Uninsured Vets In Texas Will Miss Out On Medicaid Expansion

There is a growing fear that Medicaid expansion and the array of health insurance choices available to veterans would result in worse care.

Because some states have declined to expand their Medicaid program under the Affordable Care Act, more than a quarter-million veterans who don’t have health insurance will miss out on Medicaid coverage.

Under the new federal health law, expanding Medicaid eligibility is a key component which aims to offer coverage to the majority of uninsured Americans. In January, uninsured adults with incomes at or below 138 percent of the federal poverty level ($15,415 for an individual and $32,527 for a family of four) will become eligible for Medicaid benefits in those states that expand their programs.

(Related: Rural Areas Could Suffer In States That Opt Against Medicaid Expansion)

It is a common misconception that the nation’s 12.5 million non-elderly veterans receive health benefits through the Department of Veterans Affairs (VA). But only two-thirds of those veterans are eligible for VA health care while only one-third are enrolled.

There are roughly 1.3 million uninsured veterans nationwide.

In a recent report, it was was estimated by the Urban Institute that if every state embraced the new Medicaid rules, as many as 535,000 uninsured veterans and 174,000 veteran’s spouses would become eligible for Medicaid coverage.

(Related: Palliative Care Need Grows, Specialists Dwindle)

Unfortunately, last june the U.S. Supreme Court ruled that states were not required to expand their Medicaid programs. As a result, 23 states have declined to expand Medicaid, while another six have yet to make a final decision. There are close to 258,600 uninsured veterans in the 23 states that have rejected the expansion who would have been eligible for Medicaid, according to a Urban Institute report.

And with Obamacare taking effect in 2014, like most other Americans, the uninsured veterans will be required to get it by January or risk paying a penalty under the Affordable Care Act. However, some of the uninsured who fail to qualify for Medicaid coverage might be eligible for federal subsidies that will be made available under the law. Uninsured Americans–veterans and non-veterans–will be able to use those subsidies to purchase private insurance on the state health care exchanges, set to launch in January.

There is a growing fear that Medicaid expansion and the array of health insurance choices available to veterans would result in worse care. The federal government created a separate VA health care system in the belief that veterans would get better care from doctors and nurses versed in the unique health conditions facing them, including post-traumatic stress in addition to other mental illnesses and physical injuries. But the Department of Veterans Affairs only expects 66,000 uninsured veterans to enroll in the VA system to meet the insurance requirement under the new health law.

(Related: Where Does Michigan Stand on Medicaid Expansion?)

Income limits for VA benefits are significantly less stringent than they are for Medicaid. A veteran with no dependents and an annual income of as much as $30,978 is eligible. But conditions other than income–like the length of time since combat, service medals, and service-related injuries or illnesses– also affect eligibility for VA health benefits.

Furthermore,, “there may be a variety of factors why a veteran would choose (Medicaid) or the (VA), such as proximity to VA facilities or their knowledge of the fact that VA care is available to them,” according to Jennifer Haley, who co-authored the Urban Institute report.

Read more: http://www.themonitor.com/news/local/article_035861f0-c972-11e2-8d60-001a4bcf6878.html

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