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Medicaid, What is it?

Medicaid is a government-sponsored health insurance program for individuals with low income and limited resources.


The program covers a range of medical services, including doctor visits, hospital stays, and prescription drugs. In this blog post, we'll take a closer look at how Medicaid works and who is eligible for the program.

What is Medicaid? Medicaid is a joint federal and state program that provides health coverage for people with low income and limited resources.


It was created in 1965 as part of the Social Security Act and is now the largest source of funding for medical and health-related services for people with limited income in the United States.


Who is eligible for Medicaid?


To be eligible for Medicaid, you must meet certain income and resource requirements. The program is primarily designed for people with low income and limited resources, including children, pregnant women, and adults with disabilities. Eligibility requirements vary by state, but in general, you must fall into one of the following categories:

  • Children under the age of 19

  • Pregnant women

  • Adults with disabilities

  • Elderly individuals (age 65 and older)

  • Parents and caretaker relatives of eligible children

  • Low-income adults

What services are covered by Medicaid?


Medicaid covers a range of medical services, including:

  • Doctor visits

  • Hospital stays

  • Prescription drugs

  • Laboratory and X-ray services

  • Nursing home care

  • Home health care

  • Family planning services

  • Dental services

  • Vision services

  • Transportation to medical appointments


Each state has its own Medicaid program, so the specific services covered may vary. However, all states must provide certain mandatory services, such as hospital services, physician services, and laboratory and X-ray services.

How is Medicaid funded? Medicaid is funded by both the federal government and the state governments. The federal government sets minimum standards for the program, but each state has the flexibility to design and operate its own Medicaid program within these standards.


The federal government matches a percentage of the state's Medicaid spending, with a higher matching rate for states with lower per capita income. The federal government pays for an average of 60% of Medicaid costs, with the remaining 40% paid by the states.


How do you apply for Medicaid?


To apply for Medicaid, you must contact your state's Medicaid office or visit the Health Insurance Marketplace. You can apply online, by mail, or in person. When you apply, you will need to provide information about your income, resources, and household size.


If you are eligible for Medicaid, you will receive a Medicaid card that you can use to access medical services. Medicaid also provides assistance with transportation to medical appointments, so you can get to and from your appointments without having to worry about the cost.


What are the benefits of Medicaid? Medicaid provides access to essential medical services for people with limited income and resources. Some of the benefits of Medicaid include:

  • Improved health outcomes: Medicaid has been shown to improve health outcomes for enrollees, particularly for people with chronic conditions.

  • Financial protection: Medicaid provides financial protection for enrollees who may otherwise be unable to afford medical care.

  • Access to preventive care: Medicaid covers preventive care services, such as regular check-ups and vaccinations, which can help prevent serious illnesses.

  • Reduced health disparities: Medicaid helps reduce health disparities by providing access to medical services for people with limited income and resources.

Conclusion


Medicaid is an important government-sponsored health insurance program that provides access to essential medical services for people with limited income and resources. The program covers a range of services, including doctor visits, hospital stays, and prescription drugs, and is funded by both the federal government and state governments. Eligibility requirements vary by state, but in general, Medicaid is available to children, pregnant women, adults with disabilities, elderly individuals, and low income.


About Preferred Senior Benefits in Meridian, Idaho

Medicare is a federal program that provides healthcare coverage to individuals 65 years or older. Original Medicare coverage is broken into two parts—Part A and Part B—and is accepted by nearly every doctor and hospital in the country. Medicare Part A covers inpatient or hospital stays, while Part B covers outpatient or medical care. Together, Part A and B cover about 80% of the typical healthcare costs seniors face. This leaves a few significant gaps in coverage. Medicare Supplement (Medigap) and Medicare Advantage plans are policies designed to help extend coverage, lessen costs, and ultimately give beneficiaries peace of mind. If you or someone you know would like more information about how to enroll in Original Medicare or one of the Medicare Advantage plans, call now to speak with a licensed agent (208) 818-2523. We can’t wait to help you learn about your options.


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