Medicaid
What Is Medicaid?
Medicaid is a state and federally funded health insurance program designed to help people with limited income and resources pay for medical care.
Medicaid is not Medicare — but the two programs can work together for people who qualify for both.
Medicaid can help cover:
• Doctor visits
• Hospital care
• Prescription drugs
• Long-term care and nursing home services
• Preventive care
• Mental health services
• Some dental, vision, and transportation services
(Coverage varies by state.)
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Who Can Qualify for Medicaid?
Medicaid eligibility is based mainly on financial need, but non-financial factors also matter.
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Income Requirements
Your monthly income must be below limits set by your state.
Income limits vary based on:
• Household size
• Age
• Disability status
• Whether you are pregnant
• Whether you are 65 or older
💡 Some people qualify even if they receive Social Security, SSDI, or retirement income.
Check Estimated Income Eligibility:
https://www.medicaid.gov/medicaid/eligibility-policy/seniors-medicare-and-medicaid-enrollees
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Asset (Resource) Limits
Some Medicaid programs look at assets, while others do not.
Assets may include:
• Bank accounts
• Savings
• Investments
Assets usually do not include:
• Your primary home
• One vehicle
• Personal belongings
💡 Many Medicaid programs for children and working adults do not have asset limits.
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Age, Disability, or Family Status
You may qualify if you are:
• 65 or older
• Disabled
• Pregnant
• A parent or caretaker
• A child or teen
• A low-income adult
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Citizenship & Residency
To qualify, you must:
• Be a U.S. citizen or eligible non-citizen
• Live in the state where you apply
• Have a valid Social Security number (or have applied for one)
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Medicaid & Medicare Together
Some people qualify for both Medicaid and Medicare.
When this happens:
• Medicaid may help pay Medicare premiums
• Medicaid may help with deductibles and copays
This can lead to eligibility for Medicare Savings Programs or D-SNP (Dual Eligible Special Needs Plans).
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How Medicaid Is Determined
Medicaid eligibility is:
• Reviewed by your state Medicaid agency
• Based on current income and household information
• Subject to annual reviews and updates
Eligibility rules and benefits vary by state and can change.
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Important Information & Disclosure
Anthony’s Healthcare provides health insurance education and guidance only. We are not affiliated with or endorsed by the U.S. government, the federal Medicare program, or any state Medicaid agency.
Medicaid is a joint federal and state program. Eligibility, income limits, asset rules, covered services, and benefits vary by state and individual circumstances and are determined solely by the appropriate state Medicaid agency.
Information provided on this website is for educational purposes only and does not guarantee eligibility, coverage, benefits, or enrollment. Medicaid rules, income limits, and program availability may change and are subject to state and federal guidelines.
For individuals eligible for both Medicare and Medicaid, additional programs such as Medicare Savings Programs or Dual Eligible Special Needs Plans (D-SNP) may be available. Eligibility for these programs is determined by Medicare or the appropriate state or federal agency.