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Who is Eligible for Medicaid?

Medicaid is a federal and state program that provides health insurance to eligible individuals and families with low income. The eligibility criteria for Medicaid can vary by state, but there are several common categories:

  • Low-Income Adults: Many states expanded Medicaid under the Affordable Care Act (ACA), allowing adults with incomes up to 138% of the federal poverty level to qualify.
  • Children: Medicaid covers children in low-income families, often with higher income thresholds, through the Children's Health Insurance Program (CHIP).
  • Pregnant Women: Expecting mothers with low income may qualify for Medicaid, providing coverage for prenatal and postpartum care.
  • Disabled Individuals: Individuals with disabilities can be eligible for Medicaid if they meet specific income and asset requirements, regardless of their age.
  • Older Adults: People aged 65 and older may qualify for Medicaid, particularly if they have limited income and need assistance with long-term care services.

To determine eligibility, individuals must apply through their state's Medicaid program. States may use income, household size, and other factors to assess eligibility. It’s important to note that many states have unique rules and application processes, so checking with local resources is essential for accurate information.

For more detailed information, visit Medicaid.gov.

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