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From Healthcare.gov (the ACA, aka Obamacare, website):
"Medicaid expansion & what it means for you. Some states have expanded their Medicaid programs to cover all people with household incomes below a certain level. Others haven’t. Whether you qualify for Medicaid coverage depends partly on whether your state has expanded its program.
....AND...
"If your income is low and your state hasn’t expanded Medicaid: If your state hasn’t expanded Medicaid, your income is below the federal poverty level, and you don't qualify for Medicaid under your state's current rules, you won’t qualify for either health insurance savings program: Medicaid coverage or savings on a private health plan bought through the Marketplace."
source
States were given money when the ACA was implemented to expand the Medicaid. Many red states turned that money down choosing to let their poor residents continue to not get any healthcare coverage. Was that your friend's state?
Oh I had thought my state expanded Medicaid but during the pandemic I was rejected for having savings despite being on unemployment
It's so frustrating when you get shafted for being financially responsible. I had a severe malignant melanoma removed and the Dr's association refused to accept less than $200 per month payment after they saw I had an emergency fund in the bank.
At the time I was making $36k per year and my wife was in school, so negative income. $200 per month would have ruined our lives. So I told them they'd never see a penny and took the huge credit hit.
Virginia, so a bit of a wildcard.