Limited Medicaid is a government-sponsored health insurance program in Virginia that provides coverage to individuals and families with low incomes and assets. The program covers essential health benefits, such as doctor’s visits, hospital care, and prescription drugs. To be eligible for Limited Medicaid, individuals must meet certain income and asset requirements. The program is designed to help people who cannot afford to purchase private health insurance.
Virginia Health Insurance Gateway Platform
The Virginia Health Insurance Gateway Platform is the state’s online marketplace where individuals and families can shop for and enroll in health insurance plans, including Medicaid and FAMIS. The platform allows users to compare plans, calculate subsidies, and apply for coverage.
Eligibility for Limited Medicaid in Virginia
To be eligible for Limited Medicaid in Virginia, you must meet the following requirements:
- Be a Virginia resident.
- Be a U.S. citizen or qualified non-citizen.
- Meet income and asset limits.
- Be pregnant, a parent of a child under 19, or a caretaker of a disabled person.
Benefits of Limited Medicaid in Virginia
Limited Medicaid in Virginia provides a range of benefits, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health and substance abuse services
- Vision and dental care
How to Apply for Limited Medicaid in Virginia
You can apply for Limited Medicaid in Virginia online, by mail, or in person. To apply online, you will need to create an account on the Virginia Health Insurance Gateway Platform. To apply by mail, you can download an application form from the Virginia Department of Medical Assistance Services website. To apply in person, you can visit your local Department of Social Services office.
Income and Asset Limits for Limited Medicaid in Virginia
| Family Size | Income Limit | Asset Limit |
|---|---|---|
| 1 | $29,970 | $2,000 |
| 2 | $38,750 | $3,000 |
| 3 | $47,530 | $4,000 |
| 4 | $56,310 | $5,000 |
| 5 | $65,090 | $6,000 |
| 6 | $73,870 | $7,000 |
Note: Income and asset limits are subject to change.
Benefits and Coverage Under Limited Medicaid
Limited Medicaid in Virginia provides a range of healthcare services and benefits to eligible individuals and families. These benefits are designed to help people with specific income levels and circumstances access necessary medical care. The exact services and coverage offered may vary depending on factors such as age, family size, and disability status.
- Medical Care: Limited Medicaid covers a wide range of medical services, including doctor visits, hospital care, specialist consultations, prescription drugs, laboratory tests, and emergency services.
- Mental Health and Substance Abuse Treatment: Limited Medicaid also covers mental health and substance abuse treatment services, including therapy, counseling, medication, and residential treatment programs.
- Dental Care: Limited Medicaid provides dental care services such as cleanings, fillings, extractions, and dentures.
- Vision Care: Limited Medicaid covers routine eye exams, eyeglasses, and contact lenses.
- Family Planning Services: Limited Medicaid includes family planning services, including contraception, pregnancy testing, and prenatal care.
- Transportation: Limited Medicaid may provide transportation assistance to help individuals reach their medical appointments or other necessary healthcare destinations.
Here’s a table summarizing the benefits and coverage under Limited Medicaid in Virginia:
| Benefit | Covered Services |
|---|---|
| Medical Care | Doctor visits, hospital care, specialist consultations, prescription drugs, laboratory tests, emergency services |
| Mental Health and Substance Abuse Treatment | Therapy, counseling, medication, residential treatment programs |
| Dental Care | Cleanings, fillings, extractions, dentures |
| Vision Care | Routine eye exams, eyeglasses, contact lenses |
| Family Planning Services | Contraception, pregnancy testing, prenatal care |
| Transportation | Assistance to reach medical appointments or other necessary healthcare destinations |
Important Note: Eligibility for Limited Medicaid and the specific benefits and coverage available may vary over time. For the most up-to-date information, please visit the Virginia Department of Medical Assistance Services website or consult with a qualified healthcare professional.
Thanks for sticking with me through this deep dive into Limited Medicaid in Virginia. I know it can be a lot to take in, but I hope you found it helpful. If you have any questions, feel free to reach out to your local Medicaid office. In the meantime, stay tuned for more informative articles on all things Virginia Medicaid. See ya later!