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Is Medicaid rife with fraudsters? One man explains why he breaks a rule

Is Medicaid rife with fraudsters? One man explains why he breaks a rule

Summary

A man in Montana, whose first name is James, shared that he needs Medicaid to afford necessary medications. After a pay raise, he no longer qualifies for Medicaid, so he has not reported his new income to continue getting healthcare coverage. Medicaid cuts could mean people like James struggle to afford health care.

Key Facts

  • James gets his medications through Medicaid, a program for people with low incomes or disabilities.
  • His job gave him a raise that puts him over Medicaid's income limit by about $50 a week.
  • Without Medicaid, James cannot afford his medications even with other low-cost insurance options.
  • Medicaid is a government program that provides health coverage to more than 70 million Americans.
  • Fraud in Medicaid is reported to be rare, according to safety-net system studies.
  • Many people, despite having jobs, rely on Medicaid because other plans may not cover necessary care.
  • People transitioning off Medicaid often face gaps in care coverage from other insurance options available to them.

Source Information