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Lesson 3
What is Medicaid Extended Coverage?

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1. Lessons

Objectives

Lesson 1 -
What is long term Care? What is Long-term Care Insurance? Who pays?
Test Your Understanding

Lesson 2 -
General description of the New York Partnership for Long-term Care.
Test Your Understanding

Lesson 3 -
Medicaid eligibility and the treatment of Income and Assets.
Test Your Understanding

2. Sources of Assistance and Additional Resources

3. Frequently Asked Questions By Consumers

Appendix

Glossary

Step 6: Some Possible Scenarios

Scenario 10

Married

Dollar for Dollar or Total Asset Protection Policy

Home Care for Non-Partnership Spouse:

  In this case, the Partnership and Non-Partnership spouses' resources (accumulated assets) are NOT protected for purposes of determining Medicaid eligibility for the non-Partnership spouse (even if the non-applying spouse has a Partnership policy). The couple's combined countable resources will have to be spent down to the Medicaid resource level for a couple in order for the non-Partnership spouse to receive Medicaid. They can retain resources (accumulated assets) up to a maximum of $19,200 (effective 4/1/08 ). Burial funds up to $1,500 for each spouse are also disregarded (or any amount placed in a non-refundable, irrevocable pre-need funeral agreement).

      If the insured spouse at a future time satisfies the requirements of his or her Partnership policy, then he or she may be eligible for Medicaid Extended Coverage. See scenario 6 for total asset protection policies, and scenario 8 for Dollar for Dollar Asset protection policies.

 

Step 1: Purchase Policy Step 2: Benefit Period Step 3: 90 Day Notice Letter Step 6: Possible Scenarios Step 5: Medicaid Eligibility Step 4: Local DSS

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