Originally Posted by John Galt III
Just to be clear about what people mean by the words "expanding medicaid". Here in Pa, I take it to mean that one's income would be allowed to be some limited amount higher than the current $7,200 per year max, and also that the asset test would be done away with.
Since Pa so far is opting out of the "medicaid expansion", I would have to look for more annual income than I currently have, to get up to the minimum income needed to get accepted into an exchange plan (with a nice fat subsidy).
I would not qualify for Pa's existing "unexpanded medicaid" due to having assets and slightly too much annual income.
Unless the world has changed considerably, I wouldn't want to be on Medicaid if I had the means to avoid it. Generally, your choice of doctors is very limited and they ones that will accept Medicaid are usually very crowded. "Lacking amenities" is probably the most polite way of describing their facilities.
There may be some "regular" doctors that accept Medicaid but I can't imagine there being very many. Reimbursement rates are pretty low and there's no way a doctor has a chance of making a living running their practices in the way most of us paying patients exerience. Reduced reimbursements for Medicare run the risk of creating the same situation for this class of patients. Many doctors are declining to accept new Medicare patients.
Comments on other threads have addressed the income question. It's hard to imagine being caught inflating your income to get to the "subsidy" level. You just had a good night at the casino and you are a good citizen reporting the little bit of winnings.