NEW YORK (MainStreet) Too often things have a way of not working out for lower income individuals, and that may be the case for some heirs under Obamacare. While some individuals and families may not have to pay the premiums at all for health insurance, lower-income families that qualify for Medicaid under the expansion could have to reimburse the government for benefits paid out.
Medicaid expansion was created under the Affordable Care Act to fill the gap between those Americans whose income is too low to qualify for tax credits to be able to afford private health insurance sold through the government healthcare Marketplace but too high to qualify for Medicaid. The expansion provides health care coverage to these Americans by raising the Medicaid income cap to include families that make less than 138% of the federal poverty level (about $32,500 for a family of four, according to healthcare.gov).
As of December 2013, 26 states are moving forward with Medicaid expansion in 2014, with a handful of states moving forward sometime after that.