Hawaii Medicaid Programs: Who Qualifies for Medicaid in Hawaii?

It is a fact that health insurance is one of the most important things that you should have for you and your family. With health insurance, the insurance company will be able to provide you with financial assistance on your medical needs. However, there are some people who simply cannot afford the high premiums that health insurance provider offers. Because of this, many people who cannot afford to purchase a health insurance policy from a private company resort to a state and federal government medical assistance program called Medicaid.

First of all, Medicaid is a federal and state government funded medical assistance program. Unlike Medicare, where it focuses its benefits more on the elderly and the disabled, Medicaid offers its benefits to low income individuals and families. Also, Medicaid offers its benefits to children living with low income families, to the disabled, to the blind and even to the elderly provided that they meet certain eligibility rules and requirements.

In Hawaii, the Hawaii State Department of Human Services or the DHS offer their low income residents medical services or Medicaid. In Hawaii, there is a federally funded Medicaid programs that low income residents uses as their primary medical assistance program. However, there are also exclusively state funded Medicaid programs that the State of Hawaii offers.

Basically, the Medicaid Fee-For Service Program and the Hawaii Quest Medicaid Managed Care Program offers medical services that include comprehensive medical coverage. This means that these two programs only offer Medicaid to people in need of immediate medical attention, such as accidents and other situations that needs immediate hospitalization.

The Medicaid Fee-For Service Program or the FFS offers their services to residents who are aged 65 and above or individuals who are under 65 that are certified to be disabled or blind.

Included in the FFS is long term care, such as coverage for the fees for nursing homes and also for home care programs where 24 hour medical attention is required.

Another program under the DHS provides medical assistance to their female residents who are pregnant. However, it is required that the pregnant woman should meet minimum income requirements as well as their spouse.

In the Hawaii Quest Program, they offer Medicaid coverage for Hawaii residents who are under the age of 65. Also, even if they are not certified to be blind or disabled, the individual will be able to apply for Medicaid and become one of the beneficiaries of the program. In this program, it is usually low income individuals and families that can qualify. Low income pregnant women can also be included in the program.

Medicaid can also offer coverage for prescription drugs. This means that if you are a low income individual and you are covered by Medicaid, you will be able to enjoy free or discounted prescription drugs.

These are some of the things that you should remember when getting Medicaid in Hawaii. You have to remember that the state plays an important role in affecting the eligibility rules and requirements in regards to Medicaid qualifications. So, you should often check with the state laws as there may be some changes in their Medicaid program.

You also have to remember that the state is not required to join the Medicaid program. This is why it is important for you to often check the laws regarding their qualifications for their Medicaid program.

8 Responses to Hawaii Medicaid Programs: Who Qualifies for Medicaid in Hawaii?

  • Allan Katsura says:

    My mother is 88 years old and a family member is currently her care taker. She currently has Medicare Part A and B and Medicaid . Her sole income is from social security. We would like further information on financial qualifications and eligibility for nursing homes and/or 24×7 live-in care taking services. Thank you.

  • Allan Katsura says:

    I am inquiring on behalf of my Mother regarding minimum requirements for Medicaid enrollment pertianing to nursing home and 24×7 care taking services. She is 88 years old, does not have any assets and her only income is from social security. My phone number is 487-5054.

    Thank you.

  • TIM MUELLER says:

    MY 90 YEAR OLD MOTHER-IN-LAW WHO CURRENTLY LIVES IN CALIFORNIA IS ON MEDICARE A & B AND MEDICAID IN CA. HER SOLE INCOME IS SOCIAL SECURITY. AS SHE WILL SOON NEED ASSISTED CARE, MY WIFE AND I DESIRE TO BRING HER TO HAWAII TO LIVE WITH US. WHAT DO WE HAVE TO DO TO GET HER QUALIFIED FOR HAWAII MEDICAID?

  • Jasmine Nelson says:

    My parents are over 50 years old. Both of them used to have medicaid and their sole income is from their social security. My father is diabetic, and have kidney failure. My mother is unable to walk. They are being refused to use the medicaid. I need more information please contact me at my email.

  • Debbie Suel says:

    I am a Social worker in a nursing home in Minnesota. My residents ‘spouse is being transferred to Hawaii by his employeer. He would like his wife to move to a nursing home in Hawaii. She is on the medicaid program in Minnesoa. My question is what does the spouse need to do to qualify his wife for your medicaid program in Hawaii for long term care in a nursing home facility? If you could tell me about the process and the requirements for eligibility that would be greatly appreciated.

  • Wayne Yokogawa says:

    What is consiidered as assets? i.e. Stock options, annuities, pensions and mpmie3s from a lawsuit. Thank you for your cooperation.

  • Joe Perry says:

    I am inquiring on behalf of my mother in law. She is 83 and will soon need nursing home care. Her present income is $500 a month from Social Security, and an $800 a month pension from her deceased husband’s shipyard retirement. She does not own a home or have other assets. Will she qualify for Medicaid nursing home assistance?My phone number is (801) 206-2355.
    Thanks for your help.

  • joseph survetnick says:

    I am 70 years old married with 2 stepchildren(ages 6 & 11) with an income of 42,000$/year am i eligible for medicaid?

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