Most states base Medicaid eligibility on your household assets, while others base it on your actual income. The difference is that household assets include your bank and savings accounts along with real estate and other non-monetary property that you could liquidate. In Delaware, you only have to show proof of income for Medicaid, but you will need to show your total household assets to apply for long-term services. Maryland automatically enrolls residents in Medicaid if they receive Supplemental Security income or Temporary Cash Assistance, while others must present proof of household assets at an application interview.
States Administer Medicaid
Even though Medicaid is a federal initiative, administration is at the state government level. This allows each state to set its own qualifying rules, but not the type or amount of care available through Medicaid. To offset the out-of-pocket costs for people who have no other insurance, states offer alternatives or supplemental coverage. Even if you have private insurance, you can participate in any government health programs for which you qualify.
Medicaid does not cover cosmetic surgery that is not medically necessary. The same goes for cosmetic dental services unless they are necessary for the health of the patient. Your private insurance might cover voluntary surgeries, filling the gap between what you wish to have done and what Medicaid services will cover.
Medicaid will pay for all drugs and prescriptions required for a covered procedure. It reserves the right to require generic versions of medications, and may not cover secondary medications not deemed vital to your health. You may supplement Medicaid coverage with prescription assistance plans or any type of private health coverage.
If you have private health insurance and Medicaid coverage, present both each time you receive medical services. This allows the care provider to complete the billing properly and helps you get the most coverage from both plans. You will still be responsible for any co-pays.