Teabagger committing Fraud or Just Highly Unethical?

[YOY]

'Kay folks. Here's the story. Unemployed son of multimillionaress. Ages 56 (the son). Has not been employed since he got fired for saying something highly racist to a coworker years ago. Has lived with mom ever since (15 years).

He's been sick for a little while. Problem with a leg. No insurance. I did mention his mother owns dozens of properties that she rents? Has not want for anything.

This guy says some rather teabaggerish things. Bitches about the Socialist in the white house ad nauseum.

So we just found out that this guy is applying for medicaid...to take care of the problem with his leg.

On edit: 450 lbs but not on disability as far as we know.

You've got all the facts. Is this guy committing fraud or just being a hypocritical unethical bastard?

[Walk away]

1. He sounds like a jerk. Why not turn him into S.S. and find out?

I know it seems cruel but since he is outspokenly against socialized medicine he probably won't mind.

[iceman66]

2. Probably both.

Definitely unethical and hypocritical.

Whether it rises to the level of fraud really depends on what he put on his Medicaid application.

[Tangerine LaBamba]

3. Does he qualify?

He'll get it if he qualifies, and that could be difficult, since he gets his spending money from his Mom, right? He'll have to prove his income, or lack of it, to the right people.

He does sound like a real winner, though. A real dreamboat. How did any woman let THAT ONE get away, I wonder?

[Hepburn]

8. Well....

...his application, IMO, would be interesting:

Either he lives with mommy is a very nice house ~~ which would not jive with his statement of poverty or...

Mommy is giving him free rent elsewhere, untilities, auto, etc., would would be counted as income as would living with mommy and her supplying everything.

Note: The above would happen IMO only if the assholed told the truth.

:hi:

[Tangerine LaBamba]

12. I've seen Medicaid applications -

I've helped clients with them - and they ask about EVERYTHING. One woman had deposited $50 that she got as a Christmas present from an old boyfriend into her checking account - which had something like $8 in it - and the social worker wanted to know EVERYTHING about where she got that $50.

You really have to have nothing to qualify for Medicaid. At least that's how it is here in Virginia. It's really for the truly poor.

And, as always, there's the warning printed at the end, the one about criminal penalties and the Federal government..........

[Hepburn]

31. I hope they do the same with this guy....would only be fair. n/t

[YOY]

10. At 450 lbs you really gotta wonder.

He's a biggun.

[Tangerine LaBamba]

13. That wasn't in the OP -

is he getting SS disability, I wonder?

[YOY]

16. We honestly don't think so.

Unless he applied for that and we never heard of it. The mommy is a fair-weather friend to an a very sweet elderly lady in our hood who is spitting tacks at the thought of him getting social medicine when he bitches about it.

She is one cool old girl. (our neighborhood friend...not the mommy).

[Tangerine LaBamba]

17. How would you know?

This is the kind of stuff I love - how would you possibly know that he's receiving SS disability?

[YOY]

19. Old ladies talk.

The mommy and a good friend of ours belong to an ethnic club and play cards together. Our friend is the only one of a quartet of them who is not a citizen and not a Republican.

They talked...that's how we found out about medicaid application.

[Tangerine LaBamba]

20. I really do love this stuff -

my Dad worked in the Post Office - long ago - and always knew exactly who was now getting the Black Lung pension. He took great delight in telling on them, especially since most of them had never worked in a coal mine.

People talk. Thanks for the explanation. Everyplace is a small town, after all...........................

[TxRider]

25. I would bet he is..

[Kansas Wyatt]

4. Send a letter to the Social Services office he applied at...

And demand an investigation into this guy, before he receives any benefits.

Go on to describe his past about being a deadbeat, and how it was all due to his choices to not work and spew hatred about social programs.

Who knows... Someone may make him eat his words about socialism.

On Edit: If he has to list all his income and has been relying on a wealthy parent, the government does not care where his income has been coming from, because it's still income and his mother's finances are taken into account.

[Hepburn]

5. How would he qualify?

Usually aren't programs like this for those with children with a family at or below the poverty level? Or for those on SS Disability?

