How Does Medicaid Provide Financial Help To Medicare Beneficiaries In Florida
Many Medicare beneficiaries receive Medicaid financial assistance that can help them with Medicare premiums, lower prescription drug costs, and pay for expenses not covered by Medicare including long-term care.
Our guide to financial assistance for Medicare enrollees in Florida includes overviews of these programs, including Medicaid nursing home benefits, Extra Help, and eligibility guidelines for assistance.
Florida Has Not Accepted Federal Medicaid Expansion
- 4,956,941 Number of Floridians covered by Medicaid/CHIP as of September 2021
- 1,378,000 Number of additional Florida residents who would be covered if the state accepted expansion
- 415,000 Number of people who have NO realistic access to health insurance without Medicaid expansion
- $6.6 billion Federal money Florida is leaving on the table in 2022 by not expanding Medicaid
How To Find A Tampa Medicaid Office In Florida
The Tampa, Florida Medicaid office is accessible to all residents who live in the area. However, keep in mind that different offices may encourage you to schedule an appointment to apply onsite with representatives.
The list of Tampa Medicaid offices are included below. Click on the Florida office you want to apply at to learn that facilitys contact information. Furthermore, remember that you can also use this feature to learn the following information about the different Medicaid offices in Tampa:
- The offices contact information
- Where in Florida the facility is located
- If the Tampa Medicaid office has a website
Start typing or scroll down to pick from the list of Tampa Medicaid Office Locations
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Unitedhealthcare Dual Complete Plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
How To Contact Florida Department Of Health In Hillsborough County Medicaid Office In Florida
You need to know how to contact Florida Department of Health in Hillsborough County Medicaid Office in case you ever need to report to the facility. Even after you apply for Medicaid benefits in Florida, you may need to go to the office to speak with program workers. For this reason, it is important that you know how to contact the Florida Department of Health in Hillsborough County Medicaid Office. This Tampa Medicaid office is located at:
Florida Department of Health in Hillsborough County Medicaid Office 2313 E 28th Ave, Tampa, FL 33605, USA hillsborough.floridahealth.gov Thursday 7:30AM-5PM, Friday 7:30AM-5PM, Saturday Closed, Sunday Closed, Monday 7:30AM-5PM, Tuesday 7:30AM-5PM, Wednesday 7:30AM-5PM.
Additionally, remember that you can contact the Florida Department of Health in Hillsborough County Medicaid Office by calling . You can also find this Tampa Medicaid office at its official website, hillsborough.floridahealth.gov.
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Unitedhealthcare Senior Care Options Plan
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.
Children’s Medical Services Health Plan
Welcome to Children’s Medical Services Health Plan .
This plan is for children with special health care needs. It provides a comprehensive system of care that’s centered around the family.
CMS Health Plan has partnered with WellCare of Florida, Inc. to provide managed care services to our members. WellCare is a licensed Florida health plan.
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What Counts As Assets
When you complete your application you will also be asked to identify your assets. You should list any of the following assets if you have them.
- Checking and savings accounts, profit sharing accounts, deferred compensation accounts, IRAs, insurance policies with cash value, certificates of deposit , money market accounts, trusts
- Automobiles, other than the first
- Homes other than the homestead, acreage, trailer if not homestead, lots
- Boats, recreational vehicles
Unitedhealthcare Connected For Mycare Ohio
UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.
Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .
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The Florida Department Of Health In Hillsborough County Medicaid Office In Tampa Florida
The Florida Department of Health in Hillsborough County Medicaid Office is a Medicaid office you can apply at in Tampa, Florida. This facility is funded jointly by the federal government and the state government. You need to legally reside in Florida in order to apply for benefits at this facility. This is because you may only receive Medicaid benefits in your home state. Even though the Florida Department of Health in Hillsborough County Medicaid Office is required to follow state and federal guidelines regarding operation, it still maintains autonomy. This means that each Medicaid office in Florida may have rules that are slightly different from one another.
For example, one Medicaid office in Tampa may encourage you to schedule an appointment before you apply for benefits. An office in another city, however, may not. You may use the information below to help you understand which rules you need to follow when you apply for support at the Florida Department of Health in Hillsborough County Medicaid Office.
