some Background: Two Parts Make The Subsidies Work

There are two parts to the subsidies that people who get health insurance through the exchanges may receive.

Part 1--which most people are familiar with--is called the Advance Premium Tax Credits (APTCs). They assist people who are up to 400% of the poverty level ($98,400 for a family of 4), to help afford monthly premiums.

Part 2--which most people are not familiar with--are Cost-Sharing Reductions (CSRs). These support families whose income is between 138% of the poverty level (Medicaid cut-off) and 250% of the poverty level ($61,500 for a family of 4), by reducing what they would pay for co-pays, co-insurance, and deductibles.

 

For Consumers, Cost-Sharing Seems Like Magic

For households that qualify, cost-sharing applies to silver plans (only), and transforms them into something better--often much, much better. 

The truth is, if not for the CSRs, low-income families might be able to afford the premiums, but visits to the doctor could be cost-prohibitive, and high deductibles and maximum out-of-pocket costs would mean that getting sick could still turn a family's life upside down.

More than half of the people in the U.S. who got health care on an exchange got cost-sharing reductions (7 million out of 12 million)! 

Actuarial Value

Actuarial value is an estimate of the percentage of costs that--on average--a plan will cover. (For any one family, this might be a bit higher or lower.) Under the ACA, a household with income below 150% of the poverty level can get a silver plan that covers 94% of their costs; a household with income between 151%-200% of the poverty level can get a silver plan that covers 87% of their costs; and a household with income  between 201%-250% can get a silver plan that covers 73% of their costs.

Summary

Basically, taking away Cost Sharing does not save the government any money and will contribute to Marketplace insurers opting out of the Marketplace.  The only people who will be hurt are people who are low income but not low enough for Medicaid. Republicans were eager to eliminate cost-sharing when the repercussions would be seen as Democrat's fault but now that the the White House and Congress are Republican, we hope they do not want this cut to be seen as their responsibility. The ACA's solvency relies on Cost Sharing Reductions and Advanced Premium Tax Credits. #savetheACA

-Ruth Kraut 

Have a question?  Type it in the comments section and we will get back to you.

More Information:

Republicans are begging Trump not to sabotage Obamacare - Vox

What are cost-sharing reductions, and what happens if Trump ends them? - Michigan Radio

ACA Cost-Sharing Subsidies: How One Decision Could Disrupt Obamacare Marketplaces - Kaiser Family Foundation

Larry Levitt Tweets 

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What's Wrong With The Senate Health Care Bill?

UPDATE:  On 6/27/2017, Senator Mitch McConnell, facing mounting opposition, announced that he will delay a vote on his legislation to repeal the Affordable Care Act until after the Senate’s Fourth of July recess. However, after the July 4th break, this bill could come back, in the same or a slightly different form. If you are looking for sources to follow the debates on an ongoing basis, find them here.


The Congressional Budget Office released their analysis of the Senate Republican plan.  Here is what the bill means. 

 

22 million more Americans
would be uninsured by 2026.

New York Times, June 26, 2017 

New York Times, June 26, 2017 

The budget office projects that by 2026, 49 million people would be uninsured, compared with 28 million people if the current law remained in effect. (The total increase is 22 million due to rounding.) Note that the biggest increase in the uninsured comes in the first year, when it is estimated that 15 million people could lose their insurance.


15 million fewer people would
be enrolled in Medicaid by 2026.

New York Times, June 26, 2017 

New York Times, June 26, 2017 

The largest group to lose health insurance coverage would be people with Medicaid. In 10 years, the C.B.O. projects, there would be 15 million fewer Medicaid enrollees. In addition, Medicaid might cover fewer benefits, so even those who have Medicaid might lose certain types of healthcare.


Average premiums would decrease by 20 percent in 2026.  BUT the amount Americans spend on healthcare would be higher because plans would offer FEWER benefits and DEDUCTIBLES would be higher. 


Want to know how this bill will impact you?

Are you a WOMAN?          Do you have a PRE-EXISTING CONDITION?          Do you need MENTAL HEALTH SERVICES?        SUBSTANCE USE ABUSE?          Live in a RURAL area?        Planning to START YOUR OWN BUSINESS?        SELF-EMPLOYED?      

Compare Proposals to replace the Affordable Care Act with this tool from the Kaiser Family Foundation. 

Comparison tool from the Kaiser Family Foundation, June 27, 2017.

Comparison tool from the Kaiser Family Foundation, June 27, 2017.

Thank you and keep up the good fight, 

-Meredith Buhalis 

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Capping Federal Money for Medicaid to States Will Devastate Millions of People

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This blog post is cross-posted from Public Health Awakened and addresses potential changes from repealing the Affordable Care Act- June 2017

Proposed changes to Medicaid will lead to:

  • More people getting ill or dying prematurely, including children.

