An Overview of Medicaid

Medicaid is a health insurance program administered by the state and federal government, to provide health coverage for those who meet income restrictions or have qualifying medical needs.

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In Nevada, nearly 780,000 people are enrolled in Medicaid or Nevada Check Up, which provides free coverage for qualifying individuals under 18.

While it provides robust stand-alone coverage, Medicaid can also be used alongside other health insurance coverages such as private health insurance, Medicare, and Veterans’ Administration benefits. When used alongside other health insurance plans, it covers out-of-pocket costs not paid for by the primary health insurance, reducing your out-of-pocket expenses.

Medicaid Basics To Know

What Does Medicaid Cover?

Qualifying for Medicaid

There are several ways that the state’s Department of Health and Human Services Division of Welfare and Supportive Services screens for Medicaid eligibility.

  • Family Medical Coverage screens individuals, families and specialized households with limited incomes.
  • Nevada Check Up is available to children in income-qualifying households who are not covered by Medicaid or private health insurance.
  • Medical Assistance to Aged, Blind and Disabled is used to screen those who qualify for Supplemental Security Income, live in residential care facilities or nursing homes or are eligible for Home and Community-Based waiver programs.
  • Qualified Medicare Beneficiaries is for individuals dually eligible for Medicare and Medicaid.
  • Hospital Presumptive Eligibility enables hospitals to determine whether certain individuals qualify for Medicaid based on preliminary information.

Nevada Medicaid Eligibility Requirements

To be eligible for Nevada Medicaid, you must be a permanent resident of the state and a U.S. citizen or legal resident. In all states, you can qualify for Medicaid based on your household size, income, family status, age or disability. Nevada is among the states with an expanded Medicaid program, meaning that you can qualify for the program based on your income alone.  

What If I Do Not Qualify for Medicaid?

High-quality, robust health insurance can be pricy, and if you are right over Medicaid’s income threshold, you may wonder if affordable options are available to you. Fortunately, you may qualify for a government subsidy that could very significantly reduce your premium costs of a health insurance plan purchased from Nevada Health Link. Some applicants also qualify for cost-sharing reductions on copays and deductibles which are only available on Silver plans.

If you do not qualify for Medicaid, call us for further assistance.

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Finding Affordable Health Insurance with Nevada Insurance Enrollment

Affordable health insurance is available, especially for those with limited means. At Nevada Insurance Enrollment, our health insurance agents help you review your income  to determine whether you qualify for Medicaid or financial assistance for private health insurance.

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