1.4 Million Illegal Aliens on Medicaid

somarco

GA Medicare Expert
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Medicaid cuts for immigrants in Trump's 'big, beautiful bill'
White House wants to remove 'at least' 1.4M immigrants from Medicaid
Immigrants in US illegally aren't eligible for federally funded care
However, they can use Medicaid-funded emergency services

Can illegal immigrants join Medicaid?
No, immigrants who have entered and remained in the U.S. illegally are not eligible for Medicaid.

Although they might benefit from some of its services — including emergency care — they aren't eligible for federally funded Medicaid coverage.

Emergency care available for undocumented patients
Some emergency services provided by hospitals are available to people lacking a Medicaid-eligible immigration status.

Services include "those requiring immediate attention to prevent death, serious harm or disability, although states have some discretion to determine reimbursable services," according to the KFF.



The Congressional Budget Office and research organizations such as the Kaiser Family Foundation and Georgetown University's McCourt School of Public Policy corroborate these restrictions.

 
And, at least when I last looked (so it may have changed), even people in this country legally and permanently (or example and IR-4 or IR-3 visa) have to wait 5 years before they can get SNAP, Medicaid, etc.
 
wait 5 years before they can get SNAP, Medicaid, etc.

You are probably right. My client base is mostly middle to upper income and I know that foreign nationals who are here legally have to wait 5 years for Medicare eligibility. That time period must be documented.


As a foreign national seeking Medicare coverage, you need to meet certain requirements related to your immigration status and residency in the United States.

Here's a summary of the eligibility rules and potential waiting periods:

1. Lawful Permanent Residents (Green Card Holders):
Five-Year Residency Requirement: Generally, legal permanent residents must have resided in the United States for at least five continuous years immediately prior to applying for Medicare. This means holding a green card for a minimum of five years.

Work History:
If you or your spouse have worked and paid Medicare taxes for at least 40 quarters (about 10 years), you may be eligible for premium-free Medicare Part A (hospital insurance) at age 65 or older.
If you don't meet the 40-quarter requirement, you can still enroll in Part A but you'll have to pay a monthly premium.

Medicare Part B: You can also purchase Medicare Part B (medical insurance) after residing in the U.S. as a permanent resident for five years. You will pay a monthly premium for Part B.

2. Other Lawfully Present Immigrants:
Qualifying for Federal Disability or Retirement Benefits: If you qualify for or currently receive Social Security retirement benefits, Railroad Retirement Benefits (RRB), or Social Security Disability Insurance (SSDI), you may be eligible for Medicare regardless of your citizenship or how long you've lived in the U.S. You would qualify for premium-free Part A and pay a premium for Part B.

Other Categories: While not as common, other categories of lawfully present individuals might qualify for premium-free Part A if they accrue enough work credits, even with fewer years of residency, according to Justice in Aging.

3. Undocumented Immigrants:
Ineligible for Medicare:
Individuals who are not lawfully present (undocumented immigrants) are not eligible to enroll in Medicare coverage under any circumstances.

Important Considerations:
Waiting Period for Medicaid: Lawful permanent residents often have a five-year waiting period after obtaining qualified immigrant status before they can become eligible for Medicaid and CHIP coverage.

Medicare Enrollment:
If you are eligible for Medicare, you generally have a seven-month Initial Enrollment Period (IEP) to sign up, starting three months before you turn 65.

Missing your IEP can result in a monthly late enrollment penalty for Part B, which continues as long as you have the coverage.

Work Credits: The number of years you or your spouse worked and paid Medicare taxes determines whether you qualify for premium-free Part A.

Disability: If you are under 65 and have a qualifying disability, you may be eligible for Medicare earlier, but generally after receiving SSDI benefits for 24 months.

In essence, a foreign national, unless they qualify for Medicare through specific benefits or based on a spouse's work history, will typically have to be a legal permanent resident and reside in the U.S. for at least five continuous years before becoming eligible for Medicare benefits.

Google AI summary . . .
 
You are probably right. My client base is mostly middle to upper income and I know that foreign nationals who are here legally have to wait 5 years for Medicare eligibility. That time period must be documented.


