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Frequently asked questions.
Welcome to our FAQ section, where we address common questions about our healthcare solutions. If you have further questions, don't hesitate to reach out to our support team for personalized assistance.
Contact usWhat is the difference between Medicaid and Medicare?
Medicaid provides health coverage to eligible low-income adults, children, pregnant individuals, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.
Medicare is a federal health insurance program for people:
1. Age 65 or older
2. Under age 65 with certain disabilities, and/or
3. Any age with End-Stage Renal Disease/ESRD (permanent kidney failure requiring dialysis or a kidney transplant) or Amyotrophic Lateral Sclerosis/ALS.
What is the eligibility criteria for the medicaid program?
Financial : The Affordable Care Act established a new methodology for determining income eligibility for Medicaid, which is based on Modified Adjusted Gross Income (MAGI). MAGI is the basis for determining Medicaid income eligibility for most children, pregnant women, parents, and adults. The MAGI-based methodology considers taxable income and tax filing relationships to determine financial eligibility for Medicaid.
Non-Financial : To be eligible for Medicaid, individuals must also meet certain non-financial eligibility criteria. Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.
What are the services covered by medicaid?
In general, the medical services are paid for by Medicaid, but some may not be covered for you because of the age, financial circumstances, family situation, transfer of resource requirements, or living arrangements. Some services have small co-payments. These services may be provided using your Medicaid card or through the managed care plan if you are enrolled in managed care. You will not have a co-pay if you are in a managed care plan.
Medicaid benefits are listed here.
How much does medicaid cost?
For most of the health care services, you won't pay anything, or you'll have just a small copayment at the time of your visit. Most often, you show your Medicaid coverage card, and the state pays the full cost of your care to your doctor directly.
Some states, under a federal waiver, charge a monthly premium for certain eligibility categories.
Can I get medicaid for my children?
Yes, if your income is not too high. Medicaid and The Children's Health Insurance Program (CHIP) provide low-cost coverage to millions of families with children. Income requirements vary by state. In all but two states, children who live in four-person households with incomes up to $56,890 qualify for either Medicaid or CHIP. Eighteen states and DC will cover children in families of four who earn even up to $84,630, although sometimes families at the higher eligibility levels may need to pay more for the coverage.If you have a baby while you're on Medicaid, your baby will automatically be enrolled in Medicaid for their first year.
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