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What Is Covered By Medicaid?


You can view what plans are available to you along with price quotes. Quotes are presented for all of the major health insurance carriers available to you including Blue Cross, Blue Shield, Aetna, Humana, United, Assurant, Kaiser (in select states), Cigna, along with regional plan providers.



What Is Covered By Medicaid?

If you’ve applied for Medicaid for yourself or for your children, you’re probably wondering what is covered by Medicaid, and will your benefits be sufficient enough to take care of yours and your family’s healthcare needs?

Federal Guidelines

The Federal government offers partial funding for Medicaid in each state, in partnership with that state. Therefore, the Federal government has set forth a few different guidelines that must be followed when determining Medicaid eligibility as well as determining which benefits must be offered to participants. Regardless of what state you reside in, if you’re approved to receive Medicaid benefits, you can expect to receive the following:

  • Inpatient and Outpatient Hospital Services
  • Home Health Services
  • Physician Services
  • Rural Health Clinic Services
  • Laboratory Services
  • X-Ray Services
  • Family Planning Services
  • Pre-Natal Care
  • Tobacco Cessation Services

These are set by the Federal government and are a required part of each state’s Medicaid program.

State Guidelines

In addition to being required to offer Federally-mandated services, each state has the freedom to design a Medicaid plan for their residents according to the additional services they wish to offer. Most states have added extra types of coverage, including:

  • Pharmacy Benefits
  • Clinic Services
  • Physical Therapy
  • Occupational Therapy
  • Respiratory Care
  • Mental Health Services
  • Dental Services
  • Optometry Services

These additional services combine to make Medicaid an excellent program for both adults and children.

Medicaid Application Process

In order to determine Medicaid eligibility, you must fill out an application at your local Department of Social Services office, or online with the Medicaid website for your state. You will be required to provide documentation about yourself and your family members, and you will also have to submit proof of income. Just as each state has its own benefits package, each state also maintains a list of criteria that must be met before approval for Medicaid will be granted.

Once you are approved, in many states, your coverage will go back a few months before you applied. This will cover medical procedures and physician visits you may have had prior to filing your Medicaid application.

As 2014 approaches, many states are beginning to broaden their eligibility requirements as well as the services they offer under their Medicaid programs. These changes will alter what is covered by Medicaid from state to state, but they’ll also provide participants with a better, well-rounded type of healthcare for themselves as well as for their families.