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Top Tips For Medicaid Eligibility

Medicaid has been a blessing for some and for others a bit of a curse. Why? Because there is not quite enough information about who is eligible and people give up on applying. So here we will give you some simple guidelines on what you need to know in order to make things a but easier for the common person.

So what exactly is Medicaid and how do I qualify?

We are defining Medicaid because it is often confused with Medicare. Medicaid is made primarily for kids and families in need and has expanded to non families in need.  Medicare is made for those age 65 and older. Anyone of that age is eligible regardless of what their income is. For Medicaid participants it is only available for those that fit the strict income guidelines which we will get into here.

What are the Medicaid standards and requirements?

Not everyone with a low income qualifies. The caseworker is responsible for assessing the individual situation. They will look at the bank accounts, real property and income if any and decide whether or not the person is eligible. Medicaid is a state and federally funded program and as there are federal laws governing the program there are also individual state regulations governing the process as well.

How to actually qualify for Medicaid:

First and foremost you must be or become a U.S. citizen before you start the application process.

The three groups eligible for Medicaid:

  1.  1. Minor Children
  2.  2. Pregnant Women
  3.  3. Parents of small children

If you do not fall within one of those three categories—you probably will not qualify for the program.

Income calculations:

If you live in a home with a lot of people—you are allowed to make more money and still qualify for the program. You can follow the formula that is broken down for your state.

How to actually apply for Medicaid:

First be aware that with the current administration, there have been further restrictions placed on who will qualify at the federal level which you will see as you are applying so you don’t have to worry about  studying the law.

  1.  1. The HSS or Human Services Department goes by many different names in each state. So, find out what the department that provides financial assistance and food stamps and that will be the department that also handles Medicaid applications.
  2.  2. You need to make sure the application is filled out in the office. So, make sure you have proper ID and call ahead and ask what you need with you. This could take a while and must be done correctly or there is a chance of rejection. You may want to take a half day off to do this—it’s that important.

A short list of what you need is below:

  • • Drivers License
  • • Social Security Card
  • • Proof of Address
  • • Pay Stubs
  • • Proof of Bank Balance
  • • Birth Certificate {If you no longer have one you can obtain a certified copy from the Department of Births and Deaths in your city}

3.There will be probing questions about your financial situation do don’t be surprised or insulted—Medicaid is based on income.

4. Whatever you do, don’t guess. If you aren’t sure how to fill out the application then ask the staff.

5. If you are physically unable to leave the home—ask someone to help you.

Phyllis Kentleton

Phyllis Kentleton is a professional copywriter and web content creator with a former medical background as a Certified Nursing Assistant and a specialization in Alzheimer's and Dementia care. She owns a Facebook community that supports writers and artists in the state of Florida.