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Losing Medicaid Eligibility (What You Need to Know in 2023)

How you feel when you are losing medicaid eligibility
Topics Covered

Navigating the world of health insurance can be a daunting task.

In this informational video, Karen and Joe from Marketplaceamerica.org discuss potential changes to Medicaid eligibility checks in 2023. These changes may result in up to 15 million people losing Medicaid coverage.

Play Video about Losing Medicaid Coverage

Fortunately, there are alternative solutions available. Continue reading to learn more about this vital topic.

Key Takeaways

  1. Approximately 15 Million People Could Lose Medicaid: For the first time in three years, states will check eligibility, potentially causing up to 15 million people to lose Medicaid coverage.
  2. Reasons for Losing Medicaid: The reinstatement of eligibility checks can result in people losing Medicaid coverage due to increased income, acquiring other health coverage, or failing to submit required forms.
  3. Notification Process: Renewal forms will be sent by mail, and a second notification will be made through phone, text, or email. Individuals have a 30-day window to respond.
  4. Impact on Children: Even if parents lose Medicaid, 80-90% of their children may still remain eligible under CHIP or Medicaid.
  5. Affordable Care Act’s Marketplace: Those who lose Medicaid eligibility can opt for coverage through the Affordable Care Act’s Marketplace, often for less than $10 a month.
  6. Special Enrollment Period: From March 31, 2023, to July 31, 2024, a special enrollment period is available for those who lose Medicaid coverage.
  7. Marketplace Financial Assistance: Financial assistance like premium tax credits are available through the Marketplace.
  8. Useful Website: marketplaceamerica.org offers one-minute quotes and 10-minute enrollments for health insurance plans.


How to Secure Health Coverage in 2023

The reinstatement of eligibility checks could potentially cause millions to lose their Medicaid coverage. States are resuming these checks after a pause during the pandemic.

Reasons for Medicaid Coverage Loss

People could lose Medicaid for several reasons:

  • Earning above the eligibility threshold
  • Acquiring health insurance through their employer
  • Moving to a different state
  • Failing to submit eligibility forms

Notification Process and Timing

Individuals will receive a renewal form by mail, along with a second notification via phone, text, or email. They have 30 days to submit the form.

Potential Impact on Children’s Coverage (Children’s Health Insurance Program)

Over half of U.S. children receive health care through Medicaid or CHIP. Parents should understand that their loss of Medicaid doesn’t automatically mean their children will lose coverage.

Affordable Care Act Marketplace (ACA Marketplace)

If you no longer qualify for Medicaid, the Affordable Care Act’s Marketplace coverage can be a viable alternative. Financial assistance like premium tax credits is also available.

Utilizing Marketplace Financial Assistance

Applying for Marketplace health insurance and verifying your household income is crucial for securing affordable coverage after losing Medicaid eligibility.


The possibility of losing Medicaid services can be a distressing situation, but there are alternatives available. It’s crucial to stay informed and act promptly. With the options provided by the Affordable Care Act’s Marketplace and the special enrollment period, you can secure the coverage you need.

If you have further questions, feel free to reach out to marketplaceamerica.org for one-on-one assistance.

FAQ: Losing Medicaid Eligibility

How Long Does Medicaid Last?

It can be heart-wrenching to worry about the duration of your health coverage. Typically, Medicaid lasts as long as you continue to meet the eligibility requirements. However, with changes happening, it’s essential to stay informed, especially with the looming threat of losing Medicaid eligibility.

What is the Income Limit for Medicaid?

Navigating the intricacies of Medicaid can be overwhelming. The income limit for Medicaid varies by state and family size. This threshold is critical, as exceeding it could lead to the distressing scenario of losing Medicaid eligibility.

How Many People Are on Medicaid?

It’s a staggering reality: approximately 84 million people, many of them with stories just like yours, are currently covered by Medicaid. Such numbers signify how crucial this safety net truly is for so many families.

Who Will Lose Medicaid in 2023?

This is a painful topic for many. In 2023, as states gear up to check eligibility, potentially over 15 million individuals could face the trauma of losing Medicaid eligibility. It’s a reality that underscores the importance of staying informed and proactive.


Do You Have to Reapply for Medicaid Every Year?

The fear of annual paperwork and the potential loss of coverage can be daunting. Typically, states require annual redeterminations to check if recipients still qualify. However, with the changes in 2023, it’s crucial to pay close attention to notifications and ensure you’re not at risk of losing Medicaid eligibility.

Does Medicaid Have to Be Paid Back?

The thought of accumulating debt unknowingly is a nightmare for many. Generally, Medicaid does not have to be paid back during your lifetime. However, in some cases, Medicaid might seek reimbursement from estates for long-term care. It’s essential to understand your state’s policies to avoid future distress related to losing Medicaid eligibility.

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