San Francisco Chronicle

Medi-Cal users over age 55 are just borrowing

- By Anne-Louise Vernon Anne-Louise Vernon lives in Campbell.

California has turned Medi-Cal into an invisible loan for those over 55 by choosing to pursue an aggressive asset recovery program.

After paying $1,054 a month for health insurance, I’d hoped to find more affordable insurance in 2014. However, when I tried to sign up through Covered California, I was shocked to find I didn’t qualify for any plan and was obliged to go on Medi-Cal. Although I am over 55, Medi-Cal never informed me when I applied that the state could make a claim against my assets to reclaim costs.

Essentiall­y, I would be indebted to the state for every penny spent for my health care, plus monthly managed-care fees, even if I never went to a doctor. I only inadverten­tly came across this informatio­n online.

Additional­ly, you would not be informed of the actual dollar amount of your debt. It’s unethical that Medi-Cal recipients don’t receive a monthly statement, clearly stating the actual dollar amount of their incurred debt. Instead, they are forced to pay to receive this informatio­n.

People who have only slightly more income can qualify for a subsidized health plan through Covered California and are not subject to asset recovery. As asset recovery affects only those over age 55, it smacks of age discrimina­tion.

California is one of the few states that has chosen to target low-income seniors by going way beyond what the federal government requires, i.e., recovery only for long-term care costs.

I am certain that there are many people new to Medi-Cal who still have no idea they have signed on for an invisible loan.

There is now a bill (SB1124) that would limit recovery to what is required by federal law, allowing people to have health insurance without jeopardizi­ng their estates. Anyone who is over 55 and new to Medi-Cal deserves to know the facts.

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