Medicaid Coverage

Helping you have a better understanding of Medicaid

How to Qualify for Medicaid in Iowa?

 

Medicaid has many options designed for Low-Income citizens. First, it is important to know that these plans are not for everyone. Individuals must first qualify with the federal government.

Secondly, if you are above the income requirements, you may still qualify on the basis of other guidelines.

 

Furthermore, each state has certain limitations on who can obtain Medicaid if you earn more than the income limitations. Most Importantly, here are some of the other…

types of individuals that may qualify:

  • Families
  • Young Children & Adolescents
  • Women who are Pregnant
  • The Elderly
  • Disabled Individuals

In Addition, a number of states have increased Medicaid to include anyone who falls below a certain income requirement.

 

Certain states have different rules or regulations behind who does or does not qualify for care. Generally speaking, you qualify for Medicaid if you have low income.

 

Whether you qualify will depend on your :

Income

Household size

Disability status

Family status

Other Factors

Also, to determine if your state has expanded its coverage to cover you and your family you can view your Federal Eligibility HereIn Fact, after you Create An Account your state will receive your information instantly. Your paperwork must be processed by the state in order to move forward. Once processed, someone from your state will contact you with the next steps involved. Setting up your Medicaid is simple and will take you no time to get coverage. In conclusion, If you don’t qualify, don’t panic. Families who need assistance in paying for their Health Insurance have many other options available.

For Instance, The Federal Government refers to this as a Marketplace Health Plan. You may have heard about open enrollment periods. Those open enrollment periods refer to applicants trying to secure a government subsidized health care plan if they didn’t qualify for Free or Low-Cost Medicaid.

5 Commonly Asked Questions over Medicare in Iowa

Will my Medicaid Coverage take care of my prescription cost?

Firstly, Medicare does not cover the cost of your prescriptions. However, you may discover that there are certain exceptions for some expensive cancer drugs. For the most part, Medicaid will not cover the cost of your drugs. If you have any supplemental coverage, this may take care of your prescription drugs, but medicaid alone does not.

What is a Medicaid Plan Exactly?

To Begin With, Medicaid Health coverage was created by the federal government in 1965. It is the largest public health insurance available in America. The purpose of Medicaid was to cover large populations of low-income citizens.

How does the plan work?

Medicare was designed to work by supplementing or completely covering the cost of your medical services. This is divided into two parts. Part A was created for your hospital services and Part B was created for services directly with a physician. Not everyone qualifies for both Part A & B.

Medicare will cover its portion of your services, and you will pay the rest. This is why you have the option to go to any hospital or doctor that you wish. This even includes home health care providers for elderly.

What I cannot afford my premiums?

Like most people today, you may be living on a fixed or low income. If this is the case, your local state will help you pay for the cost of premiums and deductibles. If you are in need of this type of service, call the local social security office in your state to learn more information.

Who is responsible for sending my claim for services to Medicaid?

No,  if you are a medicaid recipient, then after you receive medical services, your provider will submit your claim on your behalf. This will be either your physician or hospital. Other times, there may be a contractor involved who will submit this claim. In any case, it will never be you.

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465 Northland Ave NE Suite 102

Cedar Rapids, IA 52402

(319) 640-8607

brian@peritiaadvisors.com

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