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Medicaid Eligibility
Medicaid provides free or low-cost health coverage to people with limited income, including children, pregnant women, seniors, and individuals with disabilities. With Low-Cost Health Coverage, we’re here to help you understand if you qualify and guide you every step of the way.
As Medicaid renewals resume, millions risk losing their benefits.
As of April 1, 2023, Medicaid renewals are no longer automatic. That means you’ll need to confirm your eligibility each year to keep your benefits.
What you need to do:
• Watch for a renewal letter from your state.
• Submit updated income and household info.
• Respond by the deadline to avoid a gap in coverage.
Tip: Make sure your address and contact details are current with your state Medicaid office.
What is Medicaid expansion?
States that expanded Medicaid now offer coverage to more low-income adults, including those without children, addressing the “coverage gap” faced by those who don’t qualify for standard Medicaid but can’t pay for private insurance.
If your state expanded Medicaid, you may qualify based on income alone, even if you were previously denied.
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Call 1-818-481-9342 / TTY 711
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Have a disability?
If you have a disability, you may qualify for Medicaid through a special eligibility path whether you’re working, receiving SSI, or need daily assistance.
We’ll help you navigate your state’s disability guidelines and make the application process easier.
Do you lose Medicaid coverage if you join a dual-eligible health plan?
If you qualify for both Medicare and Medicaid, you may be eligible to enroll in a Dual Special Needs Plan (D-SNP). This unique type of Medicare Advantage plan is designed specifically for individuals with dual eligibility, offering coordinated care and a wide range of added benefits.
With a D-SNP, you can:
• Your current Medicaid coverage stays in place, ensuring continued access to the support you need.
• Many D-SNPs include services traditional Medicare and Medicaid may not fully cover, such as dental care, vision exams, hearing aids, transportation to medical appointments, and over-the-counter items.
• Most services come with low or no copayments, helping you save money while accessing comprehensive care.
Important Information
Looking for the official Medicaid website? Visit Medicaid.gov for full federal program information.
Low-Cost Health Coverage Medicaid Support
Coverage is coordinated through state Medicaid programs. Eligibility for Medicaid is based on income, disability status, and other state-specific requirements. Coverage options and benefits can differ depending on your state. Enrollment in Medicaid is determined and approved by your state’s Medicaid office.
Low-Cost Health Coverage is not a Medicaid plan but offers supplemental support through its partnership with Impact Health Sharing. Services provided may enhance or complement Medicaid coverage but do not replace state Medicaid benefits.
Premium Information
Many Medicaid programs are available at no cost. Some individuals may have minimal copays or premiums based on their income level and state of residence.
Benefit Availability
All benefits mentioned are subject to approval and availability based on your location and plan type. Some services, such as dental or vision, may not be fully covered by Medicaid in your state.
Nurse Hotline Disclaimer
The Nurse Hotline is for informational purposes only. This service is not meant to replace emergency care or medical advice from your doctor. Need urgent care? Contact 911 or go to the nearest emergency facility now. Information shared with the Nurse Hotline is kept confidential and complies with HIPAA guidelines. This is not an insurance service.
Pharmacy and Formulary Disclaimer
Coverage for medications and pharmacy choices can change based on your state and plan details. You may be required to use a preferred network pharmacy. Medication pricing and availability are subject to change. You’ll be notified when necessary.
Provider Information
The provider information offered through Low-Cost Health Coverage is meant to support informed decision-making. Participation in provider networks may vary by state, and not all providers may be accepting new patients. We recommend confirming a provider's status and availability before scheduling an appointment.
Emergency or Disaster Declarations
If you are affected by a declared emergency or public health crisis, you may be eligible for expanded support, including access to out-of-network providers at in-network costs, waived referral requirements, and extended time for claims and authorizations. These accommodations apply for 30 days following the official declaration, unless otherwise stated.
ADA Compliance
Low-Cost Health Coverage and Impact Health Sharing are committed to providing accessible services to individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act.
Requesting Printed Materials
Printed copies of provider directories and benefit summaries are available at no cost. Please call our member support team to request mailed copies.
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