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Medicare does not have a look-back period. However, Medicaid, a different program, imposes a look-back period for certain services. Learn more.
Medicare does not have a look-back period like Medicaid. Medicaid’s look-back period involves reviewing your financial information from the previous 5 years to ensure you qualify for long-term care.
Medicare calculates this adjustment based on a two-year lookback period. This means that for any given year, your Medicare premiums are based on your household income from two years ago.
The law extends Medicaid's "lookback" period for all asset transfers from three to five years and changes the start of the penalty period for transferred assets from the date of transfer to the date when the individual transferring the assets enters a nursing home and would otherwise be eligible for Medicaid coverage. In other words, the ...
Maximum look-back period for pre-existing conditions 0 months: Hawaii, Maryland, Michigan; 3 months: Kansas, New Hampshire; 6 months: 45 other states + DC; Large group (self-insured) health insurance plans. Maximum pre-existing condition exclusion period 12 months: 50 states + DC; Maximum look-back period for pre-existing conditions 6 months ...
However, here Medicaid imposes a five-year lookback period when assessing eligibility. That means any asset transfers made in the five years before applying are scrutinized and may delay Medicaid ...