What Medicaid Covers
Summary
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Services
Medicaid covers a broad spectrum of medical care -- including long term "custodial" care such as in a nursing home.
Some services must be included by each state. In addition to these minimum services, there are additional benefits which a state may include. These benefits vary from state to state.
Medicaid covers prescription drugs. It can also cover private health insurance premiums.
To find out if a service is covered in your state, see: http://medicaidbenefits.kff.org/
If the service is covered, in order for you to obtain the treatment through Medicaid, each of the following is required:
- A doctor's prescription is required,
- The health care provider must participate in Medicaid. The provider cannot require that you pay any money, except possibly a small co-payment.
- Treatment must be "medically necessary"
Location
Medicaid only provides limited coverage out-of-state.
Medicaid does not provide any coverage out of the country.
- Required Coverages
- Services That States May Cover
- Other Requirements for Medicaid Coverage
- Medicaid Pays Health Insurance Premiums
- Medicaid And Prescription Drugs
- Medicaid And Travel
- Medicaid And Children
Edited by Thomas P. McCormack
Editor, Medicaid Watch and Independent Consultant
Washington, D.C.
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