Member Forms & Resources
Notice of Privacy Practices
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it.
You can download a copy of our Notice of Privacy Practices below.
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PDF 126.63KB – Last Updated: 11/12/2020
Health Plan Performance Measures
View the Agency for Health Care Administrations website where you can view our health plans performance measure results and compare with those of other health plans.
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PDF 1.36MB – Last Updated: 04/06/2021
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How Do I Enroll In Medicaid In Florida
Review Floridas eligibility criteria, and if you believe you are eligible to enroll in Medicaid you have several options:
- Enroll at Healthcare.gov .
- Apply online at ACCESS Florida, or fill out a paper form. Use this application for low-income children, pregnant women, families, and aged or disabled individuals who are not currently receiving Supplemental Security Income .
- Use this application to apply for food or cash assistance in addition to Medicaid. You should also use this form if you currently receive SSI or if you are applying for home-based and community services, hospice care, or nursing home care.
- Submit a paper application submitted by mail, fax or in person to a local service center.
For help with the application process, call 1-866-762-2237.
Guide To Tampa Medicaid Office Locations In Florida
There are various Tampa Medicaid office locations you can visit. Whether you want to apply for Florida Medicaid benefits or you have been receiving services for the program for a while, it is important that you know where your closest office is located. In order to apply for support at one of these Tampa Medicaid offices, you need to be a legal resident in Florida.
Medicaid in Florida is managed partly by the state government. The other part of the program, however, is managed federally. This means that the Tampa Medicaid office you go to needs to adhere to Florida and federal rules and regulations. Be sure you understand these requirements before you try to apply at your Tampa Medicaid office. Otherwise, you could encounter delays with your application.
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What Does Hillsborough Health Care Count As Income
When you complete your application you will be asked to identify sources of your income. If you receive income from any of the following sources, it should be listed.
- Wages, tips, money earned through self-employment
- Other types of income such as Social Security/Railroad Retirement and/or Disability
- VA income, pensions, Civil Service, unemployment, child support, alimony, dividends, interest income, stipends
- Money from another person, annuity income, rental income, workers’ compensation, estate/trust income, public assistance, and grants, scholarships, and student loans less tuition, books, fees, and other school-related costs
- Income from odd jobs, day labor, temp pools, babysitting, house cleaning, flea market sales, lawn mowing, etc. is also counted.
American Disabilities Act Notice
In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
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Unitedhealthcare Connected Benefit Disclaimer
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.
You can get this document for free in other formats, such as large print, braille, or audio. Call , TTY 711, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.
You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.
Language Line is available for all in-network providers.
Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al , TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.
Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.
Los servicios Language Line están disponibles para todos los proveedores dentro de la red.
Apply For Medicaid In Florida
Online at ACCESS Florida, or submit a paper application by mail, fax or in person to a local service center. For help with the application process, call 866-762-2237.
Eligibility: Children up to 1 year old with family income up to 206% of FPL children 1-5 with family income up to 140% of FPL children 6-18 with family income up to 133% of FPL pregnant women with family income up to 191% of FPL young adults 19-20 with family income up to 30% of FPL adults with dependents with family income up to 30% of FPL.People who qualify for Supplemental Security Income automatically qualify for Medicaid. For information: SSI-Related Programs Financial Eligibility Standards
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Medicaid For Aged Or Disabled
Medicaid for low-income individuals who are either aged or disabled is called SSI-Related Medicaid.
Florida residents who are eligible for Supplemental Security Income are automatically eligible for Medicaid coverage from the Social Security Administration. There is no need to file a separate ACCESS Florida Application unless nursing home services are needed.
Individuals may apply for regular Medicaid coverage and other services using the online ACCESS Florida Application and submitting it electronically. If long-term care services in a nursing home or community setting are needed, the individual must check the box for HCBS/Waivers or Nursing Home on the Benefit Information screen. HCBS/Waiver programs provide in-home or assisted living services that help prevent institutionalization.
Medicare Savings Programs help Medicare beneficiaries with limited finances pay their Medicare premiums and in some instances, deductibles and co-payments. Medicare Buy-In provides different levels of assistance depending on the amount of an individual or coupleâs income. Individuals may apply for Medicare Buy-In coverage only by completing a Medicaid/Medicare Buy-In Application.
