How do you apply for Medicaid coverage?


Quick Answer

There are two basic ways to apply for Medicaid coverage: through the state's Medicaid agency or via the Health Insurance Marketplace. While the Health Insurance Marketplace is only open during the annual open marketplace period, qualified individuals can apply for coverage at any time of the year, according to HealthCare.gov.

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Full Answer

The Affordable Care Act that went into effect on January 1, 2014 expanded the Medicaid minimum eligibility income requirement to 133 percent of the Federal Poverty Level (FPL) for almost every American under the age of 65. Other eligibility rules also apply and these include residency and immigration status. The applicant may also need to provide documentation of U.S. citizenship, according to Medicaid.

The following shows a method of applying for Medicaid coverage.

  1. Determine if eligibility requirements are met
  2. Go to the HealthCare.gov website and navigate to the tool on the Medicaid & Chip page that helps determine eligibility.

  3. Enroll through the state Medicaid agency
  4. After determining eligibility, go to the nearest Medicaid agency offices to enroll.

Alternatively, online Medicaid enrollment through the Health Insurance Marketplace is possible during the yearly open marketplace period. Visit the HealthCare.gov website for links to the marketplace of participating states as for the annual open marketplace schedule.

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