Posts filed under 'General-Medicaid'

They Want Your Buy-in

One of the biggest worries that individuals with disabilities have when they attempt to work is the loss of benefits – especially health care coverage.  They are worried that they will have no coverage at all or be forced into an employer’s plan that they cannot afford or that won’t cover their disability.

There are solutions to this dilemma, however.  The solutions are found as part of the Social Security Act- especially part 1619b and Medicare.  One of the most important provisions is the Medicaid Buy-in program.  This program was designed to provide access to comprehensive health care for working people with disabilities.  This is essential for many people with disabilities who find it difficult to find affordable and comprehensive coverage privately. 

The Medicaid Buy-in program allows people with disability to pay a premium for coverage through their state’s Medicaid program, just as they would if they were buying private health coverage.  The concept behind the buy-in was originally put forth in the Balanced Budget Act of 1997 to allow for individuals who lost SSI or SSDI benefits because they were making more money working.  These individuals were able to support themselves without receiving SSI or SSDI checks because they were making enough money through their paychecks from work.  However, they still needed health coverage, and Medicaid was the best choice for many situations.  As long as the individuals continued to meet the Social Security definition of disability, they would be eligible for the buy-in program.

If you find yourself in this type of situation, there are several steps you can take.  You can contact your county health department to determine what local programs are available; you can check with your state Medicaid office to see whether you qualify for the Medicaid Buy-in or other benefits; and you can check the Social Security Administration, Medicaid or Medicare websites for further information.

Add comment

A Giant Leap For Medicaid

Medicaid has taken a giant and important leap recently.  Because of this move forward, it is now possible that thousands of people will be able to get home-based care rather than being institutionalized.  This new provision allows people to get care in their homes or in the community instead of an institutional setting.

The Deficit Reduction Act (DRA) allows states to provide people who qualify for Medicaid benefits to receive this care without having to apply for a demonstration waver to prove their eligibility.  Having the option as to how an individual will receive long-term support is an historic step in leveling the playing field.

Individuals will now be able to receive person-centered care and have a part in the development and decision making about that care. Some of the services that states will be able to provide under this new provision will be case management, homemaker, home health aide, personal care, adult day health and respite care.  In addition, individuals with chronic mental illness can receive day treatment, partial hospitalization, psychosocial rehabilitation and clinic services.

This new provision is an essential step in helping individuals with disabilities have the choice to be part of and participate in the community, stay in their own comfortable surroundings, make choices regarding services and have the support of a program that will offer them these options and more.

Add comment

Medicare vs Medicaid: What’s the Difference between Medicare and Medicaid?

Many people have questions about Medicare and Medicaid including the question of what the differences are between the programs. There are some major differences between the two.

Medicare is funded by the federal government as an entitlement program, which mainly focuses on the older population. It is a social insurance program for individuals age 65 and over and it covers many individuals with disabilities. Medicare also covers individuals of all ages with end stage renal disease.

There are several parts to Medicare. Part A covers hospital bills, Part B covers medical insurance and Part D covers prescriptions.

Medicaid is different from Medicare in several ways. It is also an entitlement program, however, Medicaid is not funded only by federal government, there is a state component as well, and in some states, counties pay part of the cost.

Medicaid is based on need and social welfare, with eligibility based on income. If a person has limited income and/or financial resources, Medicaid covers a broader spectrum of services than Medicare does. It usually covers children, pregnant women, parents of eligible children, seniors and individuals with disabilities. Though poverty is used to determine eligibility, a person must fall into one of the coverage groups in addition to being determined eligible due to being in poverty. Medicaid benefits are paid directly to the provider of services. In addition to covering individuals who meet financial requirements, in some states Medicaid covers individuals who cannot otherwise afford insurance.

Some individuals qualify for coverage by both programs.

1 comment

North Carolina Medicaid: A Look at North Carolina Medicaid Programs and the Application

It is a fact that having good health is important for everyone. Whether you are rich or you are poor, having good health for both you and your family is very important. However, if you can’t pay for your medical bills, how will you be able to ensure you and your family’s health? Surely you can’t stop illnesses from happening and you definitely cannot predict what’s in store for you and your family in the future.

Because of this, more and more people are now enrolling in a state and federal government program called the Medicaid.

