Is My Medicaid Still Active

Get Started Select A Primary Care Provider

Your health plan requires you to choose a PCP. If you don’t select a PCP, we’ll match you with a doctor in your service area. You can change your PCP at any time. Simply sign in to the online member center. First-time users will need to create an account.

Your PCP will take care of most of your health care needs. Visit your PCP for routine care, yearly checkups and other general health concerns. Each member covered under a Health Plan of Nevada Medicaid or Nevada Check Up plan can select his/her own PCP, or you may all choose the same one. You may choose a pediatrician for your child. Females over the age of 14 may select an OB/GYN in addition to a PCP.

Contact Namd For Your State

To find out if your Medicaid is approved, you need to call the NAMD for your state. Ask them to provide you information about the status of your Medicaid coverage. You will need to provide them your Medicaid Number because it is how they identify your application and the program you have applied for.

Affordable Care Act Subsidized Plans After Medicaid

Special Enrollment Status: If you lose your Medicaid health coverage, a Special Enrollment Period opens up for you. During an , you can obtain full-featured health insurance known as an Affordable Care Act plan.

The SEP is only a 60-day window, so you have to act quickly. Tools like HealthCare.com help you determine which plan is best for your needs and budget.

Without a Special Enrollment Period, you can enroll in a health plan only during the annual Open Enrollment Period, which generally lasts from November 1 through January 15. Once the window closes, you will be unable to enroll in healthcare coverage until the next open enrollment period.

For example, if your Medicaid is canceled as of March 1, you will have 60 days to enroll in a health plan through Obamacare. If you dont enroll by the end of that 60-day window, you will have to wait until the next open enrollment period, and the coverage would not be effective until January 1 of the following year.

If you know when your Medicaid plan ends, you can sign up in advance. Health insurance plans are generally effective the first day of the following month after you apply, but a new application may take some time to process.

ACA Discounts for Low and Moderate Incomes: The cost of health insurance premiums can be intimidating, but help is available. Depending on your income level, you might receive a subsidy for ACA coverage.

You May Like: What Does It Take To Get Medicaid

How To Check If My Health Insurance Is Valid

It is always a good idea to confirm that your health insurance is valid. The first step is to enroll in a Marketplace plan. The second step is to pay the first premium to your health insurance company. Do not confuse Health Insurance Marketplace with a health insurance company. After that you can check if your health insurance is active. You must continue to pay your monthly health premiums to your health insurance company to keep your health insurance valid. You can check the validity of your health insurance online whenever you want.

Once your health insurance becomes valid, you can use your coverage to cover the medical expenses of health services such as visiting a doctor, emergency care, and filling prescriptions at pharmacies. It is always a good idea to thoroughly read the details about your health coverage provided in the enrollment materials of your health insurer. It will enable you to use your health coverage in a more efficient way.

Some health insurance companies do not pay for a specific health service or for specific health care providers. If that is your case, then you can file an appeal to your insurance company to change the decision.

Medicaid And Medicare Are Different

Medicaid: The state administers the program within federal guidelines, receives joint state and federal funding, and targets low-income children, some parents/caretakers, pregnant women, and individuals who are aged, blind or have a disability.

Medicare: This is a federal program that receives federal funding, and it primarily serves people age 65 and older, some adults with a disability, and dialysis patients.

Also Check: Does Medicaid Cover Vasectomy In Florida

If You Qualify Under A Magi Eligibility Group You Will Have To Provide Documents To Verify Eligibility If Necessary

• If you are applying for Medicaid through the Marketplace , you may attest to your household income for the upcoming year. If your income is different than the income found on the data matches, income documentation may need to be provided.
• Citizenship/Immigration status and social security number will be verified through federal data sources. If citizenship/immigration status or social security number does not match, documentation must be provided.

What To Watch For

Both mandate cases will now go back to the lower courts to decide whether theyll be permanently upheld or struck down. With the healthcare mandate now in effect, healthcare workers will be required to receive a first Covid-19 vaccine dose by January 27 and be fully compliant with the policy by February 28.

You May Like: Blue Cross Blue Shield Medicaid Dental Providers

Make Your First Wellness Appointment

Call your doctor to schedule your initial wellness checkup. If you need help finding a doctor or scheduling an appointment, please call 1-800-962-8074, TTY 711,Monday through Friday, 8 a.m. to 6 p.m. local time.

