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Medical assistance qualification question...?

My parents (ages 67 & 62) are currently struggling financially. My father was a plumber until his heart issues became more severe about 5 years ago. My mother is a school bus driver and is still working. While my father worked, they had health insurance, but since he was forced to stop working due to health, they haven't had health coverage outside my father's Veterans Affairs benefits. Fortunately my mother has been in pretty good health since affordable care and affording basic life needs at a bus drivers wages is not realistic. Over the years, they managed to put money into retirement funds (believe this to be ~$70-80K from discussions with them), so probably not really enough to live off of, but at least it helps.

So recently, my mother fell and has multiple fractures on one of her toes. Without coverage, this is going to be more expensive than what their budget can cover. Looking at the Pennsylvania Medical Assistance eligibility guidelines, it looks like they are required to spend their retirement savings before any assistance would be available. According to my mother, if she withdrawals any of the money at this time, she'll have penalties for taking it early. I thought with my father hitting 67 that he'd be able to withdrawal, but maybe they do it on the age of both my mother and father? Does it make sense to spend everything they have now so that they are forced to apply for assistance later? While my siblings and I can help for this specific injury, I would like to know if there are health options that wouldn't deplete their retirement funds and leave them completely broke as they get older.

Update:

Hi John Paul. Been a while since I've been in the Nissan thread so haven't seen many of your replies lately.

I'm unsure to what extent my father has been on SS Disability. I recall hearing my mother talk about getting the papers, but she's pretty stubborn about letting us kids (all of us over 35 years old and pretty stable) help in any way. I may need to check with a financial adviser since this is an area that is pretty new territory for me.

Update 2:

Thanks Monique. I wasn't aware of the Tricare option, but will give my father a call tomorrow to let him know to check into it. He is already getting his care through the VA. I didn't know that spouses could be covered, just figured my parents would have already checked into it.

3 Answers

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  • 8 years ago
    Favorite Answer

    It doesn't make sense to spend down now for state Medicaid. Medicaid health insurance is honestly the bottom of the bucket. You won't get the best care, and due to their low reimbursement rates, some doctors don't even accept it. If your dad is a qualified veteran and qualified for VA system, then your mom should also qualify for Tricare? I would encourage you all to contact VA and see what services they qualify for. VA also provides in home services for eligible veterans who may need assistance with ADLs (Activities of Daily Living). If your dad is a qualified veteran, then he may be able to receive a monthly amount from the VA. Since he is in the VA system, they should start with checking to see the benefits he may be eligible for that he may not be taking advantage of.

    My thoughts are to start with VA first. Then they can see exactly what they may qualify for.

    http://www.va.gov/

    Source(s): veteran and social worker
  • ?
    Lv 7
    8 years ago

    Add 20 more years and your where I am. Mom's don't do any better in retirement after there husband's pass away. They fall get hurt and need medicine for blood pressure and mood. Then your house payments Kids in college needing everything. AARP Secure Horizons United Health Care. and State and Federal mandated health coverage's. You have to go over all there savings and money reverse mortgages and any stocks and bonds have to be moved around so the parents can get medicade or medicare should they need any help. Has your dad taken social security disability? I have been lucky so far

    Source(s): JP
  • Anonymous
    7 years ago

    difficult matter. query onto search engines like google. just that might help!

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