10 Questions About Medicaid Answered
3. What Does Medicaid Cover?
In each state, Medicaid must cover:
- Birth control medicine and devices
- Care at rural and federally qualified health clinics
- Care at many childbirth centers
- Care from a pediatrician or family nurse practitioner
- Doctor's fees
- Home health services
- Inpatient and outpatient hospital services
- Lab tests and X-rays
- Nurse midwife care during pregnancy and childbirth
- Prescription drugs
- Preventive care and immunizations for children under age 21
- Quit-smoking programs
- Transportation to medical care
4. How Much Does Medicaid Cost?
For most health care services, you won't pay anything, or you'll have just a small copayment at the time of your visit. Most often, you show your Medicaid coverage card, and the state pays the full cost of your care to your doctor directly.
5. How Do I Find a Doctor Who Takes Medicaid?
You can usually look up doctors on your state's Medicaid web site. Or call the number on the site to talk with someone about finding a provider. Usually, Medicaid is administered by a private insurance company. In this case, call your insurer or look on its website to find a participating provider.
6. Can I Get Medicaid for My Children?
Yes, if your income is not too high. Medicaid and The Children's Health Insurance Program (CHIP) provide low cost coverage to millions of families with children. Income requirements vary by state. In most states, children who live in households with incomes up to $48,500 qualify. Some states will cover children in families of four who earn even more than this.
If you have a baby while you're on Medicaid, your baby will automatically be enrolled in Medicaid for his first year.
7. Are There Special Medicaid Programs for Women?
Yes, if you have been diagnosed with breast or cervical cancer through a state screening program and you have a low income. You can get medical treatment through your state's Breast and Cervical Cancer Prevention and Treatment Program.
Most states will cover pregnant women and may allow you to get Medicaid, even if you have a higher income.