How to Get Minnesota Medicaid Benefits 

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

Medicaid is a joint federal-state initiative that covers health insurance for low-income people who qualify, including children, households, pregnant women, the elderly, and people with disabilities. It is simple to apply for Medicaid in person, over the phone, or online.

This post will teach you all you need to learn about Medicaid in Minnesota.

What is  Minnesota  Medicaid?

Medicaid is a service for people and families with income and resources within specific parameters. Resources primarily apply to the elderly, blind, or disabled population within the bounds of specified rules.

Who is eligible for the Minnesota Medical Program?

  • Particularly limited Medicare beneficiaries who are not eligible for the entire Medicaid benefit package may receive partial financial help with Medicare premiums, copayments, or coinsurance through the Medicare Savings Plan.
  • Expectant mothers
  • People who are blind or disabled or who have a spouse who is blind or disabled; 
  • People whom someone adopts;
  • People whom someone adopted; 
  • People who are blind or disabled or have a spouse who is disabled.

The Annual Household Income Limits (before taxes)

Household Size*The 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

* Add $6,277 for every extra member in families with 9 or more inhabitants.


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How do I contact Medicaid in Minnesota?

Phone

651-297-3862 or 800-657-3672

Mailing Address

dhs.healthcare-providers@state.mn.us

What are the Medicaid plans in Minnesota?

Managed care is offered in Minnesota through eight local nonprofit plans. These include three county-based purchasing plans (Itasca Medical Care, Metropolitan Health Plan, and South Country Health Alliance) owned and run by the isolated countries where they are situated. 

Health Partners and Itasca Medical Care are the only plans that solely take part in PMAP(Prepaid Medical Assistance Program) and MSC(Minnesota Senior Care)/MSC+(Minnesota Senior Care Plus). In contrast, many insurers participate in other managed care schemes.

What is covered by Minnesota Medicaid?

Based on your coverage group—which is decided by your income, age, medical needs, or whether you require assistance with daily living, pays for medically essential services (ADLs).

The following are some instances of services that might be covered:

  • Seeing a doctor
  • Medications on prescription
  • Services for behavioral health
  • Labs and X-rays
  • Hospital and emergency room visits

What is not covered by  Minnesota  Medicaid?

Medicaid does not provide coverage for private podiatrists, chiropractors, naturopaths, psychologists, or therapists (physical therapists, audiologists, or speech therapists).

Medicaid is not obligated to pay for personal care services or nursing supplied by a family member. Bandages, adult diapers, and other disposable items are frequently excluded from coverage, as well as cosmetic surgery and other elective procedures.

Can I have both Minnesota Medicaid and Medicare?

If you are 65 or older, you can qualify for both Medicare and Medicaid. If your age is below 65, you can only avail of the benefits of Medicaid if other eligibility criteria are fulfilled.

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

You can still qualify for Minnesota Medicaid if your income is too high because there is an option for asset spend down available. You can spend down your different assets on non-countable ones to become eligible.

Copayments

  • They do not have to pay a copayment; when a member is: 
  • Under 21 years old; 
  • Pregnant; 
  • Held by the state
  • Placed under government supervision
  • Native American participants who qualify for Contract Health funding
  • Services or Tribal Union of Indian Health Services

Residing in one of the facilities listed below and funding a portion of their care:

  • The hospital (inpatient)·
  • A facility for skilled nursing
  • A nursing home

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Medicaid Eligibility

What is the highest income limit for Minnesota Medicaid?

The highest income limit to avail of Minnesota Medicaid for an individual is $18,075 (Maximum Income Level per year).

What documents do I need to apply for Medicaid?

  • Provide the following documents at the time of submission of the application.
  • Social Security Number;
  • Proof of Identity (driver’s license);
  • Proof of Citizenship (birth certificate);
  • Health Insurance;
  • Pregnancy (doctor statement verifying pregnancy and expected date of delivery), if applicable;
  • Income of Non-pregnant parents applying for Medicaid for themselves should bring proof of resources (last three months’ bank statements, checking or savings account information, life insurance policies, stocks, and bonds).

What is the best Medicaid in Minnesota?

The best Medicaid plan in Minnesota depends on your financial circumstances and other factors.

It varies from person to person, so the best plan for you is the one that suits you and offers maximum benefit in terms of health coverage and financial assistance.

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

You can check the status of your Minnesota Medicaid application by visiting the Minnesota Department of Health.


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Where can I upload the documents for Minnesota Medicaid?

Apply online through MNsure, Minnesota’s health insurance marketplace. These pointers will help you complete the online MNsure application.


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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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