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Medicaid is a state-administered program for low-income and disabled U.S. citizens and legal aliens. Although many of the coverage details are determined by individual states, each state must provide certain services, such as specific hospital and doctor services.
It’s possible to be eligible for both Medicare and Medicaid. If you think you might qualify, you need to fill out a Medicaid application. If you do qualify, Medicaid can help pay for your Medicare premiums, deductibles, and/or coinsurance.
The Centers for Medicare & Medicaid Services (CMS) advises you to complete a Medicaid application even if you’re not sure you qualify. Remember that it’s better for you to apply for Medicaid and be turned down than not to apply at all. A caseworker will review your case to determine whether or not you qualify for Medicaid benefits. Your Medicaid eligibility can change from year to year, so you may want to complete a new Medicaid application each year, even if your application was previously turned down.
Step 1: See if you’re eligible for Medicaid in your state.
Here are two ways you can learn more:
Medicaid programs and application processes differ from state to state. Visit the CMS.gov page to learn about Medicaid program details and the specific Medicaid application process in your state.
Step 2: Gather all necessary information to fill out the Medicaid application.
Medicaid applications are often denied because of incomplete information on the application form. Before you submit your Medicaid application, be sure to have all of the following documentation ready.
Step 3: Submit your Medicaid application.
Follow your state’s instructions for submitting your application. Medicaid application options may include paper applications, online application submissions, and even in-person applications at your local Medicaid office.
States must respond to regular Medicaid applications in 45 days (up to 90 days for disability applications).
If your Medicaid application isn’t approved, you have the right to appeal. If your Medicaid application was turned down for missing information or documentation, get whatever is needed and follow the instructions on the denial letter to resubmit the application. If you feel the denial of your application is incorrect, provide documentation to prove otherwise. Your rights for appeal will be outlined on your Medicaid application denial letter.
You must fill out a new Medicaid application every year to stay in the Medicaid program. The Medicaid application process may be easier each year. For example, if they already have your birth certificate on file, they may not ask for it again with your next application. However, information such as your income or alien status may change from year to year, so you’ll be asked to provide an update every time you renew your Medicaid application.
eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. The purpose of this site is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. eHealth and Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. We offer plans from a number of insurance companies.