Who Qualifies For Medicaid?

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Who Qualifies For Medicaid?

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It is common for people to become disoriented while reviewing eligibility requirements for Medicaid. As a result, many eligible recipients go without Medicaid relief.

To help connect people with the financial support they deserve, we have summarized the three main eligibility categories as a starting point for those pursing benefits.

Who Is Eligible For Florida Medicaid?

Eligibility for Medicaid comes down to many factors, but the three main categories are as follows.

Residency. Each state governs its own Medicaid eligibility requirements. To be eligible for Florida’s Medicaid program, the following must be true:

  • Citizenship. You are a U.S. citizen, or a non-citizen experiencing a medical emergency.
  • State Residency. You are a resident of the state of Florida.
  • Dual State Eligibility. You do not currently have Medicaid eligibility in another state.

Age. Despite the Florida Senate approving a Medicaid expansion plan in 2015, the plan died there. Without opting to expand Medicaid, these are the current age eligibility requirements:

  • Age 21. U.S. citizens and Florida residents younger than 21 years of age may be eligible. Additionally, parents or caretakers of Florida residents under the age of 21 may be eligible for coverage.
  • Age 26. Foster children who were on Medicaid before aging out of the system are eligible for continued benefits up to the age of 26.
  • Age 65. Adult residents of Florida, under the age of 65 are ineligible for the benefits, barring exceptions. Two examples of exceptions include: being low-income and pregnant or low-income and disabled.

Income. Medicaid is designed to help with medical expenses for qualifying individuals. One of the most contested qualifying factors is income. Because income can be relatively hard to measure, this is where many questions and complications arise.

  • 133 percent. To qualify as low-income, a general rule of thumb is that income must be 133 percent below the federal poverty level. As the Medicaid guide indicates, there are exceptions for pregnant women and infants as well as households with more inhabitants. As an example, the federal poverty level for a household of two is $22,490, before taxes.

The information provided here is intended to be a summary only. For a full assessment of Medicaid eligibility, we advise that you speak to an experienced attorney.

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