Medicaid
407-852-7442
WHAT IS THE MEDICAID INSURANCE PLAN AND WHAT DOES IT COVER?
Medicaid is a state government program that helps pay for health care costs for people with limited income and resources, and there are different programs for specific populations. Medicaid plans vary from state to state, but follow federal guidelines for benefits. Visit our Kissimmee office for your case evaluation.
The State and Federal Government share the cost of the Medicaid program. Medicaid services in Florida are administered by the Agency for Health Care Administration. Eligibility for this health plan in Florida is determined by the Department of Children and Families (DCF) or the Social Security Administration (for SSI recipients).
Medicaid enrollment requirements depend on your state’s rules and the applicant’s income. To find out if you qualify and to begin enrollment, contact us to learn more about Medicaid eligibility and enrollment. Stop by or call our Kissimmee office for an appointment.
Who does Medicaid serve?
These government programs serve specific groups of people, including:
- Low-income pregnant women
- Children in low-income families
- Children in foster care
- People with disabilities
- Low-income seniors
- Low-income parents or caregivers
States may also choose to expand eligibility to other groups, such as low-income people with or without children.
Medicaid home health care and residential care coverage for seniors
Medicaid programs may also cover a variety of home and community-based services (HCBS) to help people continue to live in their homes and remain active in the community. The level of assistance provided is generally based on the person’s needs.
The following are examples of different types of home health care and residential care services for seniors provided as part of home and community-based services (HCBS) programs:
- Personal care, such as showering
- Transportation services
- Skilled nursing care
- Occupational, speech and physical therapy
- Diet and nutrition control (healthy eating)
- Home delivery meals
- Cleaning and household chores
Some home and community-based services (HCBS), such as skilled nursing care and occupational, speech, or physical therapy, are provided by qualified and, in some cases, licensed professionals. Other services, such as doing housework and preparing meals, may be provided by family members, friends, or paid caregivers. For additional information, visit www.medicaid.gov
What is the no-change period?
The no-change period is the time period between the end of your first 120 initial days of enrollment and your annual 60-day open enrollment period. There is also no change period between your 60-day open enrollment periods in the future. Please see the table below for reference. You will receive reminder letters to help you with these time periods.
Ask us if you qualify for Medicaid Benefits
FAQs about Medicaid
Are Medicaid and Medicare the same thing?
Although both programs are funded by the government, they are very different. The federal government administers Medicare. It is available to everyone over 65 and people with disabilities. Medicare helps them manage the high cost of health care.
Each state runs its own Medicaid program, so eligibility varies from state to state. However, across the country, Medicaid is free or low-cost health care for people with low incomes. Unlike Medicare, each person must qualify for Medicaid annually. And there are people who have both Medicaid and Medicare.
How does Medicaid work?
Medicaid is sponsored by the federal government and state governments. Each state administers the program following federal laws. Medicaid provides medical and behavioral health care to adults, pregnant women, children, seniors, and people with disabilities. To get coverage, you must make sure you qualify each year. This will depend on your income.
Can You Have Both Medicare and Medicaid?
Medicaid is sponsored by the federal government and state governments. Each state administers the program following federal laws. Medicaid provides medical and behavioral health care to adults, pregnant women, children, seniors, and people with disabilities. To get coverage, you must make sure you qualify each year. This will depend on your income.
What is "Open Enrollment"?
Open Enrollment is the 60-day period during which you can change plans without state approval. Open enrollment occurs annually based on the region where you live.
How do I change plans?
If you have been approved for Medicaid, you can change your plan during the first 120 days of your enrollment. After 120 days, you can only change your plan during your open enrollment period or with a state-approved good cause.