r/leanfire • u/nightanole • 15h ago
Pros and cons of medicaid vs silver 94 for 2027 OHIO
So after doing brief research several several months ago, i decided to stay on the silver 94 plan for 2027. But with all the new info i kinda want to revisit the issue.
Ohio
Head of household thanks to elderly mother on socialsecurity
Own house
Male 47 good health, never see doc and no scripts
Leanfired. Only uncontrolled income is about $12k in interest/dividends at fidelity
Overall goal = fill up the standard deduction bucket with interest/roth conversions, and fill up the zero percent capital gains bucket with tax gain harvesting
The last time i reviewed this strategy it was pretty "iffy" with no concrete answers. So here is my new plan and wanted to run it by you folks. Qualify for expanded magi medicaid. After evaluation month, do the capital gains bucket at the end of the month and report the same month. Spend the rest of the year reporting either interest/dividends or roth conversions to meet the min "work" requirements.
Its either this, or try to live in the wee sliver between 138% and 149% yearly income to stay on the silver 94, and pay around a grand a year in premiums.
I really dont want to YOLO a month a year and just hope i dont get the fall/widow maker that month to go the medicaid route.