Ambetter Sunflower Medicaid is a health insurance program that provides coverage to low-income individuals and families in the state of Kansas. It is offered by Sunflower State Health Plan, a managed care organization. Ambetter Sunflower Medicaid covers a wide range of services, including doctor visits, hospital stays, prescription drugs, and mental health services. The program also provides transportation to medical appointments and other support services. Ambetter Sunflower Medicaid is a valuable resource for low-income individuals and families in Kansas. It helps them to get the health care they need, regardless of their ability to pay.
Ambetter from Sunflower Health Plan
Ambetter from Sunflower Health Plan is a Medicaid managed care plan that provides comprehensive health coverage to eligible residents of Kansas. The plan offers a wide range of benefits, including:
- Medical care, including doctor visits, hospitalizations, and prescription drugs
- Mental health and substance abuse treatment
- Dental and vision care
- Transportation to medical appointments
- Home and community-based services
To be eligible for Ambetter from Sunflower Health Plan, you must be a resident of Kansas and meet certain income and resource requirements. You can apply for the plan online, by phone, or by mail. Once you are enrolled in the plan, you will be assigned a primary care physician (PCP) who will coordinate your care.
Benefits of Ambetter from Sunflower Health Plan
There are many benefits to enrolling in Ambetter from Sunflower Health Plan, including:
- Comprehensive coverage: The plan offers a wide range of benefits, including medical care, mental health and substance abuse treatment, dental and vision care, transportation to medical appointments, and home and community-based services.
- Low cost: Ambetter from Sunflower Health Plan is a low-cost health insurance option for eligible residents of Kansas.
- Easy access to care: The plan has a large network of providers, so you can easily find a doctor or hospital that accepts your insurance.
- Peace of mind: Knowing that you have health insurance can give you peace of mind knowing that you are covered if you get sick or injured.
How to Apply for Ambetter from Sunflower Health Plan
To apply for Ambetter from Sunflower Health Plan, you can:
- Apply online: You can apply for the plan online at the Sunflower Health Plan website.
- Apply by phone: You can apply for the plan by calling the Sunflower Health Plan customer service number.
- Apply by mail: You can apply for the plan by mailing a completed application form to Sunflower Health Plan.
Once you have applied for the plan, you will be notified of your eligibility status within 45 days. If you are approved for coverage, you will be sent a welcome packet that will include your member ID card and information about your benefits.
| Benefit | Monthly Premium | Deductible | Copay |
|---|---|---|---|
| Medical care | $0 | $0 | $5 |
| Mental health and substance abuse treatment | $0 | $0 | $5 |
| Dental care | $10 | $50 | $10 |
| Vision care | $5 | $25 | $10 |
| Transportation to medical appointments | $0 | N/A | N/A |
| Home and community-based services | $0 | N/A | N/A |
Note: The monthly premium, deductible, and copay amounts listed above are for illustrative purposes only. Actual costs may vary depending on your income, family size, and other factors.
Sunflower Health Plan Medicaid Benefits
Sunflower Health Plan Medicaid is a program that provides health insurance to low-income individuals and families in Kansas. The program is administered by the Kansas Department of Health and Environment (KDHE). Sunflower Health Plan Medicaid offers a variety of benefits, including:
- Medical care, including doctor visits, hospital stays, and prescription drugs.
- Mental health and substance abuse treatment.
- Dental care.
- Vision care.
- Long-term care.
To be eligible for Sunflower Health Plan Medicaid, you must meet certain income and asset limits. The program is available to children, pregnant women, people with disabilities, and some adults. If you are interested in applying for Sunflower Health Plan Medicaid, you can contact your local county health department.
Benefits of Sunflower Health Plan Medicaid
Sunflower Health Plan Medicaid offers a number of benefits to its members, including:
- Comprehensive coverage: Sunflower Health Plan Medicaid covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health and substance abuse treatment.
- Low cost: Sunflower Health Plan Medicaid is a low-cost health insurance option for people who qualify. In most cases, members pay little or no premiums or copayments.
- Easy access to care: Sunflower Health Plan Medicaid members have access to a network of providers who accept the plan. This makes it easy to find a doctor or other health care provider who can meet your needs.