Continue Reading 8 comments

Washington DC Medicaid: A Look at the District of Columbia Medicaid Program

First of all, getting health insurance is considered to be one of the most important investments that you can ever make. Besides, with the constant rise of health care cost, you too would find it difficult to pay for your medical and hospitalization bills even if you have a decent household income. So, what more if you can’t even afford to pay for the premiums of health insurances? What if you are one of the people out there who has a low household income level?

Because of this problem, both the state and federal government are now funding a health insurance program called Medicaid. This particular health insurance program that is funded by the state and federal government are designed for low income individuals or families, the disabled, children living with low income families, and also for the elderly.

Continue Reading Add comment

Medicaid for Pregnant Women: How Do You Enroll?

If you are pregnant, you know that it can be hard for you to spend for the supplies you need in order to ensure a healthy pregnancy. You also have to remember that the cost of hospitalization and delivery can be quite expensive. So, if you are in a low income family, you will want to apply for Medicaid that is specially designed for pregnant women and newborns.

Under this program, you will see that it will assist you with the expenses on hospitalization and even the regular check ups you need to ensure a healthy pregnancy.

Continue Reading 4 comments

South Dakota Medicaid Programs: Your Guide to the South Dakota Medicaid System

It is a fact that in today’s world, health insurance is very important. With the continuing rise of the cost of heath care, you too would definitely want to buy a health insurance policy. However, what if you are one of the low income families that can’t afford even the cheapest health insurance policy?

You have to face the fact that there are times in yours and your family’s life where emergency medical situations are necessary. You will never know what’s in store in your future. Because of this, you would want to try and get help from the federal and the state government regarding financial assistance for medical emergencies.

Continue Reading Add comment

Missouri Medicaid: Your Guide to Medicaid in Missouri

First of all, it is important to understand that Medicaid is entirely different from Medicare. Although Medicaid and Medicare are both funded by the government and are both health insurance programs, Medicaid is not automatic like Medicare. In Medicare, you will become automatically eligible when you reach the age of 65 or you become disabled.

To put it in other words, Medicare concentrates more on giving the benefits to the elderly and to the disabled. Also, Medicare is funded by the federal government which gets its funds from the taxes you pay. It is very much like your Social Security where you have every right to enjoy because you are one of the millions of people who are funding it during your working life.

Continue Reading 9 comments

North Dakota Medicaid: A Look at Medicaid Programs in North Dakota

In 1966 the Congress approved Medicaid as a health insurance program provided by both the state and federal government. Since then, it helped millions of people get the proper and high quality medical care that they deserve.

Medicaid is also considered to be the largest health insurance programs that the state and federal government funds. Originally, Medicaid was designed to let people with low income levels afford high quality medical care. The main point of Medicaid is to provide financial help for people in need of medical care.

Continue Reading 1 comment

New Jersey Medicaid Overview: A Look at the New Jersey State Medicaid Program

For starters, everyone needs medical insurance. With it, you will be able to get the necessary medical treatment you need even without having the cash for it. One kind of medical assistance that many Americans are benefiting from today is called the Medicaid.

Created by the congress in 1965, Medicaid continues to provide health care and financial assistance to low income families all over the United States. This particular government program is a federal and state partnership that was originally designed to give cash as part of the nation’s welfare program. However, as the program expanded, the eligibility, requirements and also the rules for getting financial assistance through Medicaid changed.

Continue Reading 4 comments

Medicaid Providers: How to Search for Certified Medicaid Providers

Do you want to enroll in Medicaid but you can’t find any Medicaid providers? If you are, then you will see that looking for Medicaid providers can be quite easy.

First of all, you have to remember that Medicaid is a healthcare program designed for low income families. Jointly funded by the state and federal government in the United States, you also need to remember that this program is managed by the state.

Continue Reading Add comment

Oklahoma Medicaid Program: A Look at Oklahoma Medicaid Eligibility and Available Programs

The State and the Federal Government of the United States offer one of the best health care systems or programs that focus mainly on low income individuals and families. In Oklahoma, you will see that SoonerCare or Oklahoma Medicaid will be able to get you the health insurance you need.

The fact that health care are getting more and more expensive each day, you have to consider the fact that this can be very distressing especially to individuals and families who are only getting very low household income.

