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Medicaid Eligibility

Medicaid provides medical assistances for certain types of low-income people. Medicaid pays medical bills with funds from federal, state, and local taxes. Patients with Medicaid might sometimes be responsible for making a small co-payment for services, but they don’t often have to pay anything for services.

Medicaid assistance is often commonly with Medicare, but the two are different programs. Medicare is a type of health insurance for people over 65 and those under 65 with certain disabilities. The eligibility requirements for Medicaid and Medicare are different.

Having a low income is not the sole requirement for getting Medicaid assistance. There are many people who are poor, with incomes below the poverty level, who don’t meet Medicaid requirements because they do not fit within the designated eligibility groups.

Generally these groups of people can receive Medicaid assistance: Pregnant women and children under 6 with family income at or below 133% of the federal poverty level. According to the 2009 Federal Poverty Guidelines, a family of two would need an income less than $19, 378 to qualify for Medicaid assistance. Children ages 6 to 19 qualify with a family income at or below the federal poverty level. Adults who take care of kids under age 18. Individuals who receive Supplemental Security Income. Teenagers up to age 21 who are living on their own and, people who are over 65, blind or disabled.

If you do not reside in a state with a medically-needy program and you don’t meet the income requirements, you may not qualify for Medicaid.

In general, you must be a U.S. citizen to be eligible for Medicaid. Legal immigrants might be able to qualify in certain cases. Illegal immigrants who would otherwise qualify for Medicare may be able to receive Medicaid assistance in emergency situations only.

Medicaid coverage can be retroactively applied up to 3 months before the application was made as long as you were Medicaid eligible for coverage during that period. So, if you acquired medical bills before you applied for Medicaid, you might be able to have those bills covered as long as you make your Medicaid application within the given time frame.

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