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Medicaid is a Federal State Health Insurance Program

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Medicaid is a joint federal-state health insurance program that provides coverage to low-income Americans. The specific programs and services offered vary from state to state, but all Medicaid programs must cover certain basic services, including:

  • Doctor visits
  • Hospital care
  • Prescription drugs
  • Laboratory and X-ray services
  • Mental health and substance abuse treatment
  • Preventive care, such as immunizations and well-child visits

In addition to these basic services, many states also offer optional Medicaid services, such as dental care, vision care, and long-term care services.

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Medicaid Eligibility Requirements

To be eligible for Medicaid, you must meet certain income and residency requirements. Income requirements vary from state to state, but most Medicaid programs are available to people with incomes below 138% of the federal poverty level. Residency requirements also vary from state to state, but most Medicaid programs are available to people who are legal residents of the state.

If you think you may be eligible for Medicaid, you can apply through your state Medicaid agency. You can find contact information for your state Medicaid agency on the Medicaid website: https://www.medicaid.gov/medicaid/index.html

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Programs and services offered through Medicaid

Here are some of the programs and services that may be offered through Medicaid:

  • Managed care: Medicaid managed care programs contract with private health insurance companies to provide Medicaid benefits to enrollees.
  • Fee-for-service: Medicaid fee-for-service programs allow enrollees to see any doctor or other healthcare provider who accepts Medicaid.
  • Medicaid for Adults with Disabilities (MED-D): MED-D is a program that provides Medicaid coverage to adults with disabilities.
  • Medicaid for Children and Families: Medicaid for Children and Families provides coverage to children, pregnant women, and other low-income families.
  • Medicaid for the Elderly and Disabled: Medicaid for the Elderly and Disabled provides coverage to low-income seniors and people with disabilities.
  • Long-Term Services and Supports (LTSS): LTSS are services that help people with disabilities and seniors live independently in their homes and communities. LTSS can include services such as personal care, meal delivery, and transportation.

In addition to these programs and services, Medicaid also offers a number of other benefits, such as prescription drug coverage, preventive care services, and mental health and substance abuse treatment.

How To Apply For Medicaid

There are 2 ways to apply for Medicaid

  1.  Apply through your state Medicaid agency. You can apply directly through your state Medicaid agency website or visit your local Medicaid office.
  2. Apply for Medicaid through the Health Insurance Marketplace. Just visit healthcare.gov and fill out an application for your state benefits.
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If you have any questions about Medicaid eligibility or the programs and services that are offered in your state, you can contact your state Medicaid agency.

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