Over 55 Medicaid becomes a collateral loan against your assets at time of death.

If you make less than about $16,000 you are now required by law to sign up. You also are barred from receiving a subsidy because your too poor. It's full market or the dole.

If you receive gov. benefits like sec. 8, food stamps, wic, ect. you probably have been auto-enrolled.

If you go the public hospital you will be denied charity care if you qualify for Medicaid.

If you accepted a subsidy than you are basically auto-enrolled in Medicaid if your income falls even temporarily.

Even if you don't use any services charges will rack up. Citation fees go to pay off the HMOs and other management entities. They can be hundreds of dollars a month.