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Is Essential Health Insurance legitimate?

Medicaid fraud? asked for letter of termination from health insurance?

  • My husband pays a good amount in child support and is required to provide health insurance for his son that lives in California. Since my husband can only get insurance for himself through his company, he pays for our families independent health insurance. My name is on as the policy holder. I switched health insurance back in January 2011. My questions is, I was contacted by his ex just now about having my old health insurance termination letter sent to her so she can get her son approved for a medicaid cares program to get him mentally evaluated. She says the only way to get him aprroved for free help is to have the termination letter from my old insurance because she can't afford to have him seen with my current health insurance. I don't understand why she would need a letter from 8 months ago to get him approved when she has my current insurance.. Is there a reason why medicaid would want a letter that long ago to have him approved? Would that be considered medicaid fraud if we are providing health insurance and she doesn't want to use it? I know I have really crappy insurance because I'm in school right now working on getting my degree but I feel like we are wasting quite a bit of money a year for insurance on him if she has him on a medicaid program. I pay what the insurance doesn't pay for my daughter to see her doctor and I just go without anything extra that month.

  • Answer:

    Don't do it, as she could than claim he is not providing insurance. She can go to county mental health, which charges based on a sliding scale. However, I'm a little concerned she is shopping for a counselor who will claim he is being sexually abused by you and/or the father. http://groups.yahoo.com/group/Dads_House_Ed_Ctr/ http://groups.yahoo.com/group/2ndwifeclub http://dads-house.org/EducationalManual

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My guess is that she is trying to fudge and say he is not currently covered. Ask her to provide you the information so you can call and get confirmation on exactly what she needs - if it's legit, she should give it to you. The only insurance programs sponsored by the state in California that I know of are are medical and healthy families.

A Hunch

She's planning on using that letter to LIE to Medicaid, and pretend he doesn't have current health insurance?? Am I reading that right? BEWARE. If Medicaid DOES give him coverage, they're going to come after your husband for failing to follow the court order by getting him insurance; and they'll attach a portion of the child support he's paying the boy's mother, to be reimbursed. Yes. It's Medicaid Fraud. Any time you're lying, that's fraud. Lying by not mentioning that there's current coverage, is fraud. And it can come back and bite BOTH parents in the rear.

mbrcatz

That doesn't sound quite right. Be careful what you do! Don't drop him off insurance without talking to social service personnel for advice first.

BeautifulRose

It seems like she wants to get their son on Medicaid and needs proof that he is not insured.

Flower

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