As a foreign national seeking Medicare coverage, you need to meet certain requirements related to your immigration status and residency in the United States.

Here's a summary of the eligibility rules and potential waiting periods:

1. Lawful Permanent Residents (Green Card Holders):
Five-Year Residency Requirement: Generally, legal permanent residents must have resided in the United States for at least five continuous years immediately prior to applying for Medicare. This means holding a green card for a minimum of five years.

Work History:
If you or your spouse have worked and paid Medicare taxes for at least 40 quarters (about 10 years), you may be eligible for premium-free Medicare Part A (hospital insurance) at age 65 or older.
If you don't meet the 40-quarter requirement, you can still enroll in Part A but you'll have to pay a monthly premium.

Medicare Part B: You can also purchase Medicare Part B (medical insurance) after residing in the U.S. as a permanent resident for five years. You will pay a monthly premium for Part B.

2. Other Lawfully Present Immigrants:
Qualifying for Federal Disability or Retirement Benefits: If you qualify for or currently receive Social Security retirement benefits, Railroad Retirement Benefits (RRB), or Social Security Disability Insurance (SSDI), you may be eligible for Medicare regardless of your citizenship or how long you've lived in the U.S. You would qualify for premium-free Part A and pay a premium for Part B.

Other Categories: While not as common, other categories of lawfully present individuals might qualify for premium-free Part A if they accrue enough work credits, even with fewer years of residency, according to Justice in Aging.

3. Undocumented Immigrants:
Ineligible for Medicare:
Individuals who are not lawfully present (undocumented immigrants) are not eligible to enroll in Medicare coverage under any circumstances.

Important Considerations:
Waiting Period for Medicaid: Lawful permanent residents often have a five-year waiting period after obtaining qualified immigrant status before they can become eligible for Medicaid and CHIP coverage.

Medicare Enrollment:
If you are eligible for Medicare, you generally have a seven-month Initial Enrollment Period (IEP) to sign up, starting three months before you turn 65.

Missing your IEP can result in a monthly late enrollment penalty for Part B, which continues as long as you have the coverage.

Work Credits: The number of years you or your spouse worked and paid Medicare taxes determines whether you qualify for premium-free Part A.

Disability: If you are under 65 and have a qualifying disability, you may be eligible for Medicare earlier, but generally after receiving SSDI benefits for 24 months.

In essence, a foreign national, unless they qualify for Medicare through specific benefits or based on a spouse's work history, will typically have to be a legal permanent resident and reside in the U.S. for at least five continuous years before becoming eligible for Medicare benefits.

Google AI summary . . .
One year of marriage to a U.S. citizen overrides the 5 year Residency Requirement.
 
One year of marriage to a U.S. citizen overrides the 5 year Residency Requirement.
There are exceptions for foreign born adoptees. If they come in on an IR-3 visa the child citizenship act then they have no wait with some exceptions. The act, which went into effect February 27, 2001 was retroactive to any child under 18 at that time. Those who were 18+ on that date are not citizens but have a permanent green card (so green card rules apply to medicaid, SNAP, etc.) UNLESS their parents (or the child) filed for citizenship - which was automatic,

Those who came in on an IR-4 Visa were not included because in the case of those kids both parents (if there were two) did not see them before the adoption was finalized in the foreign country for countries that did that OR they were adopted in a country (like Korea) where there was no adoption finalization in that country - the adoption had to be finalized in the USA by the parent(s) then adopting the child. IF the parent(s) never did that (and many didn't due to the expense except in a few states where a law was passed to make it a paperwork thing and no one had to go to court and made it far cheaper) then the child still has a green card and green card rules apply.

The risk with foreign born adoptees is that if their green card status was never changed to citizenship then they can be deported (and some have been) even for a speeding ticket, and of course a different set of rules apply to them than to other foreign born adoptees whose parents then made them citizens or were/are covered by the child citizenship act.
 
Looks like the vast majority of no tax on ss. Goes away in2028
No tax on overtime. Goes away
Cuts to Medicaid doesn't start till after next election hmmm
No tax on American made cars.......provided they're valued over $110,000 and you earn less than $100,000.
 
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