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How Do Individuals Qualify for Medicaid?

July 29, 2021

A common question I am asked from agents is what is how do individuals qualify for Medicaid?  Medicaid provides coverage to millions of Americans including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid is administered by states, according to the federal prerequisites. Also, Medicaid is funded jointly by states and the federal government.

Medicaid

How to Qualify for Medicaid

    There are several ways to apply for Medicaid.

    1. Contact your state Medicaid You must be a resident of the state where you are applying for benefits.
    2. Fill out an application through the Health Insurance Marketplace.
    3. Check to see if you are eligible for Medicaid, check with your state’s Medicaid office to see if you are or your family members are eligible for benefits. It can depend on at least one or a combination of Age, Income Level if you are pregnant or have a disability.

    What does Medicaid cover

      This is a standard outline for some of the mandatory coverage that comes with Medicaid Benefits:

      • Inpatient hospital services
      • Outpatient hospital services
      • EPSDT: Early and Periodic Screening, Diagnostic, and Treatment Services
      • Nursing Facility Services
      • Home health services

      Here at Pinnacle can help train you on the Medicaid product/demographics. We have the tools and resources that can help you quote and enroll clients that fit the mold of the Medicaid plan. Our Connect4Medicare platform is a one-stop-shop for quoting and enrolling clients online. With our resources, we can have you quoting and enrolling clients in no time! That includes Medicaid clients, we can show you the resources for checking their eligibility as well as how to quote and understand the in’s and out of the Medicaid plans in your area.  

      For more information, contact a Pinnacle Financial Services representative today

      1 (800) 772-6881 x7731 | sales@pfsinsurance.com

      Marcus Guzman

      Marcus Guzman

      Director of Sales | Health

      x7709 | mguzman@pfsinsurance.com

      Contact a Pinnacle Representative if you have any questions.

      1 (800) 772-6881
      support@pfsinsurance.com

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