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How Does Medicaid Work?

Medicaid is a state and federally funded program that provides health insurance coverage to eligible low-income individuals and families. It is crucial in ensuring access to medical services for those who may not be able to afford private health insurance.

Eligibility

Eligibility for Medicaid varies by state but generally includes low-income individuals, pregnant women, children, elderly individuals, and individuals with disabilities. States may expand Medicaid under the Affordable Care Act, allowing more people to qualify.

Coverage Benefits

Medicaid covers a wide range of health services, including hospitalization, outpatient care, preventive services, and prescription drugs. States may also provide additional benefits, such as dental and vision care, although this can vary.

Funding

The funding of Medicaid is a shared responsibility between federal and state governments. The federal government provides a matching percentage of state Medicaid expenditures, which can vary based on the state’s income level.

Application Process

Individuals can apply for Medicaid through their state’s Medicaid agency. The application process may involve providing financial information and other relevant documents. Many states also offer online applications for convenience.

Conclusion

Medicaid serves as a vital resource for medically necessary services for millions of Americans, supporting health equity and access to care for marginalized populations.

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