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Financial Planning for Parkinson's Disease

(continued)

How Do People Receive Medicaid Benefits?

Medicaid eligibility requirements depend on financial need, low income, and low assets. In determining Medicaid eligibility, officials do not review rent, car payments, or food costs. They only review medical expenses. Medical expenses include:

  • Care from hospitals, doctors, clinics, nurses, dentists, podiatrists, and chiropractors
  • Medications
  • Medical supplies and equipment
  • Health insurance premiums
  • Transportation to get medical care

The four eligibility tests required to receive Medicaid include:

  • Categorical. You must be age 65, blind, or disabled.
  • Non-Financial. You must be a U.S. citizen and a state resident. You also must have a social security number.
  • Financial. Your total gross income, personal assets, and property will be evaluated and must meet a certain standard. This amount varies from state to state.
  • Procedural. You must complete and sign an application and have a personal interview with a Medicaid official.

Each eligible Medicaid recipient receives a monthly medical identification card. The card is valid for one month only.

Medicaid Coverage

Medicaid coverage varies from state to state. For specific coverage guidelines, contact your state's Department of Human Services. Generally, Medicaid benefits include:

Transportation

  • Ambulance services when other means of transportation are detrimental to the patient's health
  • Transportation to and from the hospital at time of admission or discharge when required by the patient's condition
  • Transportation to and from a hospital, outpatient clinic, doctor's office or other facility when the doctor certifies the need for this service

Ambulatory Centers

Ambulatory health care centers are private corporations or public agencies that are not part of a hospital. They provide preventive, diagnostic, therapeutic, and rehabilitative services under the direction of a doctor. Ambulatory services covered by Medicaid include dental, pharmaceutical, diagnostic, and vision care.

Hospital Services

  • Inpatient hospital care up to 60 days for an illness
  • Private hospital rooms only when the illness requires the patient to be isolated for his or her own health or the health of others
  • Outpatient preventive, therapeutic, and rehabilitative services
  • Professional and technical laboratory and radiologic services

Medical Supplies and Medication

  • General medical supplies (when prescribed by a doctor)
  • Durable medical equipment (such as hospital beds, wheelchairs, side rails, oxygen administration apparatus, special safety aids, etc.)
  • Medications prescribed by a doctor, dentist, or podiatrist

Home Health Care

  • Visiting nurse
  • Home health aide
  • Physical therapist

Skilled Nursing Facilities

Skilled nursing facilities and intermediate care facilities (providing short-term care for a patient whose condition is stable or reversible) are covered through Medicaid with a doctor's authorization.

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WebMD Medical Reference

Reviewed by Jon Glass on August 13, 2012
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