Who Qualifies For Medicaid?

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There are many factors which are taken into observation when evaluating a man for Medicaid qualifications. The program is minute to those persons who fall into determined categories. According to federal guidelines there are roughly 25 different categories which are available. These categories range from children to the non-disabled adults who are under the age of 65. In some cases these categories tend to overlap one and other finally allowing a man to qualify under more then one category.

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As an example you could have a five year old child who may be great as a poverty related child, he or she may be a dependent child within a welfare eligibility family or maybe as a child of welfare to work type of family. In the event that this child also has some sort of disability then they may also qualify as a child who receives Ssi benefits. It is this vast estimate of different categories involved with Medicaid which make it such a involved program to work with.

In essence there are ordinarily five major categories of coverage eligibility. They are children, adults in families with dependent children, pregnant women, elderly and disabled individuals. This article will briefly focus upon three out of these five categories. Those groups being the children, those women who are pregnant and the adults of families with dependent children.

Let's start with children. There are currently over 41 million citizen who are enrolled in the Medicaid program and roughly half are children. The usual class of eligibility for these children is a parent who falls under an earnings below the federal threshold of poverty level.

Pregnant Women on the other hand rely upon the Medicaid program to pay for over 40 percent of births found in America. All pregnant women of any age are eligible for Medicaid in the event that their incomes are below the 133 percent rating established for the federal poverty level. This coverage includes all time being pregnant as well as for a 60 days duration afterwards.

Lastly, we have the adults in the families with dependent children. Unlike the other two categories of children or pregnant women the non-disabled adults fail to have the major advantage of a vast Medicaid eligibility which is regularly tied closely to the federal poverty level. Those adults that are not disabled, elderly or pregnant can only qualify for Medicaid if they are in fact an adult settled in a family that has dependent children.

In all reality those Medicaid categories mentioned above tend to exclude millions of poor citizen from the Medicaid program with no regard what so ever to the actual degree of poverty or healing necessity. Women who may not be pregnant, they may not be disabled or elderly, nor have dependent children are completely excluded. The same situation applies to those men who may be living in poverty.

Even though one must qualify under a definite eligibility class they are not automatically accepted. They would still need to qualify under the earnings provision as well. This type of requirement takes the form of earnings tests together with ones assets and resource. Naturally the actual financial requirements may vary slightly from one class to the next.

As mention there are many factors which come into pay animated Medicaid eligibility and each factor must be reviewed on its own merits.

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