Medicaid: Comprehensive Health Coverage for Millions
Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities.
80+ million
Americans covered by Medicaid
1 in 5
Americans is covered by Medicaid
38 states
Have expanded Medicaid under the ACA
How Medicaid Works
Medicaid is a joint federal and state program that provides health coverage to eligible individuals. Here's an overview of how it works:
- Check your eligibility based on your state's Medicaid requirements
- Apply for Medicaid through your state Medicaid agency or the Health Insurance Marketplace
- Provide necessary documentation to verify your eligibility
- If approved, receive your Medicaid card and information about covered services
- Choose a Medicaid health plan (if required in your state) and primary care provider
Medicaid Eligibility
Medicaid eligibility is determined by various factors, including:
- Income and household size
- Age
- Disability status
- Pregnancy
- Citizenship or immigration status
Eligibility requirements can vary by state, so it's important to check your specific state's guidelines.
Medicaid Benefits
Medicaid covers a wide range of health care services, including:
- Doctor visits and hospital stays
- Preventive care, such as immunizations and screenings
- Prescription drugs
- Mental health services
- Dental and vision care (in some states)
- Long-term care services and supports
Medicaid Expansion
The Affordable Care Act (ACA) allowed states to expand Medicaid coverage to nearly all low-income Americans under age 65. In states that have expanded their programs, you may qualify for Medicaid if your household income is below 138% of the federal poverty level.
Benefits of Medicaid expansion include:
- Increased access to health care
- Improved health outcomes
- Reduced uncompensated care costs for hospitals
- Economic benefits for states
Frequently Asked Questions
What's the difference between Medicaid and Medicare?
Medicaid is a joint federal and state program that provides health coverage to eligible low-income individuals. Medicare is a federal health insurance program primarily for people 65 or older and certain younger individuals with disabilities.
Can I have both Medicaid and private insurance?
Yes, you can have both Medicaid and private insurance. In this case, Medicaid may help cover costs that your private insurance doesn't, such as copayments or deductibles.
Do I have to pay for Medicaid?
In most cases, Medicaid coverage is free. However, some states may charge small copayments for certain services. Medicaid is designed to be affordable for low-income individuals and families.
How do I apply for Medicaid?
You can apply for Medicaid through your state Medicaid agency or through the Health Insurance Marketplace at HealthCare.gov. Some states allow you to apply online, by phone, by mail, or in person.
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