How to Get Louisiana Medicaid Benefits

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This article is a collection of the best answers to Louisiana Medicaid’s most frequently asked questions.

Medicaid is a government-sponsored healthcare program for low-income families and individuals who fulfill specific income and resource requirements. Only the aged, blind, or disabled can access resources within the defined restrictions.

We have scoured the internet to provide all you need to know about the Alaska Medicaid Benefits.

You will learn everything you need to know about Louisiana Medicaid in this article.

What is the Louisiana Medicaid Program?

The Louisiana Medicaid Program is a federally sponsored initiative that offers health insurance to Louisianans who fall into specific demographic groupings, subject to income and resource restrictions established by Congress. For individuals who qualify, Medicaid offers a full range of medical insurance.

Who is eligible for the Louisiana Medicaid Program?

You must be a resident of Louisiana, a national or citizen of the United States, a permanent resident, or a legal alien in need of health care or insurance help, and have a low or meager income to qualify for Louisiana Medicaid. You also need to fit one of the following criteria:

  • Being pregnant 
  • Having a kid under the age of 18, 
  • Being blind 
  • Having a handicap, having a family member with a disability
  • Age 65 or older is required.

You must fall under one of the following thresholds for household income (before taxes) to qualify:

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1$18,075
2$24,353
3$30,630
4$36,908
5$43,186
6$49,463
7$55,741
8$62,018

*For households with more than eight members, add $6,277 per additional member.

How do I contact Medicaid in Louisiana?

Contact through the following number:

1-888-342-6207

Or visit: Louisiana Department of Health

What are the Medicaid plans in Louisiana?

There are 5 Medicaid Plans in Louisiana:

  1. Aetna Better Health
  2. Amerihealth Caritas Louisiana
  3. Healthy Blue
  4. Louisiana Healthcare Connections
  5. UnitedHealthcare Community

All dental and health plans provide the same fundamental benefits in addition to additional services. Depending on age and demand, different extra services are available for each plan.

What if a person’s income is too high to qualify for regular Medicaid benefits?

Louisiana may grant a Medicaid spend-down for old, blind, and crippled adults who do not meet qualifying requirements.

If you require Medicaid coverage and your income exceeds the state’s Medicaid income limits. To qualify for Medicaid, you can use this program to subtract a portion of your medical costs from your income.

If your medical costs significantly reduce your usable payment, you can qualify for a Medicaid spend-down.

What is covered by Louisiana Medicaid?

Louisiana Medicaid offers following services:

  • Inpatient and outpatient hospital services
  • Physician services
  • Laboratory and x-ray services
  • Long-term care facilities (nursing homes)
  • Family planning
  • Services for early periodic screening
  • Diagnosis and treatment (EPSDT) of those under age 21

Can I have both Louisiana Medicaid and Medicare?

Medicare and Medicaid are available to those 65 years old or older. If you are younger than 65, you can only receive Medicaid benefits if all other eligibility requirements are met.

Louisiana Medicaid Waivers?

Two Medicaid Waiver Programs are available to people with developmental disabilities in Louisiana. Children’s Choice and the New Opportunities Waiver are the names of these programs (NOW). 

These programs offer various services, including case management, personal care respite assistance, environmental adjustments, equipment, and Medicaid. Services are determined not by family wealth but by the child’s impairment.

Medicaid Eligibility

What is the highest income limit for Louisiana Medicaid?

The highest income limit for Louisiana Medicaid is approximately $18,075 for an individual. Roughly $24,353 for a family of two (or higher depending on family size).

What documents do I need to apply for Medicaid?

The following can be requested of you by your Medicaid office:

  • Evidence of birthdate (e.g., birth certificate)
  • Documents that can be used as proof of legitimate residency or citizenship in the US include a passport, driver’s license, birth certificate, green card, and job authorization card.
  • A list of all sources of income, legal and illicit (e.g., paycheck stubs, retirement benefits, Supplemental Security Income)
  • Evidence of sources (e.g., bank or stock statements, life insurance policies, property)
  • Proof of residence (e.g., rent receipt, landlord statement, deed)
  • The Medicare card as well as any insurance cards (you can also provide a copy of the insurance policy)

What is the best Medicaid in Louisiana?

In Louisiana, the same services are offered to all plans. There isn’t a single optimum method for the entire state; residents must choose the best strategy for their particular county.

You will receive the same care and assistance regardless of your chosen plan.

Where do I find the letter showing the reason(s) for denial or discontinuance from Louisiana Medicaid?

Call the Medicaid Customer Service Unit, and they can review your case if you have any questions or concerns about your coverage, denials, or terminations. The toll-free number is 1-888-342-6207, and the email address is medweb@la.gov.

Where can I upload the documents for Louisiana Medicaid?

You can upload documents via the Self-Service Portal (SSP) after connecting your Medicaid case to your SSP account.


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Editor
Sabrina is a former campaign manager who has decided to focus her effort to help people contact senators and get help. She leads our Editorial Team with Ronald and Lawrence to curate content and resources that help us navigate the system.

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