Print the form, complete it and mail or fax it to a local Customer Service Center.
History Of Floridas Medicaid Program
Florida was one of the later states to implement a Medicaid, not adopting the program until January of 1970 .
Florida Medicaid spending grew 13.5% on average every year between 1980 and 2004. In an effort to slow that trend, Florida applied for and received approval for an 1115 waiver for its Medicaid Reform pilot. The pilot implemented managed care in two counties in 2006 and added three more counties in 2007 the waiver was extended several times.
In 2013, the federal government approved an amendment for statewide expansion of managed care the amendment also renamed Medicaid Reform as Managed Medical Assistance . Ninety percent of all Florida Medicaid beneficiaries are now enrolled in managed care plans, like health maintenance organizations . The state hopes to improve quality through better coordination of care and save money through smaller networks of providers.
Part of the reason Medicaid enrollment has grown is the extensive outreach on the part of ACA navigators some residents were already eligible for Medicaid or CHIP prior to 2014 , but werent aware of their eligibility until enrollment outreach efforts under the ACA. But since Florida hasnt expanded Medicaid, the newly insured population is covered according to the normal state/federal split.
Floridas decision not to expand Medicaid leaves nearly 400,000 people in the state in the coverage gap ineligible for Medicaid and also ineligible for tax subsidies to help them afford private health insurance .
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What Information Does The Medicaid Application Require
Page 1 of actual Medicaid application actually begins on the third page of the 18 page application packet. It starts by asking which program you are applying for. While my elder law attorney office primarily assists clients with Medicaid Waiver / Home & Community Based Services and Nursing Home Care Medicaid benefits, the application can also be used for Food Assistance, Cash Assistance, Relative Caregiver Assistance, Medical, Hospice, and OSS / Optional State Supplementation programs.
The application will also ask for basic contact information, whether it is difficult to come into the office for an interview .
The Medicaid application will have you acknowledge that DCF will verify statements made and may consult with other state/federal agencies for that purpose. You provide DCF permission to consult with prior employers,review any pertinent medical records, etc.. You also agree, under penalty of perjury, to provide accurate information to the best of your knowledge.
Page 2 starts with information if the Medicaid applicant is seeking expedited food assistance. Below is Section A, which involves entering all household member information. For nursing home or ALF residents, you only list yourself, your spouse and dependents .
Page 3, Section B, lists children living in the Medicaid applicantâs home. Section C involves listing absent parents .
Page 5, Section E â Assets. Must list all assets here, account number or insurance ID, and the assetâs value.
What Is In The Florida Medicaid Application
The first two pages provide some basic information about the Florida Medicaid application process.
The first preliminary page mostly informs about Medicaidâs food assistance programs. Remember that Medicaid is a general term for a number of programs. A list of common Medicaid programs can be found at the link.
The next page warns against engaging in Medicaid fraud. The Medicaid applicant is also advised that their answers will be verified through their Income and Eligibility Verification System and that any changes in circumstances must be reported within 10 days. In case you are denied Medicaid benefits or are not approved for a sufficient level of benefits, page 2 of the Medicaid application also explains that you have the right to request a âfair hearingâ by writing, calling the customer call center , or coming into an Medicaid office within 90 days of receiving notice of the adverse action you wish to challenge. The Medicaid application can be mailed to ACCESS Central Mail Center, PO Box 1770, Ocala, Florida, 33478-1770 or faxed to a local DCF service center.
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No Aca Medicaid Eligibility Expansion In Florida
Florida is one of 12 states that has not expanded Medicaid eligibility as allowed under Affordable Care Act . The ACA doesnt provide subsidies for people with income below the poverty level, because the law called for them to have Medicaid instead. But in states that have refused Medicaid expansion people who arent eligible for Medicaid and whose income is too low for exchange subsidies are in whats called the coverage gap.
Federal
Floridas eligibility standards are:
- Children up to 1 year old: 206% of the federal poverty level
- Children ages 1-5: 140% of FPL
- Children ages 6-18: 133% of FPL
- Pregnant women: 191% of FPL
- Adults with dependent children: 27% of FPL
People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. See more information in the SSI-Related Programs Financial Eligibility Standards.
