Getting Medicaid if you do not need long-term care and have Medicare

Section IX.c. Medicaid and Medicare
Question 4 of 11 (use "Last" or "Next" buttons to see more)
Last Update: February 07, 2012

You may qualify for Medicaid coverage of a broad range of health services, including doctors’ visits, hospital care, and medical equipment if

  • you are over 65, blind or have a disability; and
  • meet the financial requirements.

For more information about long-term care, click on the link in the GO TO box.  

Medicare will pay first for all Medicare-covered medical services and Medicaid will pay second by covering your remaining costs, such as the Medicare coinsurances, copayments and deductibles. Medicaid will also pay for medical services that Medicare does not cover, such as transportation to medical appointments, some dental services and additional home care.

Even if your income and assets are higher than the guidelines, you should still apply because some income and assets may not be counted.

  • Certain kinds of income may not be counted (such as what you pay for health insurance).  
  • If there are more than two people in your household, the income limits may be higher.  
  • All states exclude at least $20 of all income. Some states exclude more.  
  • The first $65 of monthly earned income will not be counted. 
  • One-half of your monthly earned income (after the first $65 is deducted) will not be counted.

Your state may also have a spend-down or “medically needy” program. This program allows you to deduct your medical expenses from your income so that you can qualify for Medicaid.

    To learn more about how you may qualify for Medicaid coverage if your income is above the guidelines, click on the link in the GO TO box.
    To learn about what other types of Medicaid programs can help people with Medicare, click on “Which Medicaid programs might I qualify for if I have Medicare?” in the GO TO box.

 

    To find out exact eligibility requirements, contact your State Health Insurance Assistance Program (SHIP) or local Medicaid office. Click on the links for your SHIP and local Medicaid office directory in the GO TO box.

 

    To learn about how Medicaid works with Medicare prescription drug coverage, click on the link in the GO TO box.

Related Questions
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GO TO
What is long-term care?

Can I qualify for Medicaid if my income is higher than the limit?

Which Medicaid programs might I qualify for if I have Medicare?

If I have Medicare and full Medicaid how will my drug coverage work?

 
LINKS
State Health Insurance Assistance Program (SHIP) Directory

State Medicaid Programs

 
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