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Who Qualifies For State Health Insurance?

Guide to understanding eligibility for the state health care Medicaid Program.

If you find yourself in a situation in which you or your family need medical care and are unable to pay for it, there is state health care programs that may be able to help. Medicaid is a government program that helps pay for health care expenses for certain individuals. Because this program is run at the state level, the qualifications, requirements and coverage will vary from one state to another. However, the basics of the program are universal.

Who Is Eligible For The Medicaid Program

Regardless of which state you reside in, Medicaid plans are required to provide health care coverage to all people over the age of 65 who are considered to be low income and have limited resources. The plans also provide for care to people who are considered to be disabled or blind and unable to pay for their own health care coverage. The Medicaid program also has plans set up to give health care coverage to all children under the age of 19; parents who have a child under the age of 19; and a pregnant woman and her unborn child.

There is also other health care programs available through the Medicaid program that provides immediate temporary assistance to anyone else that resides in the state who meet certain eligibility requirements.

Eligibility Requirements For The Medicaid Program
To be eligible for the Medicaid program or any of the special plans offered through the Medicaid program that offer health care coverage, you must meet certain requirements, such as:

Having a limited income and resources that prevent you from being able to afford your health care premiums and/ or health care expenses.

Fit into one of the previous mentioned categories.

Prove you have a medical need that is considered life or limb threatening, and it requires immediate medical care.



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