Arizona’s Medicaid program came together after the federal government partnered with the state to help provide funding. Referred to by many as AHCCCS, the containment system set forth by Arizona ensures all eligible recipients get the health care coverage they need. Before applying, it is best to understand the qualifications set by the state and determine if you meet their standards. Not everyone will, particularly those over the age of 21.
Arizona’s Requirements for Medicaid Qualification
The state of Arizona follows specific criteria when making a decision on eligibility for their Medicaid program. Only those applicants who are facing financial hardships and meet the income requirements can get approved. Children and women who are pregnant are also far more likely to receive insurance than adults who have no prior health concerns. A larger family may qualify easier than a single individual.
How to Apply for Medicaid in Arizona
You may apply for Medicaid in Arizona by using their Health-e Arizona website. It allows individuals and families to determine if they’re eligible and see the benefits they have been approved for once the application is complete and accepted.
If you wish to download an application and mail it in, that option is available as well. You may also drop it off at one of the Department of Human Service offices in various cities across Arizona. It is best to stick with the city you live in or the nearest town and bring the application there for a faster determination.
Arizona Medicaid Application
The Medicaid application for Arizona asks basic questions regarding identity, household members, citizenship, and financial records. You must answer these questions fully and honestly if you wish to get approved. Your annual household income gets added up to account for all members of the household to determine if you meet the income requirements. All incoming money from any family member must get disclosed, as well as current financial holdings in a bank or similar institution. Cash and non-cash assets should also be described so your caseworker can get a full view of your financial health and determine you truly need assistance or not.
What Does Medicaid Cover in Arizona?
Doctor visits, immunizations, x-rays, lab work, pregnancy care, surgical services, emergency care, family planning, dialysis, and behavioral health are just the beginning when it comes to services covered by Medicaid in Arizona.
Children under the age of 21 receive additional necessary health care services. They can receive a dental screening and dental treatment, vision exam and glasses, and even hearing exam and hearing aids. Adults over the age of 21 may receive dental services but only if it is an emergency. They also may only spend up to $1000 in one calendar year through their insurance plan.
Income Requirements for Arizona Medicaid
The Federal Poverty Level helps to determine eligibility for Medicaid in Arizona. Both individuals and families who fall at or below 138 percent of the poverty level may be eligible to receive state insurance. A single adult cannot make more than $16,643 per year if they hope to qualify. A family of four can make up to $33,948 and still qualify.
How Much Does Medicaid Cost in Arizona?
Arizona and the federal government work together to afford the cost of the state’s Medicaid program. A smaller amount gets spent in this state than in many others across the U.S., with just over $11 billion spent on over 1 million enrollees each year. The state allocates more than 30 percent of their total budget toward these expenses. Plans are in the works to expand the program and add additional funding so more people can get access to the medical care they need.
Cost and Coverage of Medicaid in Arizona
Most people believe they receive health coverage for free, without ever having to pay a dime. While this may be true for some Medicaid recipients, most will have at least a small copay to spend at each doctor visit. Adults who have an income at above 106 percent of the federal poverty level will have mandatory copays. It could cost up to $50 for a non-emergency surgery and $75 for a hospital stay. It may cost $10 for an office visit and $4 for prescription drugs. Children and expecting mothers do not have to make these copayments.
Prescription Drugs with Medicaid in Arizona?
Arizona’s Medicaid program does cover certain prescription drugs. A copay gets charged to most adult recipients. The generic version typically gets offered first, unless a brand-name has specifically been requested by your doctor.
Which Medicaid plan is best in Arizona?
The Arizona Health Care Cost Containment System, known as AHCCCS, offers the same services across all plans. There is no best plan in the state, with residents having to choose a plan that works for their specific county instead. You receive the same level of care and assistance no matter which plan you enroll in.