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| How do I qualify for the Medicaid Purchase Plan? | Back to Top |
To get health coverage through Medicaid Purchase, you must
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have a severe disability (one that matches Social Security standards);
Do I have to be receiving or received Social Security Disability or Supplemental Security Income to qualify for this program?
NO, all you need is to meet the disability standards. (See http://www.socialsecurity.gov/disability/professionals/bluebook for Social Security's disability criteria.) |
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work; |
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be at least age 16 but not yet age 65;
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have COUNTABLE monthly income that is less than $2,257; |
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have COUNTABLE assets that are less than $25,000;
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take other health insurance coverage, if you can get it at no cost to you;
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and pay a premium when your COUNTABLE monthly income is more than $1,354. |
We COUNT less than half of the money you earn (work for) and all but $20 of any other money you get.
Income limits go up each year in April.
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| What are the benefits of the Medicaid Purchase Plan? | Back to Top |
This plan gives full medical coverage that includes
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hospital care, |
doctor services, |
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| medical equipment and supplies, |
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medical transportation, |
Please note that prescription drugs are not covered by Medicaid if you also have Medicare. |
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| How do I apply for the Medicaid Purchase Plan? | Back to Top |
You just need to  application form
fill out the application form;
get the information we need together; and
mail or bring the form and information to us as soon as you can. Just click on the link below to find our office closest you.
Medicaid Offices |
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| What information will you need from me when I apply for the Medicaid Purchase Plan? | Back to Top |
You will need to give us your:
Social Security number;
proof of your total income for the last month.
Medicare and any other health insurance card; and
alien registration card or immigration papers, if you
are not a U.S. citizen.
Send copies of as many of these items as soon as you can. Do not wait to send in the form. We can give you more time to give us any missing information after we get your application.
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| What are assets when being considered for the Medicaid Purchase Plan? | Back to Top |
Assets are things like:
bank accounts;
stocks, bonds, and other cash resources;
cars, trucks, boats, and other vehicles;
property, including heir or estate property; and
anything else you own.
GOOD NEWS!
Your home, one vehicle, any life insurance policies, medical savings and retirement accounts, and your spouse’s share of any community property will not count in this program. |
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| How much will the Medicaid Purchase Plan cost me? | Back to Top |
Your “premium” (what you pay each month) is based on your countable income – not your age or health condition.
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| How will I know how much I have to pay for Medicaid Purchase Plan coverage? | Back to Top |
You will get a letter from the local Medicaid office that tells you how much you owe when you are first approved and then again any time there is a change in your monthly premium.
If you are required to pay for your coverage, you will get a bill each month for your premium. |
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Payments can be sent to:
Office of Group Benefits
MPP Premium Unit
PO Box 66127
Baton Rouge, LA 70896-6127 |
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