Denied applying for CHIP while enrolled in Marketplace coverage

I have been exactly at the income thresholds for CHIP for quite a while, so I frequently get on/off marketplace coverage for my children. The COVID expansions provided relief from this problem, but once that expired I returned to the marketplace.

Starting 2024, my entire family is on a HDHP. My income dropped in the first quarter of 2024, so I reapplied for CHIP directly in my state in April. (Michigan program is called MiChild). I am self employed in a partnership, and the state DHS did not understand that my P&L business statements reflect the income of both myself and my partner, and the amounts need to be divided in half. This resulted in a denial due to income being too high.

I navigated the appeal process for the past 4.5 months, and DHS has made mistake after mistake, until a judge finally heard the case in the middle of July, ruling on how to properly calculate the income. On 8/7, I received yet another denial letter with no explanation of why I was still denied.

This morning (8/15), DHS returned my call and said the denial is due to existing coverage through the Marketplace. CHIP eligibility requires that there be no other coverages.

I understand the "legalese" of this, but it makes no sense. I wouldn't want to terminate my Marketplace coverage until I know I have an approval from DHS for CHIP, but if I don't terminate the Marketplace plan I'm not eligilble for CHIP. It's a chicken and egg.

So now, I'm stuck with an $8000 medical bill for a child that had emergency surgery in May, and I lost my subsidies for 5 months. This is a bankrupting situation for me and it seems to me that something is not right here.

See also  ER visit denied

Does anyone have words of widsom of how to navigate this? I called the Marketplace about backdating the insurance cancellation to April 1, but they said there's no such option.

submitted by /u/Bus_Computer_7113
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