Do You Lose Mass Health If You Get Married?

by | Last updated on January 24, 2024

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If you are married and living with your spouse, then you are considered a couple and are therefore part of the MassHealth Family Group

. (See MassHealth family group for more information about who is considered a member of the family group.)

Does getting married affect Medicare benefits?


No, getting married does not affect your eligibility for Medicare or Social Security benefits

. Any person who has paid into the Medicare system as part of their employment for the equivalent of 40 credits, or about 10 years, of work is eligible to receive full Medicare benefits at the age of 65.

What is maximum income for MassHealth?

Family Size MassHealth Income Standards 1 $522 $6,264 2 $650 $7,800 3 $775 $9,300 4

$891


$10,692

Does MassHealth look at your bank account?


MassHealth does not look at your savings

– you can have a large bank account or trust or things like that. But once you turn 65, they look at your assets. For MassHealth Standard you can only have up to $2,000 in savings, although there are certain types of assets that are not counted towards this limit.

What benefits will I lose if I get married?

Getting married can affect

SSI, dependents, survivors, Medicare, and Medicaid benefits

. Whether affects your disability benefits depends on whether you're collecting Social Security disability insurance (SSDI) benefits or SSI benefits.

Is it better financially to be married or single?


Married couples tend to start saving earlier, making retirement easier and potentially more lucrative

. Higher per-person cost of living: To state the obvious, single individuals (who live alone) pay a higher percentage of their income for basic necessities, including food, phones and cable television.

Can you own a house and be on MassHealth?

Since a MassHealth applicant is only allowed to have $2,000 in countable assets,

owning a property with more than $823,000 in equity makes the applicant ineligible for benefits

. In order to become eligible, the applicant must reduce the equity in the home to below $823,000.

Does MassHealth check your income?

MassHealth

uses an electronic data match to compare your current yearly income to your past federal tax return

, if your current income is less, it will ask for proof of your current monthly income.

Is MassHealth based on income?


MassHealth eligibility is determined using factors, such as income, assets, residency, and household composition.

Do I have to report marriage to Social Security?

Change of Marital Status – Marriage, divorce, and annulment of marriage.

You must report marriage even if you believe that an exception applies

. You return to work (as an employee or self- employed) regardless of amount of earnings.

How long do you have to report marriage to Social Security?

You must report any changes that may affect your benefits immediately, and

no later than 10 days after the end of the month in which the change occurred

.

Are there benefits to getting married?

Married couples tend to get

discounts on long-term care insurance, auto insurance, and homeowners insurance

. Married couples often qualify for better credit and better terms on loans.

Is Blue Cross Blue Shield part of MassHealth?

This means Blue Cross Blue Shield pays your bills first and although

still covered by MassHealth

, you will no longer be in the MassHealth managed care plan.

What is a lookback period MassHealth?

In Massachusetts, the look-back period is

five years

. With very few exceptions, anything that's sold or given during this time will count against the benefits that the applicant should receive. The value of the assets or the amount of the sale are important for this.

What does MassHealth consider assets?

For MassHealth Standard or Limited, the total value of countable assets cannot exceed:

$2,000 for an individual or ■ $3,000 for a couple

. For the Medicare Savings Programs, the total value of countable assets cannot exceed: $6,940 (2012) for an individual or ■ $10,410 (2012) for a couple.

Do you get paid more if you are married?

There is virtually no difference in wages between single workers of both sexes and married women. However,

married men earn more than single men and single or married women among people with at least a high school diploma.

Do married couples get two Social Security checks?


You can both collect your full amounts at the same time

. However, your spouse's earnings could affect the overall amount you get from Social Security, if you receive . These are Social Security payments you can collect on the basis of your husband's or wife's earnings record.

How much does a married couple get on SSI?

The SSI income limit (and monthly benefit rate) for a couple is

$1,175 in 2020

. So after subtracting $480, the $695 remainder is what your new monthly benefit would be. This is less than the $783 SSI benefit that you may have been receiving ($783 is the standard federal benefit amount for an individual in 2020).

Do you pay less taxes if you are married?


Your tax bracket could be lower together

Depending on the incomes, there still can be a marriage penalty. But if the taxpaying spouses have substantially different salaries, the lower one can pull the higher one down into a lower bracket, reducing their overall taxes.

How can I avoid marriage penalty?

In most cases,

filing separately

won't help a couple avoid a marriage tax penalty. The one time it may be beneficial is if one spouse has significant medical expenses in a particular year. Only health care costs in excess of 7.5% of a person's adjusted gross income may be deducted by those who itemize.

Do you have to file taxes jointly if you are married?


Married couples have the option to file jointly or separately on their federal income tax returns

. The IRS strongly encourages most couples to file joint tax returns by extending several tax breaks to those who file together.

Can MassHealth put a lien on my house?


When they leave their house, MassHealth can put what's called a living lien on the property

. It means that if the house is sold while Judy and Tom are still alive and receiving long-term care, MassHealth gets to keep the profits, up to what has been paid, and the rest must be spent on the skilled nursing facility.

Can you use MassHealth out of state?

Out-of-state emergency treatment

MassHealth is a health-care program for people living in Massachusetts who get medical care in Massachusetts.

In certain situations, MassHealth may pay for emergency treatment for a medical condition when a MassHealth member is out of state

.

Can I stay on MassHealth if my employer offers insurance?

Maintaining your Employer-Sponsored Insurance (ESI)

To keep your MassHealth benefits, including PA payments for your ESI, you must report any changes in your ESI policy information to the Premium Assistance Unit at (800) 862-4840 as soon as possible, but no later than 10 days from the date of the change.

Does unemployment count as income for MassHealth?


MassHealth will not count the added $600 week unemployment benefit as income

, but the Health Connector will count it in estimated annual income. Both MassHealth and the Health Connector will count other forms of Unemployment Benefits as income.

Maria LaPaige
Author
Maria LaPaige
Maria is a parenting expert and mother of three. She has written several books on parenting and child development, and has been featured in various parenting magazines. Maria's practical approach to family life has helped many parents navigate the ups and downs of raising children.