Continue Reading 2 comments

Montana Medicaid: A Sneak Preview of the Montana Medicaid Program

First of all, Medicaid is the largest health insurance program that the United States of America offers. This kind of health insurance program is funded by the state and the federal government. Because of this, you have to consider that the laws in each state regarding the eligibility and the requirement rules differ.

The fact that this health insurance program is one of the primary source of health care for low income families and the elderly as well as the disabled in the United States, it can provide you with health insurance benefit where it is able to cover up to one hundred percent of the total cost of hospitalization as well as the professional fee from your physicians.

Continue Reading Add comment

West Virginia Medicaid Program: An Overview of the Medicaid System in West Virginia

Living in West Virginia as with other states in the United States of America can provide you with great medical assistance programs that can cover your entire or almost all of your medical bills.

This can be quite convenient as the constant rise of cost in healthcare is indeed a burden which leaves people in financial instability or even in debt. With a program like Medicaid, you can be sure that you and your family will be able to afford medical expenses that you may incur in the future.

Continue Reading 1 comment

Maryland Medicaid Programs: An Overview of Medicaid in Maryland

Medical Assistance or Medicaid is a health care program that provides financial assistance for people who is in the low income level group to get medical care. You have to understand that because of the continuing rise in cost of medical care, low income families often cannot afford high quality medical care. For this reason, the congress has created Medicaid where it is funded by both the state and the federal government.

However, the state government is the one that handles most of the features about Medicaid. What this means is that the state government is the one responsible for setting the eligibility rules, the requirements, the benefit packages, and other features that concerns Medicaid.

Continue Reading 3 comments

Minnesota Medicaid: An Overview of the Minnesota State Medicaid Program

It is a fact that having health insurance is a good thing and because it is such a good thing, a lot of people purchase health insurance policies in order to secure their medical needs just in case something happens that may put their health at risk. However, what if you belong to the low income population? What if you can’t afford to purchase a health insurance policy for you and your family? This can be very distressing considering the expenses that hospitalization and medicine may leave you in financial crisis and even in debt.

Continue Reading 3 comments

Wisconsin Medicaid Eligibility and Application Overview

If you do not have medical coverage and cannot afford your medical expenses, you may want to apply for Wisconsin Medicaid. Medicaid is a federally mandated yet state run program which offers medical coverage to individuals and families who meet eligibility requirements. There are a variety of Medicaid related programs in the state of Wisconsin which include Medical Assistance, BadgerCare and SeniorCare.

Continue Reading 2 comments

Washington Medicaid: Find Out About Medicaid in Washington

If you are uninsured and cannot afford your medical expenses, you may be eligible for Medicaid coverage. Washington Medicaid is a federal and state program administered by the Washington State Department of Social and Health Services. There are a variety of programs available for groups who qualify. Eligibility requirements vary from group to group. Children are a commonly covered group. Some children will qualify for Medicaid if their family meets certain income requirements. Other children who do not qualify for Medicaid but still need health coverage may be eligible for the CHIP or Children’s Health Insurance Program. CHIP is a program for kids who are not eligible for Medicaid but cannot get other health insurance. There is a small monthly premium for this program.

Continue Reading 2 comments

Kansas Medicaid Review: Your Guide to the Kansas Medicaid Program

First of all, Medicaid is a healthcare program created by the congress in 1965. It is a program that is handled by the state and federal government and is considered to be the largest children’s health program in the United States today. Medicaid is also known as the primary source of health care for families, elderly people, and disabled that are included in the low income demography.

Statistics suggest that one in six Americans under the age of sixty five is covered under Medicaid. As you can see, Medicaid is definitely one of the leading health care providers in the United States today.

Continue Reading 4 comments

The Virginia Medicaid System Beginner’s Guide

Medicaid coverage is available nationwide as a federal and state administered program. However, there are certain eligibility requirements that must be met which may differ from state to state. If you are a resident of Virginia and want to learn more about applying for Virginia Medicaid coverage for yourself and/or your children, a good place to start is your local Department of Social Services. In the state of Virginia, there are four main groups who may be eligible for Medicaid coverage.

Continue Reading 1 comment

Next Posts Previous Posts



Free Medicare Guide!


Resources and Products

SpinLife.com, LLC

Home Medical Equipment

Find Affordable Dental Insurance