- Peace of mind: Sunflower Health Plan Medicaid provides peace of mind knowing that you have health insurance coverage. This can help you focus on your health and well-being.
| Benefit | Description |
|---|---|
| Medical care | Sunflower Health Plan Medicaid covers a wide range of medical services, including doctor visits, hospital stays, and prescription drugs. |
| Mental health and substance abuse treatment | Sunflower Health Plan Medicaid covers mental health and substance abuse treatment, including therapy, counseling, and medication. |
| Dental care | Sunflower Health Plan Medicaid covers dental care, including cleanings, fillings, and extractions. |
| Vision care | Sunflower Health Plan Medicaid covers vision care, including eye exams and glasses or contacts. |
| Long-term care | Sunflower Health Plan Medicaid covers long-term care, including nursing home stays and home health care. |
Kansas Medicaid Eligibility
To qualify for Medicaid in Kansas, you must meet certain eligibility requirements. These requirements include:
- Income: Your income must be below a certain level.
- Assets: Your assets must be below a certain level.
- Citizenship: You must be a U.S. citizen or a legal resident.
- Age: You must be under 19 years old, over 65 years old, or disabled.
- Pregnancy: You must be pregnant.
- Parenting: You must be the parent or guardian of a child under 19 years old.
If you meet these eligibility requirements, you may be able to get Medicaid coverage. Medicaid covers a wide range of health care services, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health care
- Substance abuse treatment
- Long-term care
To apply for Medicaid, you can contact your local Medicaid office or visit the Kansas Department of Health and Environment website. You can also apply for Medicaid online.
The following table provides a summary of Medicaid eligibility requirements in Kansas:
| Category | Income Limit | Asset Limit |
|---|---|---|
| Adults | 138% of the federal poverty level | $2,000 |
| Children | 138% of the federal poverty level | $2,000 |
| Pregnant women | 138% of the federal poverty level | $2,000 |
| Disabled adults | SSI | $2,000 |
| Disabled children | SSI | $2,000 |
| Nursing home residents | SSI | $2,000 |
Ambetter: Sunflower Health Plan Medicaid
Ambetter from Sunflower Health Plan is a Medicaid health insurance plan that provides coverage to qualified individuals and families in the state of Kansas. Ambetter members have access to a wide range of benefits, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health and substance abuse services
- Vision and dental care
To be eligible for Ambetter from Sunflower Health Plan, you must be a Kansas resident and meet certain income and asset requirements. You can apply for Ambetter online, by phone, or in person at a local Sunflower Health Plan office.
How to Apply for Ambetter from Sunflower Health Plan
- Determine your eligibility. Visit the Sunflower Health Plan website or call their customer service number to determine if you are eligible for Ambetter.
- Gather your documents. You will need to provide proof of income, identity, and residency when you apply for Ambetter.
- Apply online, by phone, or in person. You can apply for Ambetter online at the Sunflower Health Plan website, by phone at 1-800-558-5500, or in person at a local Sunflower Health Plan office.
- Wait for a decision. Sunflower Health Plan will review your application and make a decision within 45 days.
- Activate your coverage. If you are approved for Ambetter, you will receive a welcome packet with instructions on how to activate your coverage.
Benefits of Ambetter from Sunflower Health Plan
Ambetter from Sunflower Health Plan offers a wide range of benefits to its members, including:
| Benefit | Description |
|---|---|
| Doctor visits | Covered at 100% after deductible |
| Hospital stays | Covered at 100% after deductible |
| Prescription drugs | Covered at a copay of $3 for generic drugs and $10 for brand-name drugs |
| Mental health and substance abuse services | Covered at a copay of $20 per visit |
| Vision and dental care | Covered at a copay of $10 for vision exams and $20 for dental exams |
Ambetter from Sunflower Health Plan also offers a number of additional benefits, such as:
- Transportation to and from medical appointments
- Interpretation services
- Case management services
- Health education and wellness programs
If you are a Kansas resident and meet the eligibility requirements, Ambetter from Sunflower Health Plan is a great option for affordable health insurance coverage.
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