Medicaid Basics

Medicaid provides health care benefits to low-income individuals who meet certain eligibility requirements. Medicaid programs are funded by the federal and state governments. Eligibility differs from state to state; however, most Medicaid members fall under the low-income level. However, that does not mean that everyone who is low-income will be eligible for benefits. To receive benefits, you must also meet a covered group, meaning you must fall into one of the state’s categories for coverage (i.e. pregnant women, or low-income seniors).

In some states, private health insurance companies administer the Medicaid benefits, while other states pay providers (doctors, clinics, and hospitals) directly. There are many services that can fall under Medicaid and some states support more services than other states.

All states also offer screening programs for Breast and Cervical Cancers for patients that might not be eligible under other categories. As well, some states have screening programs for Colorectal Cancer. Check here to see if your state has a program: https://www.cdc.gov/cancer/crccp/contact.htm

Some individuals are eligible to receive both Medicare and Medicaid. If you are over 65 and have a very limited income, Medicaid might be able to cover what Medicare does not. When you are receiving service, be sure to give both cards to your provider to ensure your service is covered to the fullest extent.

To learn more about eligibility guidelines for your state, please visit https://www.medicaid.gov/medicaid/by-state/by-state.html or visit your local Medicaid office.

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