Medicaid Coverage for Young Adults: Eligibility and Benefits

Introduction

As a parent, it’s important to be aware of the healthcare options available to your child as they reach adulthood. Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families, including young adults. In this blog, we will explore the eligibility and benefits of Medicaid for young adults, particularly those approaching the age of 19.

Eligibility

To be eligible for Medicaid as a young adult, you must meet certain criteria, including:

Be under the age of 19
Be a U.S. citizen or legal resident
Have a low income and meet certain asset limits

The income limit for Medicaid varies depending on your state. In most states, young adults are eligible for Medicaid if their income is at or below 138% of the federal poverty level (FPL). For 2023, the FPL for a single person under the age of 19 is $14,010.

Benefits

Medicaid provides a wide range of health benefits to eligible young adults, including:

Doctor visits
Hospitalizations
Prescriptions
Dental and vision care
Mental health services

Medicaid also covers preventive care, such as check-ups, screenings, and immunizations. These services are essential for maintaining good health and preventing future health problems.

Application Process

To apply for Medicaid, you can contact your state’s Medicaid agency or visit the Healthcare.gov website. You will need to provide information about your income, assets, and household size. You may also need to provide proof of your identity and citizenship or legal residency.

Enrollment

Once you have been determined eligible for Medicaid, you will be enrolled in a managed care plan. This plan will provide you with access to a network of healthcare providers. You will need to choose a primary care physician (PCP) who will coordinate your care.

Coverage Ending

As mentioned in the post, Medicaid coverage for young adults typically ends when they turn 19. However, due to the COVID-19 public health emergency, Medicaid coverage has been extended for many individuals. It is important to check with your state’s Medicaid agency to determine when your coverage will end.

Options After Medicaid Ends

If your Medicaid coverage ends, you may have several options for health insurance, including:

Employer-sponsored health insurance
Marketplace health insurance, which may be eligible for premium tax credits
CHIP (Children’s Health Insurance Program), if you are under the age of 26 and meet certain income requirements

Seeking Professional Help

If you have questions about Medicaid or other health insurance options for young adults, it is recommended that you seek professional help. You can contact a licensed agent for free assistance in finding the best coverage for your needs.