THE INFORMATION STATION
MEDICAID
HOW MANY MEDICAID/CHIP MEMBERS ARE IN MY STATE?
CLICK HERE
WHAT IS MEDICAID?
Medicaid is the medical assistance program that provides access to health care for low-income families and individuals. Medicaid also assists the elderly and people with disabilities with the costs of nursing facility care and other medical and long-term care expenses.
HOW DO I FILE A COMPLAINT?
All Statewide Medicaid Managed Care (SMMC) health plans must have a grievance and appeal system for handling enrollee complaints, grievances, and appeals.
CLICK HERE for more details.
HOW DOES FLORIDA MEDICAID DETERMINE ELIGIBILITY?
1. This table reflects the principal but not all MAGI coverage groups. All income standards are expressed as a percentage of the federal poverty level (FPL). For the eligibility groups reflected in the table, an individual’s income, computed using the Modified Adjusted Gross Income (MAGI)-based income rules described in 42 CFR 435.603, is compared to the income standards identified in this table to determine if they are income eligible for Medicaid or CHIP. The MAGI-based rules generally include adjusting an individual’s income by an amount equivalent to 5% FPL disregard. Other eligibility criteria also apply, for example, with respect to citizenship, immigration status and residency.
2. These eligibility standards include CHIP-funded Medicaid expansions.
3. CHIP covers birth through age 18 unless otherwise noted in parentheses.
4. States have the option to cover pregnant women under CHIP. This table does not include notations of states that have elected to provide CHIP coverage of unborn children from conception to birth.
5. Reflects Medicaid state plan coverage of the eligibility group for parents and other caretaker relatives. Parents and caretaker relatives with income over the income standard for coverage under this group may be eligible for coverage in the adult group in states that have expanded to cover the adult group. In states that use dollar amounts based on household size, rather than percentages of the FPL, to determine eligibility for parents, we converted those amounts to a percentage of the FPL and selected the highest percentage to reflect the eligibility level for the group.
The state also covers ages 19 and 20 up to the following levels: FL 27%, NC 41%.
Source: Medicaid Eligibility.
Learn more about how states determine Medicaid eligibility for other populations.
View available state's eligibility verifications plans, MAGI Conversion Plans and Results.
Medicaid and CHIP agencies now rely primarily on information available through data sources (for example, the Social Security Administration, the Departments of Homeland Security and Labor) rather than paper documentation from families for purposes of verifying eligibility for Medicaid and CHIP.
Reference:
https://www.medicaid.gov/state-overviews/stateprofile.html?state=florida
MEDICARE
DENTAL
VISION
BEHAVIORAL HEALTH
LONG TERM CARE
HEALTH INSURANCE
How do I change my health insurance?
Outside the yearly Open Enrollment Period, you can get or change coverage only if you qualify for a Special Enrollment Period or for Medicaid or CHIP. More details can be found at https://www.healthcare.gov/screener/
How do I qualify for a special enrollment period?
Please refer to the link: https://www.healthcare.gov/screener/
Do I qualify for CHIP?
Please refer to the link: https://www.healthcare.gov/screener/
Do I qualify for MEDICAID?
Please refer to the link: https://www.healthcare.gov/screener/
What do you do if your health insurance company doesn’t pay for a specific health care provider or service?
If your health insurance company doesn’t pay for a specific health care provider or service, you have the right to appeal the decision and have it reviewed by an independent third party.
Your insurance company must first notify you in writing within a set amount of time (based on the type of claim you filed) to explain why they denied coverage. They also must let you know how you can appeal their decisions.
If the timeline for the standard appeals process would seriously put your life at risk, or risk your ability to fully function, you also can file an appeal that would get you a quicker (or “expedited”) decision. If you meet the standards for an expedited external review, the final decision about your appeal must come as quickly as your medical condition requires, and no later than 72 hours after your request for external review is received.
If you have questions, contact the Marketplace Call Center at 1-800-318-2596. (TTY: 1-855-889-4325.) or refer to the following link https://www.healthcare.gov/appeal-insurance-company-decision/ .
COVID 19
WHAT ARE CORONAVIRUSES?
Coronaviruses are a large family of viruses. Some coronaviruses cause cold-like illnesses in people, while others cause illness in certain types of animals, such as cattle, camels, and bats. Some coronaviruses, such as canine and feline coronaviruses, infect only animals and do not infect people.
WHAT CAUSES COVID 19?
COVID-19 is a disease caused by SARS-CoV-2 that can trigger what doctors call a respiratory tract infection. It can affect your upper respiratory tract (sinuses, nose, and throat) or lower respiratory tract (windpipe and lungs). It spreads the same way other coronaviruses do, mainly through person-to-person contact.
HOW LONG DOES COVID-19 RECOVERY TAKE?
Most people with mild cases appear to recover within one to two weeks. However, recent surveys conducted by the CDC found that recovery may take longer than previously thought, even for adults with milder cases who do not require hospitalization.
HOW CAN I SLOW THE SPREAD OF COVID-19?
-Wear a mask that covers your nose and mouth to help protect yourself and others.
-Stay 6 feet apart from others who don’t live with you.
-Get a COVID-19 vaccine when it is available to you.
-Avoid crowds and poorly ventilated indoor spaces.
-Wash your hands often with soap and water. Use hand sanitizer if soap and water aren’t available.
HOW CAN I FIND A VACCINE?
Click Here to visit the vaccine finder tool.
HOW CAN I FIND A HEALTH DEPARTMENT FOR FLORIDA?
CLICK HERE to access the locator.
STATE RESOURCES
WHAT ARE THE FEDERAL ASSISTANCE PROGRAMS IN FLORIDA?
CLICK HERE
WHAT DOES WIC STAND FOR?
Women, Infants & Children
WHAT ARE WIC BENEFITS?
-Supplemental nutritious foods
-Nutrition education and counseling at WIC clinics
-Breastfeeding counseling
-Screening and referrals to other health (such as immunizations), welfare, and social services
-Substance abuse referral
HEALTH
HOW CAN I RESEARCH MY SYMPTOMS OR DISEASES?
CLICK HERE
FLORIDA
