I had Medicaid about 7 months ago give or take. I didn’t get proof of home or cars value so I was cut off. Payment for Medicaid comes out of my check. When I reapply, will I get reimbursed for that?

Generally, Medicaid policies vary by state, but here’s a breakdown of how reimbursement for past payments might work in a situation like yours:

Retroactive Medicaid Coverage: Medicaid often has a “retroactive eligibility” period, which typically covers up to three months prior to the month you apply for Medicaid. This means if you reapply and are found eligible, Medicaid might cover medical expenses incurred during those three months, if you would have been eligible during that time. This is primarily for medical bills, not typically for premiums you’ve paid out of your check.

Premiums and Reinstatement: If you were paying premiums for Medicaid, and you were cut off due to not submitting required documentation (like proof of home or car value), whether you get reimbursed for those payments depends on the state’s specific policies and the reason for termination.

• If your coverage was terminated and you reapply within a certain timeframe (often 90 days), your coverage might be reinstated. If it’s reinstated, it might cover the gap period, and in some cases, this could potentially lead to adjustments for premiums paid during that time.
• However, if your coverage was legitimately terminated because you didn’t provide necessary information to prove eligibility, it’s less likely you would be reimbursed for premiums paid during the period you were deemed ineligible. Medicaid coverage is based on meeting eligibility criteria, and if those weren’t met (due to missing documentation), the payments you made might have been for a period when you weren’t fully qualified.

What you should do:

1. Contact your state’s Medicaid agency directly. This is the most crucial step. Explain your situation and ask specifically about:
   • Whether you are eligible for retroactive coverage for the months you were cut off.
   • Their policy on reimbursement for premiums paid when coverage was terminated due to incomplete documentation.
   • The process for reapplying and what documentation you’ll need to avoid a similar issue.
2. Gather all your documentation. When you reapply, make sure you have all the required proof of income, assets (home and car value), and any other information they request. This will help ensure a smooth reapplication process and potentially avoid any further gaps in coverage.
3. Keep records. Keep copies of all communication, forms, and documents you submit to Medicaid.

Each state has its own specific rules and regulations for Medicaid, so getting information directly from your state’s agency is the best way to get an accurate answer for your situation.