Medicaid Basics

Shawn Plummer, CRPC

Chartered Retirement Planning Counselor

Understanding Medicaid

What is Medicaid?

Medicaid is a joint federal and state program established in 1965 to offer low-income individuals and families health insurance. Funded by both the federal government and individual states, Medicaid covers a broad range of healthcare services to ensure access to necessary medical care.

Eligibility Criteria

Eligibility for Medicaid varies by state but typically includes:

  • Low-Income Families: Coverage for adults and children in low-income households.
  • Pregnant Women: Prenatal care, childbirth, and postpartum care for low-income pregnant women.
  • Children: Health insurance under the Children’s Health Insurance Program (CHIP).
  • Elderly Adults: Assistance for seniors with limited income, often for long-term care services.
  • People with Disabilities: Coverage for individuals with disabilities meeting specific income and asset criteria.

Coverage and Benefits

Medicaid offers a wide range of healthcare services, including:

  • Inpatient and Outpatient Hospital Services
  • Physician Services
  • Laboratory and X-Ray Services
  • Home Health Services
  • Nursing Facility Services for Individuals 21 and Older
  • Family Planning Services and Supplies
  • Rural Health Clinic Services

States may also provide optional benefits like prescription drugs, dental care, and physical therapy, making Medicaid a comprehensive health coverage option.

What Is Medicaid

How We Can Help

At The Annuity Expert, we understand the complexities and emotional toll that come with managing healthcare needs, especially for low-income families, seniors, and individuals with disabilities. Our core mission is to help you navigate the Medicaid system to ensure you receive the health coverage you need without the stress and confusion often associated with the application process.

Navigating the Medicaid system can be overwhelming. You might feel lost trying to understand eligibility requirements, benefits, and the application process. This confusion can lead to delays in receiving essential medical care, increased financial strain, and heightened anxiety about your healthcare future.

Symptoms of the Problem

  • Confusion and Overwhelm: Difficulty understanding Medicaid’s complex rules and application process.
  • Delayed Medical Care: Hesitation or delays in applying can result in missed medical treatments.
  • Financial Strain: Worrying about healthcare costs and how to afford necessary medical services.

At The Annuity Expert, we empathize with these challenges and have the expertise to guide you through every step. With 15 years of experience as an insurance agency, annuity broker, and retirement planner, we are committed to finding the best solutions at the lowest costs, ensuring you receive the coverage you deserve.

Medicaid Explained

What We Recommend

  • Step 1: Free Consultation
    • What Happens: Contact us for a free consultation where we discuss your specific needs and eligibility for Medicaid.
    • Main Benefit: Understand your options and eligibility without any financial commitment, providing peace of mind and clarity.
  • Step 2: Personalized Assistance
    • What Happens: We assist you in gathering the necessary documents and completing your Medicaid application accurately and efficiently.
    • Main Benefit: Avoid common pitfalls and ensure a smooth application process, reducing stress and increasing your chances of approval.
  • Step 3: Ongoing Support
    • What Happens: Once your application is submitted, we provide ongoing support to address any questions or issues that may arise.
    • Main Benefit: Continuous guidance and support ensure that you remain informed and confident throughout the process, securing your health coverage promptly.
  • Features and Benefits
    • Expert Guidance: Benefit from our 15 years of experience, ensuring accurate and efficient application processing.
    • Personalized Service: Receive tailored assistance that meets your unique needs and circumstances.
    • Ongoing Support: Enjoy continuous support even after your application is submitted, keeping you informed and reassured.
  • Overcoming Common Objections
    • “I’m not sure if I qualify.” We will help you understand the eligibility criteria and determine if you qualify.
    • “The application process is too complicated.” Our expert team will guide you through every step, making the process straightforward and stress-free.
    • “I don’t want to deal with the paperwork.” We handle the paperwork for you, ensuring accuracy and efficiency.

Failing to apply for Medicaid can result in unnecessary medical expenses and missed healthcare opportunities, leading to increased stress and financial hardship. By working with The Annuity Expert, you secure the health coverage you need, leading to improved health outcomes and financial stability.

Experience the peace of mind and security that comes with knowing your healthcare needs are covered. Contact us today for free advice or a free quote and take the first step towards securing your health and financial well-being.

Medicaid Meaning

Get Guidance On Medicaid

Get help or a quote from a licensed financial professional. This service is free of charge.

Contact Us

Frequently Asked Questions

What states have the highest Medicaid income limits?

States with generous provisions included California, Massachusetts, New York, and Vermont. However, these details can change, and it is important to refer to the most recent resources or the official state Medicaid websites for the most current information on income limits and eligibility criteria.

Do Life Insurance Proceeds Affect Medicaid?

Medicaid can consider the cash value of certain types of life insurance policies when determining eligibility.

What does Medicaid cover for dental for adults?

Limited coverage; often emergency procedures and extractions. Varies by state.

How much does Medicaid pay for non-emergency transportation?

Varies, typically cover necessary medical appointments.

What does Medicaid cover for adults?

Hospital services, physician services, home health, and more. Specifics vary by state.

What medications does Medicaid not cover?

Varies by state; each has a preferred drug list. Some exclusions exist.

How much does Medicaid pay for home health care per hour?

Rates vary by state and provider type.

How to get Medicaid to pay for nursing homes?

Must meet financial and health criteria. Application through state Medicaid office.

