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Health Care Reform:

Health Insurance & Affordable Care Act

10 Questions About Medicaid Answered

3. What Does Medicaid Cover?

In each state, Medicaid must cover:

Many states offer more care, such as checkups and cancer screening tests for adults, physical therapy, and occupational therapy.

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 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.

6. Can I Get Medicaid for My Children?

Yes, if your income is not too high. Medicaid for children is called The Children's Health Insurance Program (CHIP). Income requirements vary by state. In 46 states, children who live in households with incomes up to $47,700 qualify. Some states will cover children in families of four earning as much as $71,550 each year.

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 with a higher income than if you were single.

8. Can I Get Medicaid and Medicare at the Same Time?

You may in some situations. Medicare is a health insurance program for:

  • People age 65 and older
  • People younger than 65 who are disabled
  • People with end-stage kidney disease

With Medicare, you have to pay monthly premiums and other costs, such as copays and deductibles, when you go for medical care. If you are on Medicare and have a limited income, you may qualify for help from Medicaid to pay the costs of Medicare. If you have both Medicaid and Medicare, you may hear people refer to you as being dually eligible.

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