Income Guidelines for Medical Assistance in MN

If you’re wondering if you qualify for medical assistance in Minnesota, read on for more information about the income guidelines.

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What is Medical Assistance in MN?

Medical Assistance, also known as Medicaid, is a health care program for low-income individuals and families. In Minnesota, the program is run by the Department of Human Services. If you qualify for Medical Assistance, you can get help paying for doctor visits, prescriptions, hospital stays, and other health care services.

Who is eligible for Medical Assistance in MN?

To be eligible for Medical Assistance (MA), you must meet certain financial and non-financial guidelines.

Income Guidelines
To be eligible for MA, you must have an annual income at or below the limit set by the state in which you live. In Minnesota, that limit is $16,642 for a single person and $22,412 for a family of two.

Non-Financial Guidelines
In addition to meeting the income requirements, you must also be a U.S. citizen or legal permanent resident, and you must be a resident of Minnesota.

What are the income guidelines for Medical Assistance in MN?

Income guidelines for Medical Assistance in MN are based on the Federal Poverty Level (FPL). For a single person, the 2018 FPL is $12,140. This means that if your income is at or below $12,140, you may qualify for Medical Assistance.

How do I apply for Medical Assistance in MN?

There are several ways to apply for Medical Assistance (MA) in Minnesota. You can apply online through the MNsure website, by mail, or in person at your county or tribal human services office.

If you are applying for MA for yourself and anyone else in your household, you will need to complete an application form. The application form will ask you for information about your family, income, resources, and medical expenses. You may also be asked to provide proof of income and resources.

Income guidelines are used to determine if you are eligible for MA. These guidelines are based on the Federal Poverty Level (FPL). The FPL is the level of income that is considered to be the poverty line in the United States. The FPL changes each year. The table below shows the FPL for 2021.

For a single person: $12,760
For a family of two: $17,420
For a family of three: $22,080
For a family of four: $26,740
For a family of five: $31,400

What are the renewal requirements for Medical Assistance in MN?

To renew your Medical Assistance (MA), MinnesotaCare, or Prepaid Limited Health Plan (PLHP) coverage, you will need to meet certain income guidelines. These guidelines are different if you are enrolled in MA with or without a spenddown. If you are enrolled in PLHP or MinnesotaCare, the income guidelines are different for adults and children.

In order to qualify for MA with a spenddown, your household’s income must be at or below 133% of the Federal Poverty Guidelines (FPG). For a family of three in 2021, this means your household income must be at or below $2,772 per month.

If you are enrolled in MA without a spenddown, your household’s countable income must be at or below 75% FPG. For a family of three in 2021, this means your household income must be at or below $1,638 per month.

To renew your MinnesotaCare coverage, your household’s modified adjusted gross income (MAGI) must be between 133% and 200% FPG. For a family of three in 2021, this means your household income must be between $2,772 and $4,164 per month.

To renew your PLHP coverage as an adult, your MAGI must be between 133% and 250% FPG. For a family of three in 2021, this means your household income must be between $2,772 and $5,208 per month. To renew PLHP coverage for a child under age 21, the child’s MAGI must be between 133% and 300% FPG regardless of whether other family members have Modified AGI above 300%.

What are the covered services under Medical Assistance in MN?

Medical Assistance (MA) in Minnesota pays for a wide range of health care services. Depending on your income level and your family size, MA may help you pay for some or all of the following services:

-Doctor visits
-Dental care
-Eye exams and glasses
-Emergency care
-Hospitalization
-Mental health and substance abuse treatment
-Prescription drugs
-Rehabilitation services and therapies
-Lab tests and x-rays

What are the copayments for Medical Assistance in MN?

The amount you pay for services covered by Medical Assistance (MA) depends on your income and family size. If your income is low, you may not have to pay anything. If your income is higher, you may have to pay a copayment for some services.

There are three levels of copayments:
* Level 1: $3 per doctor visit, $2 per prescription
* Level 2: $6 per doctor visit, $4 per prescription
* Level 3: $9 per doctor visit, $6 per prescription

There are also copayments for some other services, like dental care and over-the-counter medications.

How do I appeal a denial of Medical Assistance in MN?

If your application for Medical Assistance (MA) is denied, you will receive a written notice that explains the reason for the denial. The notice will also tell you how to appeal the decision.

Appealing a decision means that you are asking us to review the decision to see if it was made correctly. To start your appeal, you must send us a letter within 60 days of the date on the notice telling us that you want to appeal. You can mail or fax your letter, or you can bring it to your county office. You will find the address and fax number for your county office on the back of this form.

If you need help appealing a decision, please contact your county office. An advocate or attorney can also help you with your appeal.

What are the changes to Medical Assistance in MN for 2020?

Medical Assistance is a government-funded health insurance program for low-income individuals and families. In Minnesota, the program is known as MNsure.

In order to be eligible for Medical Assistance, applicants must meet certain income requirements. For example, as of 2020, a single individual can have an annual income of no more than $16,754, while a family of four can have a combined annual income of no more than $34,638.

These income guidelines are subject to change each year. For the most up-to-date information on Medical Assistance in MN, please visit the MNsure website.

Where can I get more information about Medical Assistance in MN?

The Minnesota Department of Health provides information about Medical Assistance on its website. You can also contact the department by phone at (651) 201-5000.

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