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Second Opinion: Does Mom Qualify For Obamacare With A Green Card?

Does Mom Qualify For Obamacare With A Green Card?

Paula Miranda asks whether her mom, who is from the Philippines but resides legally in the United States, will benefit from the Affordable Care Act.

According to the most recent poll from the Kaiser Family Foundation, 4 in 10 Americans don't know the Affordable Care Act is moving forward as law.

Aired 7/8/13 on KPBS News.

We're launching a weekly Q&A on the Affordable Care Act. First up: What immigrants should expect.

Special Feature Second Opinion

Well, it is. And love it or hate it, you need to get in the know before 2014.

So, we're launching a weekly Q&A series on the law called Second Opinion. You can send us your questions here.

Our first question comes Paula Miranda, a 31-year-old North Park resident and an instructional designer, meaning she's behind many of the online courses at local community colleges. She's also a first-generation immigrant from the Philippines.

Her mother brought her and her brother to the United States so she could better provide for them, but now the tables have turned and they're caring for her.

Paula asks:

"My mom is a permanent resident here and I'm wondering what kind of benefits she's going to be able to have under the Affordable Care Act."

By permanent resident, Miranda means her mother has a green card. She's been living legally in the U.S. for about 30 years. Some other things you need to know about her:

  • She doesn't have insurance through her employer.
  • She makes a little too much to qualify for Medi-Cal, which under Obamacare, is available to individuals who make $15,856 or less.
  • At 59, she's too young to qualify for Medicare.

The Takeaway

In California, immigrants who are in the country legally can expect to see what most Americans will from the Affordable Care Act.

If they receive benefits through their job, things likely won't change much (though, they should talk to their employers). If they were already eligible for Medi-Cal, they can continue to receive those benefits. If they don't qualify for a public health plan, they can purchase a plan through the state-run health exchange, Covered California.

Like all Americans, they must be insured by tax time next year or face a penalty.

You may have heard of a five-year waiting period for Medicaid for immigrants. In California, that doesn't exist. The state came up with a workaround that lets recent arrivals receive Medi-Cal, the state's version of Medicaid, if they fall within the new income brackets. But they have sign up for the benefits through Covered California.

The Orders

Miranda should purchase a health plan through Covered California. Enrollment opens in October and runs through March 31, but she can log on now to get a cost estimate.

Correction: A previous version of this article misstated that recently arrived immigrants have to wait five years to be eligible for Medicaid. While the law does state this, California has found a way to include recent arrivals in Medi-Cal.

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Avatar for user 'Peking_Duck_SD'

Peking_Duck_SD | July 8, 2013 at 2:48 p.m. ― 3 years, 8 months ago

I'll repeat what I have said time an time again:

Immigration status is a concern at the border and ports of entry, not at medical clinics and hospitals.

It should be public health that dictates these decisions, and public health dictates that the more people who have access to decent medical care, the better off everyone is.

We don't need a situation where illegal immigrant populations don't get health care because guess what folks - not only is it morally correct but also diseases SPREAD - if an infection goes unchecked in one community it can spread to your own doorstep.

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Avatar for user 'pauisanoun'

pauisanoun | July 10, 2013 at 4:48 p.m. ― 3 years, 8 months ago

Thank you, Megan, for answering my question and providing this information! I was able to pass it on to my mom and a few friends who are in a similar situation. I realized I didn't really know much about the new healthcare law and this has encouraged me to be better informed. Thanks, again!

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