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.)
Who Can Qualify for Medicaid?
Medicaid eligibility is based mainly on financial need, but non-financial factors also matter.
Some Medicaid types also include asset/resource limits, especially for:
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Long-term care
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Nursing home Medicaid
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
Some Medicaid programs look at assets, while others do not.
• 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.
You may qualify if you are:
• 65 or older
• Disabled
• Pregnant
• A parent or caretaker
• A child or teen
• A low-income adult
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)
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).
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.
Important Information & Disclosure
Anthony's Healthcare provides Medicare education and guidance only. We are not affiliated with or endorsed by the U.S. government, the federal Medicare program, the U.S. Department of Veterans Affairs (VA), or any state Medicaid agency, or any insurance carrier.
Medicare consists of multiple parts (Part A, Part B, Part C, and Part D), each with its own rules, costs, and coverage limitations. Medicare Advantage (Part C), Prescription Drug Plans (Part D), Medicare Supplement (Medigap) policies, and Special Needs Plans (D-SNP, C-SNP) are offered by private insurance companies that are approved and regulated by Medicare.
Coverage, premiums, deductibles, copayments, coinsurance, provider networks, formularies, service areas, and extra benefits may vary by plan, carrier, county, and contract year and are subject to change. Extra benefits such as dental, vision, hearing, fitness programs, transportation, over-the-counter allowances, food or grocery benefits, meals, and in-home services are not guaranteed and may have limitations or eligibility requirements.
We do not offer every plan available in your area. Any information we provide is limited to the plans we do offer. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all your options.
Medicaid is a joint federal and state program. Eligibility, income limits, asset rules, and covered services are determined solely by the applicable state Medicaid agency and vary by state.
Information provided is for educational purposes only and does not guarantee eligibility, coverage, or enrollment.