Medicaid

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Medicaid is a public health insurance program for people with low incomes. When you turn 21, you might continue to qualify for Medicaid. However, you need to be aware of the following facts:

If you qualify, financially, for Medicaid at age 18 you might not quality for Medicaid when you turn 19, even if you earn the same amount, or have the same amount of money in the bank.

Medicaid pays for a lot of health care services for individuals who are under age 21, but pays for many fewer services for adults (individuals who are 21 or older). For example, if you have Medicaid and are under age 21 and your parents need help to take care of your medical needs, Medicaid can pay for many hours of in-home nursing care. However, when you turn 21, Medicaid might pay for much less care.

When you turn 21, you might have to enroll in a Medicaid managed care program, and be assigned to a new primary care doctor who is not familiar with you and your medical needs. Even if you were not financially eligible for Medicaid in the past, you may be eligible when you turn 19 because you can be considered as a “family of one”, for the purposes of determining financial eligibility, even if you continue to live with your parents. Find out how your Medicaid coverage might change when you turn 19.