WHAT DOES MEDICAID COVER?

March 23, 2010 · Filed Under Uncategorized 

Once approved for Colorado Medicaid, virtually all of your medical bills are paid by the program.  This includes prescription drugs, hospital stays, nursing home care, etc.  Medicare may overlap this coverage, but one way or another, your medical bills will be paid.  There are folks who are receiving both Colorado Medicaid and Medicare.  They are known as “dual eligibles.”  Prescription drugs, formerly paid for by Medicaid, will now be paid for by Medicare part D.

Here’s a list of services that the federal law says all states must offer:

• In-patient hospital services
• Out-patient hospital services
• Physician services
• Medical and surgical dental services
• Nursing home services for folks 21 or over
• Home health care for folks eligible for nursing home services
• Lab and x-ray services
• Family nurse practitioner services

The following services are optional, but most states offer them:

• Ambulatory services to individuals like to folks entitled to institutional care
• Home health services to folks entitled to nursing home services
• Prescription drugs
• Optometrist services and eyeglasses
• Prosthetic devices
• Dental services
• In-home assistance

Medicaid is an amazing present that helps a surprising number of our citizens get the care they need and deserve.  Unfortunately, Medicaid can make it extremely difficult to qualify for these services.  We will discuss these challenges over the next several blogs and show you why the help of an experienced elder law attorney is critical.

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