Medicaid Eligibility for Seniors and The Steps to Obtain It

KTS provides expert services to ensure seniors become eligible to receive Medicaid benefits even when they don’t think they qualify.

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Eligibility to receive Medicaid benefits.

Home care and skilled care facilities are expensive. If you are a senior in New York, you may not be aware of NY’s eligibility requirements to qualify for the Medicaid program, which can provide long-term home and community-based benefits. Here is a snapshot of the qualifications needed to receive benefits in the state of New York:

Age and Disability

    • To qualify, you must be one of the following:
      • Over 65 years of age
      • Disabled
      • Legally blind

*Note: Individuals under the age of 65 who are disabled (as approved by a doctor) can still qualify.

Home care and skilled care facilities are expensive. If you are a senior in New York, you may not be aware of NY’s eligibility requirements to qualify for the Medicaid program, which can provide long-term home and community-based benefits. Here is a snapshot of the qualifications needed to receive benefits in the state of New York:


Medical and Financial Necessity

You qualify if you require daily medical supervision or assistance, and/or daily health care treatments given by a nurse. Older adults also qualify if they require round-the-clock personal care or support from a skilled care facility.

There are NY state financial eligibility criteria to qualify that will vary depending on the beneficiary’s household size. The monthly income limit can pose a problem, but KTS is here to help you become eligible for Medicaid even if you exceed the required amount.

Do you need to qualify for Medicaid? Let’s talk.

Get started with a FREE consultation

Steps to Obtain Medicare Eligibility

Here’s what you can expect when enrolling in the Medicaid program in New York State.

Step

01

Complete the Medicaid
application.

In the state of New York, the first step is to apply for Medicaid Community benefits. The application process can be lengthy and time consuming. Providing required documentation by the deadline date will prevent further delays. Download our helpful checklist for more information on how to apply.

Step

02

Provide the required information and documents.

When applying for Medicaid, New York requires documents to complete your application including proof of birthdate, lawful residence or citizenship, and doctor/medical information. You will also be required to provide financial information and documentation to verify your earned and unearned monthly income and other assets.

Step

03

Qualifying to receive
Medicaid benefits.

You may be surprised to learn that, after a lengthy process in applying for Medicaid, you are not eligible. This can be very frustrating after all the time and effort you spend on your application. But there are ways to remedy your situation. For example, if you earn more monthly income than what is allowed by Medicaid, you can join a Pooled Income Trust to get qualified.

Step

04

Join a Pooled Trust.

Joining a Pooled Trust can help with your Medicaid income eligibility requirements. If you’ve reached this step after trying to receive Medicaid and were told that you have excess income, surplus income, or need to spend-down, a Pooled Income Trust may be the answer.

Examples of How KTS Helped Others to Qualify for Medicaid

Bill – a 78-year-old man found that he now needs round-the-clock long-term care. But he prefers to stay at home rather than go for nursing home care. Unfortunately, he has a monthly income that is too high to qualify for Medicaid’s Home Care Benefits.

Joining the KTS Pooled Income Trust helped him become eligible to receive Medicaid benefits and use his excess income to pay monthly bills.

Martha – a woman in her 40’s is disabled (in a wheelchair) and receives Social Security disability payments. The problem is that these payments put her over the limit to receive government aid. She needs assistance at home, has prescription drug co-pays, Medicare co-pays, and has to pay the Medicaid “spend-down.”

A pooled trust will let her keep receiving the Social Security disability payments, keep her Medicaid, and relieve her worries about co-pays. At the same time, she can pay her other living expenses with her excess income that is deposited into the trust.

A pooled trust application can begin at the start of your Medicaid application process. Doing so will save you weeks of frustration and get you qualified sooner. KTS will provide a free consultation BEFORE you apply for Medicaid.

Without the help of a pooled trust, you will have to begin paying Medicaid instead of using your excess income to pay your monthly expenses. So, if you have already signed up for Medicaid and now need help to become eligible for benefits, KTS can help you.

SAVE TIME and FRUSTRATION!

Why wait an additional 2 months after applying
for Medicaid only to find you do not qualify? Start your consultation.

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