Who is eligible for
Delaware Medicaid?
Medicaid furnishes medical
assistance to eligible low-income families and to eligible aged, blind
and/or disabled people whose income is insufficient to meet the cost of
necessary medical services. Medicaid pays for: doctor visits, hospital care,
labs, prescription drugs, transportation, routine shots for children, mental
health and substance abuse services.
* You can have a car, bank account,
and a home and still qualify for Medicaid. DSS does not look at any of your
resources when determining your eligibility for Medicaid.
* You can work and still qualify for Medicaid.
* Some persons can have other insurance and still receive Medical
Assistance.
* Low-income uninsured adults between the ages of 19 and 65 may qualify for
Medicaid.
* Certain children living with stepparents, grandparents, or siblings with
income may receive Medicaid.
* Needy families with children may be eligible for Medicaid if they are part
of Temporary Assistance for Needy Families.
* When a family getting a welfare check starts working and leaves welfare
they still may receive Medicaid.
* Low-income pregnant women and children under age 19 may qualify for
Medicaid.
* Most women of child bearing age may be eligible for birth control and
family planning services for up to 24 months after their regular Medicaid
stops.
Most people receiving Medicaid are enrolled with one of the managed care
plans under the Diamond State Health Plan.
Delaware Medicaid
The majority of people receiving
Medicaid must choose a family doctor who, along with a managed care
organization (MCO), will provide or arrange for all your preventive care and
medical needs. The following individuals are not enrolled with a MCO:
* Individuals entitled to or eligible to enroll in Medicare
* Individuals residing in a nursing facility or intermediate care facility
for the mentally retarded (ICF/MR).
* Individuals covered under the Medicaid home and community based waiver
programs.
* Non lawful and non qualified non citizens (aliens).
* Individuals who have military health insurance for active duty, retired
military, and their dependents.
* Individuals eligible for the Medicaid Breast and Cervical Cancer program.
* Presumptively eligible pregnant women.
Source:
http://www.dhss.delaware.gov/dhss/dss/medicaid.html |
