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Medicaid is a state and federally funded Public Health Insurance Program, that provides health insurance for individuals who meet income guidelines. Expanded income guidelines are available to individuals over the age of 65, and those under 65 who are certified disabled.
Individuals who are over the age of 65, or certified disabled may be "over-income" for traditional Medicaid, and pay a "spend-down" in order to qualify for Medicaid on an ongoing basis. This coverage can be retroactive for up to 3 months prior to the date of the application.
What is Medicaid?
Medicaid is a state and federally funded program that provides Health Insurance to low income individuals in New York State.
There are TWO types of Medicaid. They are called MAGI and Non-MAGI.
MAGI stands for the Modified Adjusted Gross Income category. Non-MAGI just means that someone doesn’t qualify for MAGI Medicaid. We’ll talk about the differences more below.
You may have a choice between MAGI or Non-MAGI Medicaid.
Medicare is a federally funded program which provides health and hospital insurance benefits. Generally people can receive Medicare if:
They are 65 years or older.
They receive Social Security Disability
They suffer from end stage renal disease.
They are diagnosed with ALS. ALS is also known as Lou Gehrig ’s disease.
Recipients of Railroad Retirement benefits.
Unlike Medicaid, receiving Medicare is not based on an individual’s income or assets.
What types of Medicare are there?
If you want to apply for SNAP benefits in Monroe, Ontario, Seneca, or Wayne County, you may contact the Nutrition Outreach and Education Program Coordinator (NOEP) at Legal Assistance of Western New York, Inc. at:
Monroe County: 585-325-2520
Ontario, Seneca, or Wayne County: 315-781-1465.
Para ver este artículo en español por favor visite aquí. (To view this article in Spanish, visit here.)
Can my partner with me if I receive public assistance?
Your local Department of Social Services (DSS) cannot restrict who lives with you. However, who you live with may affect the amount of benefits that you receive.
For example, if you are married and your partner lives with you, you both must apply for public assistance. If either of you has income, it will be counted against both of you. The same is true for parents and children under age 21.
If your local Department of Social Services (DSS) believes that you may have a problem with drug and or alcohol abuse, they can refer you for an evaluation. Depending on the county you live in, either someone from DSS may do your evaluation or DSS may send you to a substance abuse treatment provider office for an evaluation. If you refuse to go, your application for benefits will be denied. If you are already receiving benefits and you refuse to go, your benefits can be stopped.
What can I do if I get a fair hearing decision that I disagree with?
Para ver este artículo en español por favor visite aquí. (To view this article in Spanish, visit here.)
Note: The genders used below are for simplicity in most of the article. For example, if you are a father caring for a child under 21 and you apply for Public Assistance, you may also have to go through the requirements below. The difference will be that DSS will want information on the mother of the child.
What happens if I already receive child support?
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