Minnesota Medical Assistance Income Limits for 2016
Contents
- How Medical Assistance works in Minnesota
- What are the income limits for medical assistance in 2016?
- How do I apply for medical assistance in Minnesota?
- What are the different types of medical assistance available in Minnesota?
- What are the covered services under medical assistance in Minnesota?
- How do I renew my medical assistance coverage in Minnesota?
- What are the copayments for medical assistance in Minnesota?
- How do I appeal a decision made about my medical assistance coverage in Minnesota?
- What are the income limits for medical assistance for pregnant women in Minnesota?
- What are the income limits for medical assistance for children in Minnesota?
Find out if you qualify for Minnesota medical assistance based on 2016 income guidelines.
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How Medical Assistance works in Minnesota
In Minnesota, Medical Assistance (MA) is a public health insurance program for low-income adults and children. MA is also known as MinnesotaCare in some areas of the state. If you qualify for MA, you can get help with paying for medical care. This can include doctor visits, prescriptions, mental health services, dental care, vision care, and more. You may also be able to get help with paying your Medicare premiums.
In order to qualify for MA, you must meet certain income and asset limits. These limits are different if you are applying as an individual or as a family.
Some people who do not qualify for MA may still be able to get help with their medical costs through other programs such as Minnesota’s Medicaid Spenddown program or the sliding fee scale at community health clinics.
What are the income limits for medical assistance in 2016?
In general, to be eligible for medical assistance, your household income must be less than or equal to the limits set forth below. However, this is just a general overview. To get a more specific determination of whether you are eligible for medical assistance, you should contact your local county human services office.
Household size: 1 monthly income limit: $1,305
Household size: 2 monthly income limit: $1,760
Household size: 3 monthly income limit: $2,215
Household size 4 monthly income limit: $2,670
Household size 5 monthly income limit: $3,125
Household size 6 monthly income limit: $3,580
Household size 7 monthly income limit: $4,035
Household size 8 monthly income limit: $4,490
How do I apply for medical assistance in Minnesota?
You can apply for medical assistance in Minnesota by:
-Visiting the Minnesota Department of Human Services website
-Calling the toll-free MNsure Contact Center at 855-366-7873
– Walking in to your county or tribal human services office
What are the different types of medical assistance available in Minnesota?
There are four types of medical assistance available in Minnesota:
-Basic Health Plan (BHP)
-MinnesotaCare
-Medical Assistance (MA)
-Specialized Health Plan (SHP)
What are the covered services under medical assistance in Minnesota?
Covered services for medical assistance in Minnesota include: physician services, hospitalization, dental services, mental health services, Home Health Care personal care assistance, and more.
There are a few services that are not covered by medical assistance in Minnesota. These include: private nursing services, custodial or personal care in an institution, certain types of eyeglasses, and elective cosmetic surgery.
How do I renew my medical assistance coverage in Minnesota?
You can renew your medical assistance coverage in Minnesota by logging in to your account on the state’s MNsure website.
What are the copayments for medical assistance in Minnesota?
Low-income Minnesotans who qualify for Medical Assistance may have to pay certain copayments for some of the health care services they receive. The amount of the copayment depends on your family’s income and the type of service you receive.
Some services, like doctor visits, have a set copayment amount regardless of your family’s income. Other services, like prescriptions, have different copayment amounts depending on how much money your family makes.
Here is a list of the different copayments for medical assistance in Minnesota:
* Doctor visits: $3 per visit
* Dental visits: $3 per visit
* Prescriptions: $0-$3 per prescription, depending on your family’s income
* Inpatient hospital stays: $50-$75 per stay, depending on your family’s income
* Outpatient hospital services: 20% of the cost of the service, up to a maximum of $50 per service
How do I appeal a decision made about my medical assistance coverage in Minnesota?
If you disagree with a decision about your medical assistance coverage, you have the right to file an appeal. An appeal is a formal way of asking us to review a decision about your coverage.
There are three ways to file an appeal:
You can file an appeal online
You can print an appeal form and either mail it or fax it to the Disbursement Unit
You can call and ask for an appeal form
What are the income limits for medical assistance for pregnant women in Minnesota?
Income limits for medical assistance for pregnant women in Minnesota are:
-Single pregnancy: $3,074/month
-Multiple pregnancies: $4,131/month
What are the income limits for medical assistance for children in Minnesota?
In order for a family to qualify for medical assistance for their children, they must meet certain income requirements. In Minnesota, the income limits for 2016 are as follows:
For a family of one, the gross monthly income must be at or below $1,277.
For a family of two, the gross monthly income must be at or below $1,726.
For a family of three, the gross monthly income must be at or below $2,176.
For a family of four, the gross monthly income must be at or below $2,626.
For a family of five, the gross monthly income must be at or below $3,076.
For a family of six, the gross monthly income must be at or below $3,526.
If the family has more than six members, add $450 per additional member to determine eligibility.
