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What Is Not Covered By Medicaid?

What is not covered by Medicaid? The answer may surprise you. Medicaid covers most health related services, but qualifying can be extremely difficult.

What is not covered by Medicaid?

This question is frequently asked by people facing a long term illness, or an expensive, possibly permanent, nursing home stay. The exact services covered by Medicaid vary from state to state as Medicaid is a program administered by each state. However, Medicaid in all states does cover most necessary medical services. Some constants from state to state are doctor visits, nursing home care, assisted living care, home health care, and physical therapy. The requirements for qualifying for Medicaid vary from state to state as well, but there are some federally established constants. These constants include a maximum income level as well as limited assets, limited resources, and other qualifies factors. Income alone is never enough to qualify for Medicaid. Other factors must be present such as age and disability. However, age or disability are not enough to qualify for Medicaid either, limited income and assets must also be present.

What is not covered by Medicaid in any state?

Some services are not covered by Medicaid in any state. Services which are not deemed medically necessary are very unlikely to be covered by Medicaid. Things such as cosmetic plastic surgery, non medically necessary weight loss surgery, and non medically necessary dental procedures will not be covered regardless of the state.

How do I know what is not covered by Medicaid in my state?

Each state has a Medicaid program administered in state. Searching Google or another search engine for the term Medicaid plus the state name should provide the number for the Medicaid administration office in that state. Only the state Medicaid administration can provide state specific information above and beyond the federal minimum requirements.



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