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What are Medicaid Benefits, How to Determine if I am Eligible + The Signup Process

The government aims to provide affordable but quality healthcare for its citizens. That is why Medicaid was proposed – to deliver low cost but quality care for some of the low income individuals, families, pregnant women, children, older people and people with special needs and disabilities.

Actually there are countries and states that provide full coverage programs for individual in a specific income level. However, each Medicaid program may vary from one state to another. This is why a person who is eligible for Medicaid in one state may not be determined as qualified eligible in another state.

Determining if You are Eligible

Medicaid has expanded to widen its benefits for the eligible citizens. Here are some key points on how to determine if a person is eligible for Medicaid benefits:

  • Medicaid covers a family of four members under FPL (Federal Poverty Level).
  • A person is qualified for Medicaid if his or her income falls under FPL bracket
  • If a family status and income is below the standard set by the FPL
  • If you are a low-income adult
  • If you have disabilities
  • If you reached the age set by the state for Medicaid eligibility

How to Sign Up for Eligibility

Signing up for eligibility is easy for every individual who wants to claim the benefits. Basically, there are two ways to do it:

The first option is to go and visit your state Medicaid agency and file and application directly. In the Medicaid agency office, you will be given a form to fill in. make sure that you bring all the documents needed such as valid Identification Card for verification and other supporting documents such as income statement and documents to prove that you are eligible.

The second option for you to sign up is to fillout a Marketplace application. You can visit the website or office of the Marketplace to apply for eligibility. Contrary to some beliefs, you can file and apply for Medicaid any time of year. Some people think that they can only apply for eligibility during the opening period of Marketplace Open Enrollment.

Supporting Documents

You need to present couple of documents to prove that you are eligible for Medicaid services.

These documents may include and not limited to valid identification card and documents, financial statements indicating that you are classified as a low income person, birth certificate of dependents (children below 21 years old, children with disability, etc.), personal birth certificate and other documents stated on the application form.