Ambetter Medicaid is a managed care program for low-income Missourians who qualify for Medicaid benefits. The program is designed to provide high-quality, affordable health care to Missouri residents who meet income and other eligibility requirements. Ambetter Medicaid offers a wide range of covered services, including doctor visits, hospital stays, prescription drugs, and mental health care. The program also provides preventive care services, such as screenings, vaccines, and checkups. Ambetter Medicaid is available to Missouri residents of all ages, from children to adults.
Missouri Medicaid Expansion
Missouri expanded Medicaid eligibility to adults ages 19-64 with incomes up to 138% of the federal poverty level (FPL) on July 1, 2021. This expansion was made possible by the Affordable Care Act (ACA), which allows states to expand Medicaid coverage to low-income adults. Missouri is one of 39 states that have expanded Medicaid under the ACA.
Who is Eligible for Medicaid in Missouri?
To be eligible for Medicaid in Missouri, you must meet the following criteria:
- Be a Missouri resident
- Be a U.S. citizen or qualified non-citizen
- Be at least 19 years old (but not yet 65)
- Have an income at or below 138% of the federal poverty level
- Not be eligible for Medicare
Pregnant women and children are also eligible for Medicaid in Missouri, regardless of their income.
What Services are Covered by Medicaid in Missouri?
Medicaid in Missouri covers a wide range of health care services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Nursing home care
The full list of covered services is available on the Missouri Department of Social Services website.
How to Apply for Medicaid in Missouri
You can apply for Medicaid in Missouri online, by mail, or in person at your local social services office. The application process is simple and straightforward. You will need to provide information about your income, assets, and household size. You may also need to provide proof of your identity and citizenship.
Once your application is approved, you will receive a Medicaid card in the mail. Your Medicaid card will allow you to access covered health care services from any provider that accepts Medicaid.
Ambetter Medicaid in Missouri
Ambetter is a private health insurance company that offers Medicaid plans in Missouri. Ambetter Medicaid plans are available to individuals and families who are eligible for Medicaid. Ambetter Medicaid plans offer a wide range of benefits, including:
- Low monthly premiums
- No deductibles
- Low copayments
- Access to a network of providers that accept Medicaid
- Coverage for a wide range of health care services
If you are eligible for Medicaid in Missouri, you can choose to enroll in an Ambetter Medicaid plan. To learn more about Ambetter Medicaid plans, you can visit the Ambetter website or call the Ambetter customer service number.
| Medicaid Eligibility | Services Covered | How to Apply | Ambetter Medicaid |
|---|---|---|---|
| Be a Missouri resident, U.S. citizen or qualified non-citizen, 19-64 years old, income at or below 138% of FPL, not eligible for Medicare | Doctor visits, hospital care, prescription drugs, mental health services, substance abuse treatment, dental care, vision care, hearing aids, durable medical equipment, home health care, nursing home care | Apply online, by mail, or in person at local social services office | Private health insurance company that offers Medicaid plans in Missouri, low monthly premiums, no deductibles, low copayments, access to a network of providers that accept Medicaid, coverage for a wide range of health care services |
Ambetter and Medicaid Managed Care
Ambetter is a health insurance company that offers Medicaid managed care plans in Missouri. Medicaid is a government program that provides health coverage to low-income individuals and families. Managed care is a type of health insurance plan that contracts with a network of providers to deliver care to its members.
