Florida Medicaid Eligibility: Who Qualifies for Medicaid in the State of Florida?
Medicaid is a federal program that is state regulated and administered to qualified individuals. In the state of Florida, there are certain criteria one must meet before they are able to receive this coverage. There is a program called the Institutional Care Program, or ICP, that handles people who require nursing home care. Under the ICP, someone with Medicaid can receive help paying for their nursing home expenses. This can be a lifesaver for those on a fixed income as nursing home care can be extremely expensive.Â
Florida Medicaid eligibility is determined by one of two agencies: The Department of Children and Families or the Social Security Administration. The Social Security Administration handles cases for individuals over the age of 65 and anyone requiring nursing home care as described above. The Department of Children and Families handles eligibility for pregnant women, low income families who have children, disabled or elderly individuals who do not receive SSI benefits, and foreign visitors who require emergency medical services.
Medicaid will cover most inpatient and outpatient doctor and hospital visits, some types of medical equipment, certain diagnostic and preventative tests, prescription medications, and surgical procedures. Sometimes, the individual is required to make a small co-payment upon receiving services which may range from $5 to $20 as an estimated average. If you are unsure about whether or not you qualify for Medicaid in the State of Florida, you should speak to your local Department of Social Services. This is also where you would apply for coverage and be assigned a caseworker who can help you.
If your income is deemed too high to qualify you for Medicaid, you still may be able to qualify for the Medically Needy program. This program requires individuals to incur a specific amount of medical expenses per month before they are considered for approval. The amount of coverage and the qualification criteria will depend on your household income and size, as well as how much your medical costs are. To learn more about this and other programs that you may qualify for, contact the Department of Social Services in your area.
Filed under: Florida Medicaid, State Medicaid Programs
5 Comments Add your own
1.
john BROWN | January 7th, 2008 at 1:58 pm
where can you get a list of doctors WHO TAKE MEDICAID in and around BRADENTON,florida. please let me know
2.
Edward M. Axelrod | January 9th, 2008 at 12:02 pm
My client’s mother who is a Florida resident, 90 years old, needs more medical attention. She lives in a house purchased by her family 25 years ago, lives on social security and what her 3 daughters give her. She needs much more help in order to remain in her house. If she applies for Medicaid, presuming that she is eligible, would the State give her help i.e. a person in her house daily? If so, who do I contact to start this application? Thank you ed Axelrod ( 203) 655- 8525
3.
Maria E. Cueva | July 13th, 2008 at 5:30 pm
I just received my Medicaid gold card and I have to enroll first according to the info they send me to the phone # 1 888 367-6554 and I star colling since July 7 from 8:00 am to 7:00 pm and the line is allways busy, I can’t enroll so please tell me if there is another nymber or how I could enroll. thank you Miami, Fl.
4.
patricia Boatwright | October 20th, 2008 at 5:54 pm
my ss# is 515-60-7853 I have never recieved the gold card. I am 100 % disabled. When I applied for medicaid, IMy spouse makes 8.50 hr. So I recieved share of cost of 1,994.00 . I cannot do anything with that. I had to go to the emergency room, and it met the share of cost. I take alot of medications, but cannot get them filled unless I meet the 1,994. Then the scripts are free. One script cost me 285.00 I can’t afford that. Even with the type of medicaid I have it does not help me. I do believe it was not correctly done. My Medicare doesn’t become effective until Dec.08. I have recieved letters stating, because of the income, I have qualified for extra prescription coverage. but none of it starts until Dec 08. What type of help can I get now? As I stated the share of cost seems too much.I was told I would recieve the gold card. Never did. Can you advise me?
5.
KIM KAMMINGA | August 6th, 2009 at 6:00 pm
FL SUCKS. i HAVE BOTH MEDICARE AND MEDICARE AND MEDICARE i WAS TOLD WILL PAY FOR MY MEDICARE OF 97.00 PER MONTH i’EVE BEEN WHATING 6 MONTHS FOR THEM TO DO SOO i KEEP CALLING THEM TO TALL THEM i HAVE NOT RESIVED IT, if this keeps up I will be on the street I’m trying to live on 579.+117.00 food stamps They keep talling me they now I should get the 97.00 dollers and they admet the need to pay me for six months but i never get it
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