Understanding Medicaid Eligibility

Being healthy is important. But, let’s face it, we can’t be healthy forever. There will surely come a day we’ll need additional care not only from people who care about us but from those who are professional and skilled enough to aid care at all time. But what if you are amongst those people who cannot afford to pay for the increasing costs of long term care? Well, this is where eligibility for Medicaid comes into place.

Once you know you cannot afford paying for medical care, Medicaid, a state-funded program, is one means on how you can still achieve the care you require. It is made available particularly for people with very limited program and all states of US offer this program to reach out to more of its ailing and old-aged citizens.

However, to acquire eligibility for Medicaid, you must meet certain requirements set by the state where you reside. Documents and information needed vary in every state, thus make sure you inquire and prepare the appropriate things needed. Some of the primary requirements include age, whether you are pregnant, disabled, blind, or aged; your income and resources and whether you are a U.S. citizen or a lawfully admitted immigrant.

Also, be aware that the program does not pay or give you money but it pays directly your medical expenses to your health care providers. In some cases, there are special rules applied for those who live in nursing homes and for disabled children living at home. To know more about certain rules and restrictions, it is advisable to contact your local Medicaid office to have a clearer view on the details required.

Once you have been granted Medicaid eligibility, coverage may start retroactive to any or all of the three months prior to application. It stops when an individual’s medical circumstances change. The services covered under this program include prenatal care, midwife services, vaccines for children, physician visits, hospital stays, diagnostic testing such as laboratory and x-ray services, home health care for eligible individuals, and nursing facility care for individuals who are age 21 or older. Other services may apply, and to confirm coverage, make sure to inquire at your nearest Medicaid department.

Medicaid is a program made available for eligible groups of individuals including senior citizens, blind or disabled people, and children. In terms of Medicaid eligibility for children, it is mainly based on the citizenship or migration status of the child and not on the status of the parents. Specific restrictions apply in some circumstances therefore it’s very important to have them identified first.

What is long term care and how are long term care plans executed? Make time to visit our site and learn about the newly-signed CLASS Act.

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