You can also stop by our offices and a member of our team would be happy to assist you.

Our offices are located at:

2720 N. Tenaya Way, Suite 102Las Vegas, NV 89128

How Do I Contact My Local Medicaid Office

Agency Details Website: Centers for Medicare and Medicaid Services Contact: Contact the Centers for Medicare and Medicaid Services Local Offices: Contact State Medicaid Offices. Toll Free: 1-800-633-4227. TTY: 1-877-486-2048. Forms: Centers for Medicare and Medicaid Services Forms.

Recommended Reading: Nursing Homes In Maryland That Accept Medicaid

Your Original Medicare Premium Payments

They affect all of your Medicare coverage

To maintain continuous health coverage, make sure you always pay your Original Medicare monthly premiums on time. Many beneficiaries dont pay a Medicare Part A premium you dont have to pay this premium if you worked at least 10 years while paying Medicare taxes. However, most beneficiaries must pay a monthly Medicare Part B premium, even if theyre enrolled in Medicare Advantage or another Medicare plan option

If you receive Social Security, Railroad Retirement Benefits , or Civil Service benefits, your Medicare premium may be automatically deducted from those benefits. In other cases, you may have to make the Medicare payment yourself when you receive your monthly bill, or choose one of the payment options described below.

You can pay your Original Medicare premium in one of three ways: Sign up for Medicare Easy Pay, which is free and automatically deducts the premium payment from your checking or savings account pay by check or money order or pay by credit card.

How Do I Apply For Medicaid

You can apply for Medicaid at any time.

Even if you applied by mail, in-person, or over the phone, you can create an online account to check the status of your application, report household and address changes, request a new Medicaid ID card, and renew your Medicaid coverage.

Read Also: Pregnancy Medicaid Texas Phone Number

How Do I Know If My Child Is Due For A Texas Health Steps Checkup

Texas Health Steps will send you a letter when it’s time for your child’s medical and dental checkups. You can also visit YourTexasBenefits.com or call the number below to find out if your child is due for a checkup.

Phone

Make Sure You’re Eligible

The Medi-Cal eligibility requirements have expanded, which means individuals and families that previously didn’t qualify, may now be approved. If you are a citizen or legal resident of the state of California and you earn less than 138 percent of the Federal Poverty Level, you probably qualify. Mybenefitscalwin.org has an online questionnaire you can fill out to quickly determine whether or not you meet the requirements for the program.

Read More:California Health Insurance Penalty in 2020: What You Should Know

You May Like: Does Medicaid Cover Therapy In Michigan

How Can I Report Medicaid Fraud

If you suspect a person or a doctor, clinic, hospital, home health service or any other kind of medical provider is committing Medicaid fraud or abuse, report it.

Help With The Medicaid Application

When people initially apply for Medicaid through this portal, they are required to create accounts with usernames and passwords. This information should be kept in a secure location since it is needed to log in and access information.

For help with this and other questions, the Florida Medicaid phone number is 1-877-711-3662, TDD 1-866-467-4970. Hours of operation are Monday through Thursday 8 a.m. to 8 p.m. and Fridays 8 a.m. to 7 p.m. Frequently asked questions and enrollments can also be texted to 357662 or people without Internet access can call 1-888-367-6554 for assistance.

Read Also: Does Medicaid Give You A Free Breast Pump

Check Your Health Insurance Enrollment Materials

• Your plan will send you a membership package with enrollment materials and a health insurance card as proof of your insurance.
• Carefully review these, and look through your plans provider directory to see where you can get care.
• Youll use the card when you get health care services, so keep it in a safe place.
• If you didnt receive a card, call your insurer to see if you should have received one already and to make sure your coverage is effective. You can find your insurers phone number on their website.

Want to change your health insurance plan? If youd like to change your plan, you can do so now only if you experience a qualifying life event like losing other coverage, having a baby, or getting married and apply with a Special Enrollment Period.

Contact A Case Manager

Once you locate the number, call the local welfare office and ask to speak with your caseworker. Provide the case manager with your social security number, as well as the Medi-Cal identification number on your Beneficiary Insurance Card . If you don’t know who your caseworker is, your local welfare office can find this information and transfer your call appropriately.

