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What Does Medicaid Pay For?

The Medicaid system was setup up in 1965; it was designed to help people that have a medical and a financial need, and to ensure that the children of poverty stricken families are able to receive the medical care that they need. Every state establishes its own Medicaid program, but is governed by the federal Centers for Medicare and Medicaid, (CMS). The CMS monitors the states programs, and eligibility factors.

Premiums and Deductibles

Medicaid can help pay the premiums and deductibles for Medicare recipients or for those who have an income lower than 100% of the poverty level or if their income level is below twice the standards of SSI.

Long Term Care

Medicaid will cover long term care in all states for individuals that are eligible for Medicaid and also qualify for some institutional care. The eligibility guidelines are generally pretty liberal in these cases.

Specifically, just what does Medicaid pay for?

Well, Medicaid will cover medical expenses such as inpatient and outpatient hospital stays. Family planning, Preventative care for children under the age of 21, including immunizations and well baby care. Nursing home care for the elderly and the disabled that cannot be cared for at home. Home health for those that require it, health clinic visits and if federally approved health centers, also doctor’s visits, lab work and X rays.

Who Accepts Medicaid?

All doctors, hospitals, clinics and facilities must accept Medicaid for you to be able to use their services, if not your expenses will not be covered. Therefore, it is important that you always find out if they are a Medicaid provider.

Medicaid will also cover the cost of prescription drugs, and most dental care. There are small co payments to be made on prescriptions.



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