What seniors should know about Medicaid denial

On Behalf of | Jan 4, 2022 | Medicaid Planning

Since its onset, Medicaid has been helping seniors who cannot afford to pay for their health care. It is one of the most important programs that the U.S. government provides.

Despite the many benefits of Medicaid, denials have become a common occurrence among the older population. Many people do not realize that they may be able to contest the denial. To pull this off, it helps to understand why denials happen and how to handle them.

Understanding denials

When a senior citizen does not qualify for Medicaid, they should receive a denial letter that notes the reason why. Oftentimes, the problem is that the applicant’s assets or income are considered too high. A violation of Medicaid’s policies is also a common reason for denial when there is a penalty period. On top of this, there is the possibility that the applicant is not in severe enough condition for Medicaid.

Challenging a denial

The American Council on Aging reports that up to 25% of the time, Medicaid denial comes from a mistake. When applicants suspect this, they can reach out to their caseworker and ask for a reversal. Also, even if the denial is correct, an applicant can look over his or her finances and then re-apply. Sometimes the smallest tweak can make a huge difference.

People should not give up when they receive a denial letter from Medicaid. Sometimes challenging a denial is fast and easy, while other times it can be an arduous process. Either way, the elderly may need help to get the compensation they deserve.

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