Everything you need to know – Forbes Health
Medicaid is a joint program between federal and state governments that ensures low-income people have access to health care.
Who is eligible for Medicaid?
Medicaid provides health coverage for families and children, pregnant people, the elderly, people with disabilities, and some people with low incomes.
In the 39 states (including Washington, DC) that agreed to implement the latest Medicaid extension, most adults under 65 who have incomes below 138% of the federal poverty line are eligible. In 2021, this amount is $ 12,880 for an individual and $ 21,960 for a family of three.
“If you are pregnant or have a disability, you may benefit from a higher income,” says Rachel Garfield, vice president of the Kaiser Family Foundation (KFF) and co-director of its program on Medicaid and the Uninsured . “Children may be eligible if their parents’ income is two to two and a half times the federal poverty line,” she said.
If you live in one of the 12 states that have chosen not to expand Medicaid, coverage for non-elderly adults is limited to people with a child, pregnant women, or people with disabilities. “If you’re an adult without children, don’t have a disability, and you’re not pregnant, you don’t qualify, regardless of your income level,” says Garfield.
What does Medicaid cover?
Certain benefits must be available in all plans in all states, in accordance with federal guidelines, including:
- Coverage of hospital stays
- Outpatient hospital services
- Laboratory and radiology services
- Family planning services
- Nursing home services
- Home health services
- Visits to the doctor
- Transport to medical care
Some of the optional benefits that states may choose to offer include:
- Prescription drugs
- Physical therapy
- Occupational therapy
- Speech, hearing and language services
- Respiratory care services
- Optometry services
- Dental services