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LOCAL


THOUSANDS OF FLORIDIANS COULD BE LOSING HEALTH INSURANCE STARTING MONDAY. HERE'S
WHAT TO KNOW.

Hannah Morse
Palm Beach Post


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Nearly 1 million Floridians are at risk of losing their health care coverage
through Medicaid. That's because the coverage during the coronavirus pandemic
that ignored eligibility requirements has ended.

Some could be dropped because they are no longer eligible, while others could
lose their coverage because they did not complete the renewal process by Sunday.

Additionally, Medicaid recipients will have to resume annual eligibility checks
in place pre-pandemic, and potentially more frequently if they use certain
benefits such as SNAP.

The federal government gave money to states to continue providing Medicaid
coverage during the pandemic. As a result, no one lost access to this benefit
even if they were no longer ineligible.



“I think it was a great thing they did, being able to let those redeterminations
go and not worry about who had lost eligibility and let those services continue
during a stressful time,” said Don Hall, Helpline director with the Area Agency
on Aging of Palm Beach/Treasure Coast.

More:Nearly 1M Florida residents may lose their health care starting April 1.
Why?



More:‘I almost had a heart attack’: Florida homeowners rattled by property
insurance costs

More:Farmworkers march in Palm Beach, calling for better wages, conditions

Now, the concern is making sure every Medicaid recipient keeps their health
coverage, whether that's through Medicare or otherwise, he said. States were
allowed to start unenrolling people April 1.



Recipients should have received a letter in the mail with a yellow stripe on the
envelope. Inside will be a renewal notice to update your Medicaid information,
which must be done by Sunday, April 30. 

The Florida Department of Children and Families will be determining recipients’
eligibility over the next 12 months. But some Floridians could lose coverage as
soon as Monday if the state deems them ineligible or the recipient doesn’t
respond to the letter. As many as 900,000 people in the state could be impacted.



The department advises that recipients should make sure their address on file is
correct on their MyACCESS account, which is important if they have moved in the
past three years. It’s through this account that they can also input their
renewal information. Eligibility determinations are made within 45 days, and
ineligible recipients will be notified by the department by email, letter or
through their MyACCESS account.




WHO CAN HELP ME WITH THE RENEWAL PROCESS OR TO APPLY FOR MEDICAID?

Aside from recertifying or applying through the Department of Children and
Families website or service center, a number of resources can help you through
the Medicaid process.

First, try your health-care provider where you use your Medicaid benefits. 

Another option is to use a certified navigator, which is a person trained to
help consumers and small businesses in finding health care options. The state’s
Department of Financial Services website keeps a list. This can be found by
visiting myfloridacfo.com, navigating to “Division & Offices,” followed by
“Insurance Agent and Agency Services,” “Industry Awareness” then “List of
Approved Navigator Registrations.” Some examples are Epilepsy Alliance, the
Urban League of Palm Beach County and the University of South Florida.



Also, many social service organizations are community partners that can assist
with Medicaid questions. A list can be found by visiting
myflorida.com/accessflorida, then click on “Search For A Partner Near You.” The
Area Agency on Aging, Guatemalan Maya Center and the Palm Beach County Food Bank
are some of the partners in the area.


WHO QUALIFIES FOR MEDICAID?

You must be income qualified, as well as one of the following:

 * Pregnant;
 * Responsible for a child 18 years old or younger;
 * Blind;
 * Have a disability; 
 * Have a family member in the household with a disability;
 * 65 years old or older.

The income limits are $19,392 for a household of one and $39,900 for a household
of four, for example.


WHAT DO I DO IF I’M DEEMED INELIGIBLEFOR MEDICAID?

If you are deemed ineligible for Medicaid but think there is a mistake, you can
appeal within 10 days of the date of your denial letter, the department said.
The appeal can be made through the department’s Office of Inspector General.



Other resources for people who cannot get Medicaid include Florida KidCare, the
Medically Needy Program, the Affordable Care Act or federally qualified health
centers such as the C.L. Brumback clinics.

The Health Care District of Palm Beach County, which runs 10 such community
health centers, accepts new patients even if they are unable to pay or don’t
have insurance, said spokesperson Robin Kish.

“We are positioned to provide high-quality care and serve as our patients’
medical home regardless of market changes,” Kish said.

Hannah Morse covers consumer issues for The Palm Beach Post. Drop a line
at hmorse@pbpost.com, call 561-820-4833 or follow her on Twitter @mannahhorse.


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