How to Respond When You Are Told You Can’t Get Medicaid

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Artwork: Robin Mead

If you get turned down for Medicaid, or if someone from the Medicaid office tells you that you are not eligible, don’t give up hope! Just get scrappy.

A few things it might help you to know:

💗 The people who work at Medicaid often tell people that they don’t qualify. It is not always true.

💗 Some people apply and get turned down because there was a mistake made on their case.

💗 Many, many people don’t realize there is more than one Medicaid program. You may not be eligible for one, but you may be eligible for a different one!

💗 Find a program you want to apply for and learn the rules yourself! The rules are different in every state. The people who answer the phones at Medicaid often do not know all the rules. Medicaid policy manuals are usually available online.

💗 Important rule for any program you ever apply for anywhere: Never take no for an answer over the phone or verbally. The worst thing that happens is people get discouraged out of even trying to apply.

💗 If you can find the actual manual and rules and regulation that your state has, then if you are denied, you can find out why. If you find that you should be eligible, you can appeal. Look online to find the regs.

💗 If you discover that Medicaid is not following the regs, you can also contact your congressional rep. They can help get this corrected.

💗 Medicaid can back bill for 3 months before the time of application. So, if you have a big hospital bill in January, and then apply for Medicaid in February, when your application is approved, the hospital can bill Medicaid.

I have met so many people who were turned down for Medicaid or told something discouraging, and just gave up. I’ve been waiting for the day when I could finally meet someone who did not give up and kept pursuing.

That day is here! Pansy was told she couldn’t get Medicaid. But she was courageous and smart and persistent and…. Not only did she get on Medicaid but she also avoided a $ hospital bill.

Pansy got into one specific Medicaid program. The Medicaid program she applied for may be totally different than the Medicaid program you need to apply for, but the general idea is the same: Persist, persist, persist, don’t give up hope, learn the regs yourself.

Pansy was kind enough to share her story to help others.

Learn More

How Pansy Got on Medicaid (Including the letter she sent that got her approved!)

Different Medicaid Programs You Can Apply For

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