Capital Gains and Medicaid Eligibility in 2025: Guide

The hidden price of a “good” gain So, here’s the thing: a “good” gain can be bad news for Medicaid. You sell a stock, lock in a tidy profit, your tax bill looks fine on paper… and then you get a notice that your Medicaid eligibility just tripped a wire. It happens more than people think, especially this year. Actually, wait, let me clarify that, it’s not the gain sitting in your brokerage account that hurts you; it’s the moment you realize it (the sale) that shows up in the Medicaid math. Why now? Markets were strong in 2023 and…