Select Page

Medicare Expansion: What is it and how does it affect you?

The Patient Protection and Affordable Care Act, more commonly known as Obamacare, has been a source of heated controversy well before it was signed into law on March 23, 2010. One of the most contentious aspects of the new law is Medicaid expansion. Obamacare intended to make the eligibility requirements for Medicaid less stringent. However, due to the controversy around the new law and the fact the Medicaid is a state and federal program, states are given a choice as to whether they will participate in Medicaid expansion or not.

no medicare expansion texas

MEDICARE EXPANSION: WHAT IS IT AND HOW DOES IT AFFECT YOU? Obamacare intended to make the eligibility requirements for Medicaid less stringent. However, states can choose not to participate in Medicaid expansion.

In the states that have accepted the new program, any citizen between 19 and 65 whose household income is below 133% of the poverty level is eligible for coverage as long as they are not in jail or entitled to Medicare.

It’s difficult to calculate exactly how many Americans are newly eligible for Medicare- eligibility depends a variety of factors that fluctuate widely. However, 6 million more Americans enrolled in Medicaid and related programs in the six months after Obamacare was passed than in the six months before. Looking at it another way, in 2014 enrollment increased 15% in the states that have chosen to expand compared to 3% in those that have not.


The American health care system is in a sort of dichotomy.

On the one hand, the United States has some of the most respected doctors and most advanced hospitals in the world. On the other hand, Americans have a notoriously hard time affording health care. Many medical procedures are so expensive here, it is often cheaper to fly to another country, have the procedure performed there and fly back. For uninsured individuals, even a minor injury or illness can result in bankruptcy. The intent of Medicaid expansion is to help low-income individuals acquire some health coverage. Improved coverage means people can visit a doctor without having to worry it if will cripple them financially. When people can afford to see a doctor, they are more likely to catch a disease in its early stages rather than waiting until the symptoms are unbearable. As the idiom goes: “an ounce of prevention is worth a pound of cure”, and catching disease early means lower healthcare costs across the board.


So, why are states choosing not to expand Medicaid?

Governor Bobby Jindal of Louisiana has written out why he opposes expansion for his state. Many conservatives, including Greg Abbot in Texas and Rick Scott in Florida share his viewpoint. They believe that expanding Medicaid means expanding government. Any program that moves people from private insurance to a government program discourages self-sufficiency and wastes taxpayer money. Other opponents of Medicaid expansion claim those on Medicaid have even worse health than the uninsured, an idea that has be heavily disputed.


To find out how Medicaid expansion affects you, you will first need to determine if you live in a state that has accepted the expansion.

If you do, you may be eligible for Medicaid even if you were not before. If not, you may be stuck in what is called “the Medicaid gap”. The Medicaid gap refers to the people who are ineligible for government assistance but do not make enough to receive subsides through the healthcare marketplace- between 100-400% of the poverty line or $11,490-$45,960 in 2016. In Texas, adults are rarely eligible for Medicare. As a result, Texas the largest Medicaid gap in the country- 766,000 people have no access to affordable health insurance. Accepting Medicare expansion would cover 1,186,000 Texans under Medicaid and provide the state with $100 billion to fund the expanded program.


Long Term Disability Lawyers

The team of disability lawyers at Bemis, Roach & Reed knows how crucial disability benefits can be for maintaining financial stability. Our attorneys are assisting clients with their disability cases in cities all across Texas, including Austin, Houston, Dallas, Fort Worth, Galveston, and Corpus Christi. If you are seeking disability benefits contact our attorneys today at no cost to you. Call 512-454-4000 and get help NOW.

5 star disability lawyers

"Words can not truly express the gratitude that I feel toward Mr. Lonnie Roach and his professional team. I give them an A+++. Very compassionate and prompt. Their priorities are first and foremost helping you succeed at your case. When you feel helpless, feeling like someone is on your side can mean the world to you. Thank you for working for the people."
-Amy K.


Top SS disability lawyer
top disability attorney

Blog Feed

Austin Meals on Wheels

How can I get help from Meals on Wheels of Austin - Central Texas?

In addition to the its original meal delivery program, Meals on Wheels has added several other programs to help the disadvantaged.

ltd assistance denied

best disability lawyer

board certified attorneys

Your Free Initial Consultation

At Bemis, Roach and Reed, if we can't help you, we will try to find the right attorneys for you.

We offer each of our prospective clients a free no obligation one hour phone or office consultation to see if we can help you and if you are comfortable with us. We know how difficult a time like this can be and how hard the decisions are. If we can be of assistance to you and help you find a solution to your issue we will even if that means referring you to another attorney.

Or simply call 512-454-4000
to schedule your
Free Consultation

Let's get you Started:

If you could provide us with some basic information about your claim we will get right back with you with a free case evaluation and schedule your Free Consultation Today.

Fields marked with an * are required

Call now for a FREE initial consultation
(512) 454-4000