Funded by both the federal and state governments, Medicaid is an important health program for people with lower incomes, elderly people, people with disabilities, and some families with children.
The state Health and Human Services Commission (HHSC) administers the Texas Medicaid program, serving about 3.5 million Texans, and recipients must be American citizens or legal permanent residents living in Texas who fall into certain qualifying categories.
Qualifying categories for Medicaid eligibility include:
- the elderly
- the physically disabled
- the mentally disabled
- severely disabled children
- pregnant women
- low income adults
- low income children
By 2014, most adults across the country who are under age 65 and have incomes under $15,000 will qualify for Medicaid. However, income limits for various Texas Medicaid programs vary substantially. To learn whether you may meet eligibility requirements for specific programs, visit Your Texas Benefits, select “Should I Apply?” and fill out a short form to learn what Texas Medicaid benefits you may qualify for.
If it appears you meet eligibility requirements, you can easily apply online or download an application form to fill out and put in the mail.
Medicare in Texas covers a wide range of medically-necessary services including:
- Laboratory and X-ray services
- Inpatient and outpatient hospital services
- Health screenings for children and treatment of detected medical problems
- Comprehensive dental services for children
- Adult medical and surgical dental services
- Nursing facility services for adults
- Health clinic services
- Prescription drugs
- Physical, occupational, or speech therapy for children
- Eye doctor visits and eyeglasses for children
- Medically-necessary transportation services
Some people are eligible for both Medicare and Medicaid. In such cases, Medicare is the primary payer.
If you are eligible for both Medicare and Texas Medicaid, looking into Medicare Advantage plans may be a wise move. Medicare Advantage can offer increased coverage and security to dual eligible individuals, and some Medicare Advantage plans are available premium-free.
Call MedicareMall toll-free at 1-877-413-1556 for help determining whether Medicare Advantage is right for you.
For more information about Medicaid in Texas, call the Medicaid hotline at 1-800-252-8263. If you have any further questions about senior healthcare including Original Medicare Part A and Part B, Medicare supplement plans, or Medicare Advantage, contact a licensed, bonded MedicareMall representative and let us lead you with confidence through the Medicare maze!
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