Medicaid: When You Can't Afford Healthcare
by Cynthia M. Johnson, MA
Medicaid is managed by individual states. It is paid for by state and federal tax dollars. It gives healthcare to uninsured people who cannot afford it.
Who Is Covered
People must meet certain requirements to qualify for Medicaid. States set eligibility requirements that are within federal guidelines. These may include whether you are pregnant, have a disability, are blind, or are elderly. Most people must also be a US citizen or a legal immigrant. The state and federal government also look at a person's income and resources. People must be low income to qualify for Medicaid. Children can be covered by Medicaid, but they also have to meet requirements.
The Affordable Care Act went into effect in early 2014. It expands coverage for Medicaid and Children's Health Insurance Program (CHIP). People may choose a plan from the Health Insurance Marketplace and find that they need Medicaid or CHIP. The Marketplace will share this information with the correct agencies for follow-up. A person can find out if their state has expanded Medicaid and CHIP coverage by visiting the Marketplace or getting in touch with their local social services department.
What States Cover
The only way to know what your state offers is to contact your local department of social services. States vary widely in their plans and whom they cover. This makes it a good idea to ask about your unique situation. All states must offer certain benefits, such as inpatient and outpatient hospital services and family planning services. Optional benefits may be things like drug coverage, dental services, and chiropractic care.
What Is Covered
These are some of the basic needs that are usually covered:
Some states also supply training and employment services to people with disabilities. And some provide wider services, such as support systems that allow disabled persons to live in the community or in housing that meets their needs. The services a person can get will depend on what the state offers and their eligibility.
How to Apply
Call your state's social services department, Medicaid, or Health Insurance Marketplace to apply. You can also apply online.
Nearly all states will require an interview. You will also be asked for proof of eligibility, such as:
Health Insurance Marketplace
Children's Health Insurance Program (CHIP). Medicaid.gov website. Available at: https://www.medicaid.gov/chip/index.html. Accessed October 19, 2021.
Medicaid. Medicaid.gov website. Available at: https://www.medicaid.gov/medicaid/index.html. Accessed October 19, 2021.
Medicaid in New York State. New York State Department of Health website. Available at:
...(Click grey area to select URL)
Accessed October 19, 2021.
Last reviewed October 2021 by EBSCO Medical Review Board
Last Updated: 10/19/2021
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