How much does Medicaid pay for a caregiver?

Varies by state; depends on care level and hours.

How often will Medicaid pay for dentures?

Typically, once every 5-10 years, but varies by state.

Who does Medicaid cover?

Low-income individuals, families, pregnant women, elderly, and disabled. Eligibility varies by state.

How to get Medicaid to cover tummy tuck?

Rarely covered; only if medically necessary.

How much does Medicaid pay for assisted living?

It varies by state; some states don’t cover assisted living.

What does family planning Medicaid cover?

Contraceptives, screenings, counseling. Specific services vary by state.

How many therapy sessions does Medicaid cover?

Varies; some states have limits, others based on medical necessity.

What does SSI Medicaid cover?

Same as standard Medicaid: hospital, doctor visits, prescriptions, etc.

What does Medicaid expansion cover?

Broader coverage for low-income adults; specifics vary by state.

How many physical therapy sessions does Medicaid cover?

Varies, often based on medical necessity and state limits.

What breast pump does Medicaid cover?

Most states cover manual or electric pumps; specifics vary.

What does Medicaid cover for pregnancy?

Prenatal care, labor, delivery, postnatal care. Varies by state.

What does pregnancy Medicaid cover?

Same as above: prenatal, labor, delivery, and postnatal care.

How much does Medicaid pay for transportation?

Covers non-emergency medical transportation; rates vary.

How much does Medicaid cover for glasses?

One pair annually for children; adults vary by state.

How long does Medicaid pay for assisted living?

Depends on the state and the individual’s medical/financial eligibility.

What does pregnancy Medicaid cover in Texas?

Prenatal, labor, delivery, 60 days postpartum care.

How much does Medicaid pay toward a nursing home?

Varies: most costs covered if eligible, personal expenses excluded.

How long does Medicaid cover a mother after birth?

Typically, 60 days postpartum.

What does Medicaid cover for seniors?

Hospital, medical services, prescriptions, long-term care if eligible.

How often does Medicaid pay for hearing aids?

Varies; often once every few years.

How to get Medicaid to pay for dental implants?

Rarely covered; only if medically necessary.

What does transitional Medicaid cover?

Temporary coverage; same as regular Medicaid.

How long does Medicaid pay for long-term care?

As long as they are medically and financially eligible.

How much does Medicaid cover?

Most medically necessary services; specifics vary by state.

How much does Medicaid cover for surgery?

Most surgeries if deemed medically necessary.

How long does Medicaid pay for inpatient psychiatric care?

Varies, often limited to certain days per year.

How many hours of home health care does Medicaid cover?

Based on medical necessity varies by state.

How often will Medicaid pay for a wheelchair?

Typically, once every 5 years, varies by state.

How often will Medicaid pay for a CPAP machine?

Usually once every 3-5 years.

How much does Medicaid pay for long-term care?

Most costs if eligible; personal expenses excluded.

What does Florida Medicaid cover?

Hospital, physician services, prescriptions, more. Varies by program.

What surgeries does Medicaid cover?

Most that are deemed medically necessary.

What does emergency Medicaid cover?

Emergency services for non-qualified individuals.

What does Medicaid cover as secondary insurance?

Covers gaps in primary insurance; specifics vary.

How to pay for a nursing home without Medicaid?

Private pay, long-term care insurance, VA benefits, etc.

How much does Medicaid pay for mental health services?

Varies; covers most necessary services.

What weight loss medication does Medicaid cover?

Varies by state; based on medical necessity.

What medical equipment does Medicaid cover?

Durable medical equipment if medically necessary.

How long does Medicaid pay for rehab?

Based on medical necessity, varies by state.

How much does Medicaid pay for personal care services?

Varies; based on hours and state rates.

How often will Medicaid pay for a nebulizer?

Usually once every 5 years or if broken.

How long will Medicaid pay for hospital stay?

Based on medical necessity, there is no set limit.

How much does Medicaid pay for private-duty nursing?

Varies by state and hours needed.

How many ultrasounds does Medicaid cover?

At least one; more if medically necessary.

Does Medicaid pay for funerals?

No, but may recover costs from the deceased’s estate.

Does Medicaid pay for cremation?

No, not directly.

Does Medicaid pay for respite care?

Yes, Medicaid will pay for respite care if part of an approved care plan.

Shawn Plummer, CRPC

Chartered Retirement Planning Counselor

Shawn Plummer is a Chartered Retirement Planning Counselor, insurance agent, and annuity broker with over 14 years of first-hand experience with annuities and insurance. Since beginning his journey in 2009, he has been pivotal in selling and educating about annuities and insurance products. Still, he has also played an instrumental role in training financial advisors for a prestigious Fortune Global 500 insurance company, Allianz. His insights and expertise have made him a sought-after voice in the industry, leading to features in renowned publications such as Time Magazine, Bloomberg, Entrepreneur, Yahoo! Finance, MSN, SmartAsset, The Simple Dollar, U.S. News and World Report, Women’s Health Magazine, and many more. Shawn’s driving ambition? To simplify retirement planning, he ensures his clients understand their choices and secure the best insurance coverage at unbeatable rates.

The Annuity Expert is an independent online insurance agency servicing consumers across the United States. The goal is to help you take the guesswork out of retirement planning and find the best insurance coverage at the cheapest rates

Scroll to Top