Also Check: The Phone Number For Medicaid

Find Out If You Qualify For Medicaid

The Florida Medicaid Portal

To qualify for Medicaid in the Sunshine State, Benefits.gov posts that an applicant must be a Florida state resident, U.S. national, U.S. citizen, permanent resident or legal alien who is low income and in need of health care and/or insurance help. Applicants must also check at least one of the following boxes: being 65 or older, responsible for a child aged 18 or younger, having a disability or a household family member with a disability, being blind or being pregnant. There are also income limits for Medicaid approval, with a chart to refer to. As an example, a household of four cannot be approved if their income is $35,245 per year or more.

Video of the Day

According to the American Council on Aging, it can take anywhere from 45 to 90 days for an application to be processed and then accepted or denied. The whole process from start to finish can take even more time and it can be frustrating for applicants to have to wait that long. This is why people are always trying to check their status through websites like the Florida Medicaid Portal.

Recommended Reading: Molina Medicaid Michigan Prior Authorization Form

What If I Have Questions About My Healthy Louisiana Plan

If you have questions about your Healthy Louisiana plan, contact your plans customer service department.

• Aetna Better Health 1-855-242-0802 TTY: 711 Available 24 hours a day, 7 days a week
• Healthy Blue 1-844-521-6941 Available Monday Friday, 7:00 a.m. – 7:00 p.m.
• AmeriHealth Caritas 1-888-756-0004 Available 24 hours a day, 7 days a week.
• Louisiana Healthcare Connections 1-866-595-8133 Available Monday Friday, 7:00 a.m. – 7:00 p.m.
• UnitedHealthcare Community 1-866-675-1607 Available Monday Friday, 7:00 a.m. 7:00 p.m

How Can I Find Out If My Medicaid Is Active

Recommended Reading: Does Medicaid Cover Cochlear Implants

What Do I Do With Medical Bills

Pay attention to the mail you get for medical care. If the bill says that you owe money, you should:

You may have to pay your own medical bills for Medicaid covered services if:

• You see a provider who is not part of your health plan
• You receive services without showing your Medicaid Member Card to the provider

You will have to pay the bill for services you get:

• When you were not eligible for Medicaid
• During an appeal, grievance or hearing if the action is denied
• If the services you receive are not covered by Medicaid

If you get services that Medicaid does not cover, you have to pay for the services yourself. You should sign a form that says:

If you receive about a bill from a medical provider, you talk to the provider about the bill, and you still have a question, call Medicaid Information at 801-538-6155 or toll-free at 1-800-662-9651.

Cannon Health Building

How To Check Medicaid Status In Florida

In the United States, people can be eligible for free or low-cost healthcare through the federal Medicaid program, which is administered by states. After applying or, if they need to make changes afterward, people need to stay updated on their Medicaid status to make sure they are covered. States have different means of communicating this information, and Florida residents can use the Florida Medicaid Portal and the Florida Department of Children and Families website. Once a Medicaid application in Florida is complete, eligibility is determined by the Social Security Administration and the Department of Children and Families .

Recommended Reading: What Is Family Planning Medicaid Nc

Medicaid In New York State

• COVID-19 News and Updates:
• COVID Information for Medicaid Consumers:
• Medicaid Coverage through Your Local Department of Social Services during the Coronavirus Emergency –
• Medicaid Telehealth Services During the Coronavirus Emergency –

• IRS Form 1095-B Update:
• The 1095-B form for Tax Year 2020 is no longer being mailed automatically.If you need a copy of your 1095-B for Tax Year 2020, you can request it:
• By e-mail – or

Review Your Options And Stay Covered

Losing Medicaid coverage can be very scary and shocking at first, especially if you have ongoing health issues.

If you are dealing with losing Medicaid, remember that it is not the end of the road. You have multiple options. Keep both your healthcare needs and budget in mind when making a decision about how to move forward. And if you end up at the hospital without insurance coverage, there are options even in that situation.

No matter what path you choose to follow once youre denied Medicaid or you are dropped from Medicaid, the most important thing to do is to obtain some type of coverage. The physical and financial safety that you get from having health insurance can end up being well worth any cost.

You May Like: What Does Medicaid Cover In Illinois

Apply For Benefits In Person