I received this notification in the mail yesterday. This is the 3rd plan that I have had in 3 years, which is in direct contrast to the one plan I had for the three years prior to the individual requirement enforced by the Affordable Care Act.

As you can see from the attached image, my plan is being discontinued. I assume this is a direct result of Obamacare and the requirement for minimum coverage, which would include maternity coverage (I am a single male), pediatric services (no kids), and mental health and substance use services (no addictions or needs here, either), among others. I would also like to point out that I have not visited a doctor for any services in the past four years, so my chosen catastrophic coverage (which was cancelled three years ago) was exactly what I needed.

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Just count me as another person who is not happy with the ACA because I did not get to keep the plan I liked, I did not see $2,500 in savings, and I am having to pay for services I do not need and, in fact, cannot use.

There are changes to the physical qualification standards for people qualifying for Medicaid in Oklahoma. These changes will go into effect on October 1, 2015. If you know of someone who needs nursing home care, or if you anticipate such a need in your immediate family, you should review these qualifications.

From an email I received from Travis Smith, Assistant General Counsel to OK DHS.

“Oklahoma will stop being a § 209b state on 10/1/15, and will begin using SSI rules to determine Medicaid eligibility for people who are aged, blind, or disabled (ABD).

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Oklahoma is not becoming a 1634 state. An ABD person will not automatically receive Medicaid if they receive an SSI payment. They will still have to apply for Medicaid with DHS and have their eligibility recertified every year.  For people applying for Long-Term Care, such as nursing home or ADvantage services, DHS will still determine if the person is medically eligible.”

As a reminder, there are basically three tests to qualify for SoonerCare services: 1. Physical need (the determination of which is what is being changed); 2. Resource availability; 3. Income limitations.

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