Low-income children are less likely to die in childhood or adolescence when states expand Medicaid (Howell & Kenney, 2012; Wherry & Meyer, 2013). Cuts that Republicans suggest would end core services to keep kids healthy that past administrations on both sides of the aisle have supported and expanded, including: well-child visits and check-ups, developmental screenings, immunizations, and treatment for vision and hearing, oral health, lead poisoning, mental illness, addiction, autism, and behavioral health issues (Sharfstein, 2017). For low-income adults, expanding Medicaid is significantly associated with less death and better self-reported health (Sommers, et al., 2012). Cutting Medicaid will reverse these trends in children and adults.

  • More seniors unable to meet basic needs.

For seniors, including those who may struggle to make ends meet, have high medical costs, live in nursing homes, or live with the effects of a stroke, dementia, losing their vision, etc., Medicaid covers long-term care and basic services for everyday life — like eating, bathing, or doing laundry — that are not covered by Medicare (Kaiser Family Foundation, 2016).

  • Millions of people having health coverage taken away from them.

Estimates are that 14 million people would have Medicaid coverage taken away — more than half of the 23 million more who would be uninsured by 2026 under changes to health care proposed by many Republicans (Congressional Budget Office, 2017). This would reverse the recent expansion in coverage to millions of people under ACA.

  • Harder financial times for working people, people with disabilities, seniors and adults who already struggle to make ends meet.

Reduced Medicaid coverage will worsen health disparities for already at-risk populations. People who lose coverage will have to make tough financial choices and will be less likely to get needed health care, for themselves and for their children (Chatterjee & Sommers, 2017).

Currently Medicaid covers (Kaiser Family Foundation, 2017):

  • Pregnant women: 49% of all births are covered by Medicaid
  • Children: 39% of all children, and 76% of poor children
  • People with disabilities: 30% of adults with disabilities (excluding and 60% of children with disabilities
  • People in long-term institutional care: 64% of nursing home residents
  • People in treatment for HIV/AIDS: 41% of adult AIDS patients and 90% of children with AIDS
  • Wider disparities across states and geographies in access to care.

States with older and sicker residents, as well as rural states, will be most affected (Lambrew, 2005). Safety-net hospitals, nursing homes, and clinics in low-income and rural areas that rely on Medicaid funds may close, and there will be less care for all residents of these already-underserved areas (Kaiser Family Foundation, 2012). Even people who can afford care will have to travel further to providers, and the proposed changes would eliminate Medicaid transportation services. States will likely control costs by paying providers less, and over time fewer providers will accept Medicaid patients (Sommers & Naylor, 2017). In addition, setting the amount of money that states get from the federal government would “lock in” current disparities in Medicaid funding, eligibility, and benefits packages across states: states that currently have less generous packages would not be able to “catch up” to more generous states (Holahan, et al., 2017).

  • Cuts in health services or states paying more money in the long run.

Reduced Medicaid coverage would reduce access to health care but not reduce health needs. Instead, health care use would likely shift to more expensive acute care services (e.g., emergency departments). Furthermore, untreated health conditions would lead to more severe health needs, leading to higher costs in the long run. An uninsured child costs the community $2,100 more than a child covered by Medicaid (Children’s Defense Fund, 2017).

http://publichealthawakened.com/protect-medicaid-and-health-equity/

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Buenas Noticias: Medicaid Puede Ser Su Seguro Secundario

Una Tarjeta de Identificación de Medicaid

Una Tarjeta de Identificación de Medicaid

Hay muchas cosas buenas acerca de Medicaid - tiene cobertura médica, de visión y dental; copagos bajos; puede solicitarlo en cualquier momento; y usted puede utilizarlo como un seguro secundario.

¿QUÉ SIGNIFICA ESTO?

Imagínese que tiene un plan de seguro de empleador, pero tiene un deducible alto, y tiene que pagar de su bolsillo por sus primeros $ 3,000 antes de que el seguro pague cualquier cosa. Si usted es elegible para Medicaid, Medicaid será el segundo seguro (lo que significa que su seguro de empleador se factura primero), y Medicaid recogerá lo que el seguro del empleador no cubre.

Medicaid como un seguro secundario puede reducir significativamente sus facturas!

OTROS BENEFICIOS
 

Hay algunos otros beneficios, también. Por ejemplo, usted puede tener una buena cobertura médica, pero sin cobertura de visión o dental. Como seguro secundario, Medicaid puede pagar beneficios de visión y dental.

Nota: Medicaid no puede ser un seguro secundario para los planes de Marketplace. Si usted es elegible para Medicaid, no puede obtener cobertura de Marketplace subvencionada. Pero si usted tiene cobertura de empleador, a veces Medicaid como un seguro secundario puede ser muy útil.

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