:shrug:

[YOY]

9. I have no idea how one qualifies Hep.

All I know is that somehow he is applying. He is 450 lbs. Not too sure of any other disability.

[Hepburn]

11. Well....

...I hope he is about 9 foot tall so he is then height/weight proportional!

:evilgrin:

[Emit]

27. Here's some info on the difference b/w Medicaid and Medicare

In a nutshell, Medicaid is a needs based program. It is usually for persons who have never worked due to disability, retired persons who meet the financial criteria, etc. If this guy has any cash in his name, or any property, etc., he likely will have difficulty qualifying, as other posters have pointed out - they check your records very thoroughly.

Medicaid is usually tied to SSI (but, retired persons can become Medicaid eligible in some states depending on their financial status, it's complicated)) - whereas Medicare is tied to SS and SSDI.

So the man in question, if he is in fact applying for Medicaid, is likely also applying for SSI based on disability and little work history.


MEDICARE

* Health Insurance for seniors.
* Need to have contributed to Medicare system to be eligible.
* Pays for primary hospital care and related medically necessary services.
* Generally individual must be over 65 to be eligible.
* May have a co-pay provision depending on the services received.
* Federally controlled, uniform application across the country.



MEDICAID

* Needs based health program.
* Pays for long term care.
* Individual must meet income and asset test to be eligible.
* Individual must be over 65, disabled or blind.
* Requires mandatory contribution of ALL recipient's income.
* Individual state by state differences create a different program in each state. (Generally similar, but may be different in specific application.)

More: http://www.virtuallawoffice.com/medicwhat.html



Medicare vs Medicaid - Medicaid - Examples of several of these categories include:

* Children and Pregnant Women - Low income pregnant women and children through age 18 may be eligible for Medicaid. The income guideline for pregnant women and children under the age of 6 is 133% of the federal poverty guideline. Children ages 6 through 18 are eligible if their family incomes do not exceed 100% of the federal poverty guideline.


* Parents - Low income parents and other caretakers of children may qualify for Medicaid.


* People with Disabilities- People who receive SSI because of disability or because they are 65 years of age or older are automatically eligible for Medicaid in thirty-nine states. Eleven states, including Connecticut, Hawaii, Illinois, Indiana, Minnesota, Missouri, New Hampshire, Oklahoma, and Virginia, are known as 209(b) states and each can set its own eligibility criteria for Medicaid that is different than the SSI criteria.

In addition, individuals who meets the level of care requirement for nursing home care and whose incomes do not exceed 300% of the SSI benefit amount may be eligible for Medicaid nursing home services or Home and Community-Based Waiver Services.


* Children in Foster Care - Children in foster care under Title IV-E of the Social Security Act and certain recipients of adoption assistance are eligible for Medicaid. In addition, youth between the ages of 18 and 21 who were in foster care may be eligible for Medicaid through the Foster Care Independence Act of 1999.


* Medicare beneficiaries - Certain Medicare beneficiaries with low incomes and limited resources may be eligible to receive full Medicaid benefits. Other Medicare beneficiaries whose income exceeds the level for full Medicaid eligibility may be eligible to receive limited Medicaid benefits to cover some Medicare cost-sharing expenses such as premiums, deductibles, and coinsurance.


* Medically Needy Individuals - Medically needy programs provide Medicaid coverage to some individuals who have income or resources above the required limits set by their state but who have incurred or paid sufficient medical expenses to allow them to meet the "spend down" test.


here: http://www.residual-rewards.com/medicarevsmedicaid.html

[baldguy]

6. Both.

Why doesn't he beg mommy for the cash?

[YOY]

14. Mommy is cheap. Miserly so.

So is he.

Funny thing about Mommy. She has 2 kids and no grandkids (Nor will she ever haver any) and acts like she is gonna take it with her.

[LiberalAndProud]

7. I vote for hypocritical and unethical. And I will add leech.

Mostly leech. But an unemployed 56 year old man should be eligible for Medicaid, even if he doesn't believe in it. Sorry his mother is rich and lets him leech off of her wealth too, but it's her fault for raising a self-centered parasite and demanding nothing from him.

But maybe we need to put in a provision that as soon as he inherits his mother's wealth, he has to pay the socialistic government back for his care?

