Washington State Insurance Question!?

She is cheating. She is telling the state that she lives alone. Otherwise she would not qualify for Medi-cal. She is going to have to stop cheating and then tell the state she is living with the baby's daddy and they will cancel all Medi-cal in their home because they do NOT qualify. Or, she keeps cheating and they will go after the baby's daddy for child support. It pays to be honest. This baby's daddy is dishonest and earns a very good living. Shame on him. Shame on both of them.

That's WAYYY too much income for the household to qualify for Medicaid...

When you say "state insurance" do you mean Medicaid? Then she is committing fraud if he earns $68K and they live together. If you mean Washington state sells low cost health insurance, I still think that must be for people with lower incomes than $68K. It sounds like your friend is committing federal fraud with Medicaid. She has to apply to cover the baby but she has to tell the truth about her living situation.

Your friend is committing welfare fraud.
She is required to provide the state the "household income". Since he is making $68K that puts them signifincately above the state maximum for a 2 person household.

She is falsely getting state insurance (Medicaid). It is based on HOUSEHOLD income, so her boyfriend's income is taken into account. He can get insurance through the federal or state marketplace. The father will be required to obtain insurance for the child.

She may but, she won't know until she has applied and disclosed the truth about the WHOLE situation, which includes how much her bf makes and that they live together, etc. If you don't start telling them the whole story, when they find out, she will be in a worse position.

She is committing welfare fraud as total household far exceeds income limits to be eligible for Medicare. That $68k is far above median household income in US. She lives off her bf, so her bf's income determines whether she qualifies for any Medicaid or anything else.
As for baby, if she applies for Medicaid for baby, the state takes her baby-daddy to court for child support & health insurance - which he can afford!

https://www.sapling.com/7747486/income-m...
Federal Poverty Level
Washington residents whose income falls below 138 percent of the Federal Poverty Level are eligible for coverage under Apple Health. As of publication, that's an annual income of $15,856 for a single individual, $21,404 for two people, $26,951 for a family of three and $32,499 for a family of four. FPL income guidelines are revised annually
Above is copied from the site.
So to receive state insurance (Medicaid) is based on household income which is 3, since would be BF, woman and the unborn baby counts as 3. Now some states (allow) a higher income when a woman is pregnant, but $68,000?