49 Years Later…How Much Do You Know About Medicaid In Ohio?
July 30, 2014
Pop quiz: can you answer these questions correctly about Medicaid coverage?
- True or False: Medicaid enrollees get coverage through private health plans.
- True or False: If one member of a household falls into the Medicaid coverage gap, nobody else in the household will qualify for Medicaid.
- True or False: Medicaid enrollment has grown even in states that did not expand eligibility for their program.
- True or False: You can only enroll in Medicaid during an open enrollment period.
Find the answers at the bottom!
July 30th marks the 49th Anniversary of Medicare and Medicaid. Since January, over 273,000 of low- and moderate-income individuals and families in Ohio have secured health coverage through Medicaid thanks to the Affordable Care Act’s expansion of Medicaid and increased awareness of eligibility through ramped up outreach and enrollment efforts. Still, too many people who stand to benefit aren’t aware of their health care options or are confused about how the law affects them. And they don’t know they may be eligible to enroll right now.
What You May Not Know About Medicaid Coverage
- Who can receive coverage through Medicaid and CHIP?
Medicaid provides low and moderate-income individuals and families with quality, affordable health coverage. Even in states that have not expanded Medicaid, certain low and moderate-income parents, children, pregnant women, seniors, and people with disabilities are eligible. Because eligibility guidelines vary by group, children may be eligible for Medicaid or CHIP even when their parents are not. In fact, 1 in 3 children is covered by either Medicaid or CHIP.[i] Medicaid is also available to low and moderate-income pregnant women in every state, covering 40 percent of all births in the United States.[ii]
- What do Medicaid recipients pay for their coverage?
Individuals and families enrolled in Medicaid receive free- or low-cost coverage and care. Generally, Medicaid enrollees do not pay premiums for their coverage, and most are not subject to cost-sharing when they receive services.
- What’s the difference between Medicaid and the plans consumers buy on the Marketplace?
Just like marketplace plans, Medicaid enrollees receive comprehensive coverage from private health insurance plans that cover services like hospital stays, doctor’s visits, preventive care, and prescription drugs.
- How did Medicaid expansion affect overall enrollment in expansion states?
In states that did expand Medicaid, enrollment grew during the open enrollment period by even larger margins. In Ohio, Medicaid enrollment between September 2013 and June 2014 increased by 11.8%.
- When can people enroll in Medicaid?
Unlike the Marketplace, Medicaid enrollment is open year-round, so people can sign up today if they qualify. To find out more information on enrollment you can visit www.GetCoveredAmerica.org or call a Get Covered America Ohio office, Cleveland (216-314-2392), Cincinnati (513-667-2304), and Columbus (614-636-0385).
Answers to Pop Quiz at top:
- True. Just like Marketplace enrollees, Medicaid enrollees get coverage through private health plans.
- False. One person’s eligibility does not determine the entire household’s eligibility. For example, even if an adult falls into the Medicaid coverage gap, their children or other household members could still qualify for Medicaid.
- True. Since October, Medicaid coverage has grown by about 3 percent in states that did not expand their program.
- False. Medicaid enrollment is year-round, so people can enroll today if they qualify.
[i] Kaiser Commission on Medicaid and the Uninsured/Urban Institute analysis of 2012 Annual Social and Economic Supplement to the Current Population Survey.
[ii] Medicaid.gov: Keeping America Healthy, Pregnant Women, available online at:http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Population/Pregnant-Women/Pregnant-Women.html.
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