There are several benefits to choosing an Ambetter Medicaid managed care plan, including:
- Access to a network of providers who have been carefully selected for their quality of care and customer service
- Coverage for a wide range of services, including doctor visits, hospital stays, and prescription drugs
- Affordable premiums and copayments
- A variety of plan options to choose from, so you can find a plan that meets your specific needs and budget
- Peace of mind knowing that you have health insurance that will protect you and your family in case of an unexpected illness or injury
If you are eligible for Medicaid in Missouri, you may be able to enroll in an Ambetter Medicaid managed care plan. To learn more about Ambetter’s Medicaid plans, you can visit their website or call their customer service number.
| Plan Name | Premiums | Copayments | Covered Services |
|---|---|---|---|
| Ambetter Health | $0 | $0-$5 | Doctor visits, hospital stays, prescription drugs, mental health services, and more |
| Ambetter Family | $0 | $0-$5 | Same as Ambetter Health, plus vision and dental coverage |
| Ambetter Plus | $10 | $5-$10 | Same as Ambetter Family, plus over-the-counter drugs and a gym membership |
Eligibility for Ambetter Medicaid in Missouri
To be eligible for Ambetter Medicaid in Missouri, you must meet certain requirements. These requirements include:
- Being a Missouri resident
- Being a U.S. citizen or qualified non-citizen
- Having a Social Security number
- Meeting income and asset limits
- Not being eligible for other health insurance coverage
Income and asset limits for Ambetter Medicaid in Missouri vary depending on your family size and composition. You can find the current income and asset limits on the Missouri Department of Social Services website.
If you meet the eligibility requirements, you can apply for Ambetter Medicaid online, by mail, or in person at your local Family Support Division office.
Income Limits for Ambetter Medicaid in Missouri
| Family Size | Income Limit |
|---|---|
| 1 | $2,717 per month |
| 2 | $3,665 per month |
| 3 | $4,613 per month |
| 4 | $5,561 per month |
| 5 | $6,509 per month |
| 6 | $7,457 per month |
| 7 | $8,405 per month |
| 8 | $9,353 per month |
| Each additional family member | $948 per month |
Asset Limits for Ambetter Medicaid in Missouri
- Single: $2,000
- Couple: $3,000
- Family of three or more: $4,000
The asset limit does not include your home, car, personal belongings, burial plots, and life insurance policies.
Ambetter Medicaid in Missouri
Ambetter is a health insurance provider that offers Medicaid plans in Missouri through Missouri Medicaid Managed Care (MMC). MMC is a program that allows Missouri residents to choose a managed care health plan instead of traditional Medicaid. Ambetter Medicaid plans provide comprehensive coverage for a wide range of health care services, including doctor visits, hospital stays, and prescription drugs.
Applying for Ambetter Medicaid in Missouri
To apply for Ambetter Medicaid in Missouri, you can follow these steps:
- Go to the Missouri Department of Social Services website.
- Click on the “Apply for Benefits” tab.
- Select “Medicaid” from the list of programs.
- Follow the instructions on the website to complete the application.
You can also apply for Ambetter Medicaid in Missouri by calling the Missouri Department of Social Services at 1-855-373-3929.
Eligibility for Ambetter Medicaid in Missouri
To be eligible for Ambetter Medicaid in Missouri, you must meet the following requirements:
- Be a Missouri resident.
- Be a U.S. citizen or a qualified immigrant.
- Meet the income and asset limits.
Income and asset limits vary depending on your household size and composition. For more information, please visit the Missouri Department of Social Services website or call the Missouri Department of Social Services at 1-855-373-3929.
Benefits Covered by Ambetter Medicaid in Missouri
Ambetter Medicaid plans in Missouri cover a wide range of health care services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Transportation to medical appointments
For more information about the benefits covered by Ambetter Medicaid plans in Missouri, please visit the Missouri Department of Social Services website or call the Missouri Department of Social Services at 1-855-373-3929.
| Plan Name | Monthly Premium | Copay | Deductible |
|---|---|---|---|
| AmbetterCare Essential | $0 | $5 | $0 |
| AmbetterCare Plus | $10 | $10 | $500 |
| AmbetterCare Select | $20 | $15 | $1,000 |
Please note that the monthly premium, copay, and deductible amounts may vary depending on your household size and composition. For more information, please visit the Missouri Department of Social Services website or call the Missouri Department of Social Services at 1-855-373-3929.