New data reveals a significant reduction in Medicaid enrollments affecting millions of Americans, including Wisconsin residents.
Wisconsin Department of Health Services reported that around 360,000 residents were no longer eligible for Medicaid due to renewed application and renewal requirements.
The unwinding process began in 2023, impacting approximately 1.68 million individuals participating in the state’s health care program.
During the pandemic, temporary waivers on paperwork and income requirements were in place. However, as these rules were reinstated, many residents lost their health insurance for reasons such as no longer qualifying or missing deadlines.
Without health insurance, out-of-pocket costs can be prohibitive, leading to avoidance of necessary medical care. One individual reported in a Wisconsin Watch article that her $6 prescription cost her up to $1000 without insurance.
If you find yourself without coverage, consider exploring alternatives like the Affordable Care Act Marketplace and inquire about special enrollment periods through an employer’s plan in case of Medicaid termination. Nonprofits and advocate groups can provide assistance and resources.
Appealing Medicaid renewal denials is also recommended by Ryan, as the unwinding process is not without flaws, leading to eligible individuals being wrongfully excluded in certain instances.
Creating a financial reserve for potential emergencies or illnesses can help avoid dire financial situations. Michael emphasized the importance of being prepared, as a single medical emergency can wreak havoc on finances.
Some States Facing Enrollment Reductions
Wisconsin is not alone in experiencing mass disenrollment from Medicaid. A Kaiser Family Foundation study revealed significant drops in New York, Texas, and California, affecting millions of Medicaid beneficiaries.
Nationwide, 19.6 million individuals have lost Medicaid coverage, with procedural issues being the primary cause. Many lose coverage due to missed deadlines or incorrect information.
During the pandemic, miscommunication led to many Medicaid recipients being caught off guard by the termination of their benefits, often missing crucial notifications.