Medicaid is a federal and state program that provides health insurance coverage to low income individuals and families. Eligibility requirements and benefits vary by state.
Medicaid can be a great option for emerging adults and includes great coverage at low to no cost!
To enroll: Check your state’s eligibility by visiting medicaid.gov.
Eligibility depends on at least one or a combination of your income level, number of people in your household, and if you are pregnant or have a disability.
If you are not married and/or do not have children of your own, you are usually considered independent when applying for Medicaid, meaning that income and other criteria are considered separately from your family.
You must be a resident of the state you are applying for benefits in.
Proof of identity (photo ID, drivers license, birth certificate, passport)
Documents showing income sources (pay stubs, tax returns)
Documents showing your assets (bank statements, car title)
Proof of citizenship or immigration status
Online tools can help check eligibility before submitting your application to your state’s Medicaid office online, over the phone, or in person.
After applying, your state’s Medicaid office will verify the information provided and may ask for further documentation.
Some states may require an interview as part of the process which can usually be done over the phone.
Approval is typically quick, but it could take several weeks to a couple of months. You will receive a letter notifying you of your application status when a decision is made.
If you have children, they may qualify for the Children’s Health Insurance Program (CHIP) if Medicaid eligibility is not available. When talking to your state agency representatives, be sure to ask them about this process!
Medicaid covers medical services from hospital stays, medications, preventive care, durable medical equipment, and more. Benefits and coverage vary by state and more information can be obtained from state representatives.
Individuals covered by Medicaid usually have low to no out-of-pocket costs for services. Some states may have a small copayment required. Usually this copayment is under $10.
Medicaid coverage comes with a specific network of healthcare providers. It is important to make sure that any providers you plan on seeing are confirmed to be in network to avoid any large financial burdens.
Medicaid coverage is updated every 12 months. Renewal reminders will be sent closer to an individual’s end of coverage period. It is important to apply for renewal when the time comes to make sure there are no gaps in coverage. Medicaid will also cover screenings, vaccinations, and any wellness visits.
Medicaid can also cover transportation to medical appointments and services. If transportation is needed, be sure to reach out to your Medicaid state representatives to learn more about how to receive these benefits.