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What is Medicaid?

Each state operates a Medicaid program that provides health coverage for lower-income people, families and children, the elderly, and people with disabilities.

Section 1331 of the Affordable Care Act gives states the option of creating a Basic Health Program (BHP), a health benefits coverage program for low-income residents who would otherwise be eligible to purchase coverage through the Health Insurance Marketplace. The Basic Health Program gives states the ability to provide more affordable coverage for these low-income residents and improve continuity of care for people whose income fluctuates above and below Medicaid and Children’s Health Insurance Program (CHIP) levels.

Through the Basic Health Program, states can provide coverage to individuals who are citizens or lawfully present non-citizens, who do not qualify for Medicaid, CHIP, or other minimum essential coverage and have income between 133 percent and 200 percent of the federal poverty level (FPL). People who are lawfully present non-citizens who have income that does not exceed 133 percent of FPL but who are unable to qualify for Medicaid due to such non-citizen status, are also eligible to enroll. read more

The eligibility rules for Medicaid are different for each state, but most states offer coverage for adults with children at some income level. In addition, beginning in 2014, most adults under age 65 with individual incomes up to about $15,000 per year will qualify for Medicaid in every state.




6 Responses to What is Medicaid?

  1. i have a nefiu he is will be 20 year old next month ,he is in high school and he has a problem with the vision he is a us citizen ,and i want to now if he can apply for medicaid

  2. The rules for Medicaid eligibility are different for each state. You need to call or visit your state Medicaid Office and speak with a medicaid counselor regarding your nephew’s medical needs (In some states you can apply online, visit your state website)

    According to the Government Medicaid Website; Most states have elected to provide Medicaid to children with family incomes above the minimum of 100% of the FPL, and all states have expanded coverage to children with higher incomes through the Children’s Health Insurance Program (CHIP). See the Medicaid and CHIP upper income eligibility levels for children by state.

    In general, children in families with incomes up to $44,700/year (for a family of four in 2011) are likely to be eligible for Medicaid or CHIP coverage. In many states, families with higher incomes can still qualify for coverage for their children. This includes children in mandatory Medicaid eligibility groups, which states must cover in order to participate in Medicaid, as well as children in optional eligibility groups that a state may elect to cover. All children from birth to age 6 with family incomes up to 133% ($29,700 for a family of four in 2011) and children age 6-18 with family incomes up to 100% ($22,350 for a family of four in 2011) are eligible for Medicaid. Other eligible children include infants born to women covered by Medicaid (known as “deemed newborns”), certain children in foster care or an adoption assistance program and certain children with disabilities. read more

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