DUAL Medicare Medicaid Plans

Effective January 1, 2023, New York State is expanding the ability of New Yorkers who are 65+, blind, or disabled to qualify for Medicaid coverage by significantly raising the allowable income eligibility levels to 138% of the Federal Poverty Level (FPL). Sources of income that are counted include social security, retirement account distributions, pension, income payable from a trust, and rental income.

  • Individuals – Change of individual income level as follows:
    • 2022 – $934 monthly
    • 2023 – $1563 monthly
  • Couples – Income level change for couples who both receive care as follows:
    • 2022 – $1367 monthly total
    • 2023 – $2106 monthly total

With this expansion in maximum income levels, more New York residents will now be eligible for New York State Medicaid benefits. Asset limitations still apply although will also be increased. For those individuals also enrolled in Medicare – even more benefits may be available through a combination Medicare / Medicaid plan called Medicare Advantage Dual-Special Needs. Below is information for some Medicare Advantage Dual plans available in New York State Capital Region / Hudson Valley:

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Company Plan Code  Download
Aetna Medicare Assure Plan H3312-070  Plan Guide  | Summary
Humana Choice Dual PPO H5970-020  Go to >> Humana 2023 Plans
UnitedHealthCare Dual Complete H0271-060-001 Plan Guide | Summary
For DUAL Medicare / Medicaid plans elsewhere in New York State, visit our team page for an agent advisor serving your area.
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source: WNY Law Center    KTS Pooled Trust