That's a change I could get behind.

[Kansas Wyatt]

15. He may not be eligible.

If he has been living with or getting income from his mother, then it's proof someone else can take care of him, so the government isn't responsible for him.

Years ago, Teabaggers / Republicans didn't want needy people taking advantage, if someone in the family could pay (be burdened with) the tab, so they insisted on all the exclusion rules to follow before an award is given.

[izquierdista]

18. If it's all in her name

Then he may qualify. But any joint accounts with "substantial" assets in them that he can draw on would disqualify him.

[Tangerine LaBamba]

21. No, if he benefits from her money,

as if, she's paying his rent, or supplying him with room and board, that's considered "income" for the sake of Medicaid eligibility, and is taken into consideration.................

[YOY]

23. Indeed she is.

So unless there is some serious lying going on there he will be denied.

[Emit]

28. There are countable and non countable assets that are considered at application

But I do not know whether mommy paying his rent is considered a countable asset or not:


Assets are divided into two categories; countable and non-countable. Countable assets consist of all investments such as stocks, bonds, mutual funds, checking and savings accounts and CDs. Countable assets also include any personal or real property as well as any art and collectibles.

Non-countable assets consist of personal possessions such as clothing, jewelry and furniture and the applicant's primary residence. Further, non-countable assets include one vehicle not to exceed $4500 for unmarried applicants (there is no value limit for a vehicle for married applicants). Non-countable assets also include prepaid funeral plans, certain amounts of life insurance and retirement funds which cannot be cashed in because they are in payment status (however the latter will be considered under the income limits).

To qualify for nursing home coverage, the recipient's countable assets cannot exceed $2000. The spouse of the Medicaid recipient may keep half of the couple's joint assets up to $109,560 (in 2009). The community spouse may keep the first $21,912 (in 2009), even if it exceeds half of the couple's assets. These figures vary from state to state.

http://www.avoidmedicaid.com/?TID=15

[Tangerine LaBamba]

29. Yes, well, my experience

is with Virginia Medicaid, helping people apply, filling in the forms, working with social workers, jumping through the hoops.

Countable, non-countable, none of that matters, at least here in Virginia. What you have is what you have, and the application is so thorough, so exhaustive, it's impossible to have something, anything, of value that is not going to be accounted for on that document.

His mother paying his rent is counted as income. That's a basic. And it counts....................

[Emit]

30. Yes, I would agree, Tangerine LaBamba

In my experience in working with persons with disabilities and their experiences with applying for SSI/SSDI/Medicaid/Medicare, the guidelines are so strict that most everything of value is counted as an asset, edited to add, in the case of SSI/Medicaid. This person referred to in the OP will have to do some creative maneuvering to receive Medicaid.

I recall, too, the hassles my father had in attempting to get my grandmother qualified for Medicaid when she required long-term assisted care living. Talk about thorough!

[madamesilverspurs]

22. Sounds like he's cut from the same cloth

as a woman I spoke with a few years back. She was all bent about being 'deprived' just because she had stuff to show for her hard work. Turns out that she'd gone to Social Services and applied for food stamps, and she was highly miffed that she was denied. In her opinion she was being unjustly punished because she and her husband had several bank accounts, a house, a vacation home, a pickup, an SUV, and cars for each of their three children. And a motorhome. And a boat. Fortunately for me I only cross paths with her by accident about every two or three years, and the last time was this summer: she was smack dab in the middle of the crowd at the bussed-in anti-reform rally.

[Tangerine LaBamba]

24. Are you kidding?

She had all that, and wanted FOOD STAMPS?

God, I love the human species. They never fail to surprise - and entertain - me................................

[madamesilverspurs]

26. Nope, not kidding.

She had this twisted kind of thinking, where if you did well you should be 'rewarded'. Otherwise...

[SeattleGirl]

32. The thing to understand is that these programs are for people who

qualify, not for people one might like or dislike.

I do think he's being hypocritical, but I don't think they take family income into account.

[YOY]

33. Wow...unreced...wonder why.

Story is true...This is one of those threads that get neither rec nor unrec.

I guess we just have a bunch of asshole trolls here.