Typical scenario. Husband is fully disabled on SS and Medicare. State pays Part A, B, and D premiums through Medicaid Savings Plan. SS provides extra help for prescriptions. His income is too high for AABD Medicaid..
Husband has a great prescription plan, pays next to nothing, but delays office visits and tests due to copays and deductibles.
Non working wife is in the spousal black out period. They can't afford Obamacare, so she doesn't have any healthcare. Only sees a doctor if she is desperate.
They get a small amount of SNAP benefit to help with food.
Husband is a nice guy. Also a social conservative and very vocal Trump supporter. Wife stays out of political stuff.