We have scoured the internet to provide all you need to know about the Nebraska Medicaid Benefits.
Medicaid is a joint federal-state initiative that covers health insurance for low-income people who qualify, including children, 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 Nebraska.
Table of Contents
What is the Nebraska Medicaid Program?
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.
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Who is eligible for the Nebraska Medical Program?
Nebraska Medicaid offers limited Medicare beneficiaries who are not eligible for the entire Medicaid benefit package 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* | 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.
How do I contact Medicaid in Nebraska ?
Phone
(855) 632-7633
Mailing Address
Magellan Medicaid Administration, Inc. Post Office Box 85042
Richmond, VA 23261-5042
What are the Medicaid plans in Nebraska?
Following are the Medicaid plans in Nebraska:
Specialty Physician Case Management (SPCM) program to a Prepaid Inpatient Health Plan (PIHP)
The amendment shifted the delivery of psychosocial interventions from the Specialty Physician Case Management (SPCM) program to a Prepaid Inpatient Health Plan (PIHP) and the requirement to enroll additional populations in the PIHP.
Nebraska Health Connection
Nebraska has had a mandatory managed care program since 1995, when it put Nebraska Health Connection in place.
It uses two distinct waiver officials to cover acute, primary, and specialty health care services on a mandatory basis for limited families and children, children with disabilities, older adults, foster children, and American Indians and Alaska Natives.
Physical health care services for Nebraska Medicaid Managed Care are provided through contracts with three large, for-profit plans:
- Arbor Health (owned by AmeriHealth Caritas)
- UnitedHealthcare Community Plan
- CoventryCares (owned by Aetna)
How do I apply for Nebraska Medicaid?
Call: (855) 632-7633 to enroll.
Apply in person: Nebraska Department of Health and Human Services System
Online: Visit this website.
Mail: To P.O. Box 95044, Lincoln, NE 68509-5044.
What is covered by Nebraska Medicaid?
The following services are covered by Nebraska Medicaid:
| Ambulatory surgery | Hospital stays |
| Audiology services | Laboratory tests |
| Behavioral health services | Vision care |
| Women’s health care | Non-emergency transportation |
| Dialysis | Orthotic and prosthetic devices |
| Doctor visits | Occupational therapy |
| Smoking cessation services | Pharmacy (medications) |
| Emergency care | Physical rehabilitation |
| Family planning services | Preventive care |
| Hearing aids | Hospital outpatient care |
| Home health care | X-rays and other radiology services |
Can I have both Nebraska Medicaid and Medicare?
Medicare and Medicaid are available to those 65 years old or older. If your age is below 65, you can only avail of the benefits of Medicaid if other eligibility criteria are fulfilled.
Nebraska Waiver
Following are the waivers of Nebraska:
- NE Comprehensive Developmental Disabilities Services Waiver
- NE Developmental Disabilities Day Services Waiver for Adults
- NE HCBS Waiver for Aged & Adults & Children with Disabilities
- NE Traumatic Brain Injury Waiver
- WAIVER TERMINATED – NE Autism Waiver
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
What is not covered by Nebraska Medicaid?
Medicaid does not provide coverage for private podiatrists, chiropractors, naturopaths, psychologists, or therapists. It does not 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.
What is the highest income limit for Nebraska Medicaid?
The highest income limit for Nebraska Medicaid is $18,075 for a single in 2021 or $24,353 for a two-person household.
What if a person’s income is too high to qualify for regular Medicaid benefits?
If your income is too high, you may still be eligible for Nebraska Medicaid, thanks to the asset spend down option. Paying down your surplus assets on non-countable ones will allow you to qualify.
What documents do I need to apply for Medicaid?
The following papers must be included with the application.
- The Social Security Number;
- Evidence of citizenship or authorized residency in the United States, such as a passport, driver’s license, birth certificate, green card, or job authorization card
- Evidence of all income sources, both legal and illegal
- Proof of origins
- Proof of residency
- Including the Medicare card, any insurance cards
- Pregnancy (doctors’ certification of the pregnancy and, if applicable, the expected delivery date);
- When non-parents apply for Medicaid on their behalf, they must provide proof of their financial position.
What is the best Medicaid in Nebraska?
The ideal Medicaid plan in Nebraska will depend on your financial situation and other elements.
Since it differs from person to person, the ideal plan for you is the one that fits your needs and provides the most advantages in terms of medical insurance and financial support.
Where do I find the letter showing the reason(s) for denial or discontinuance from Nebraska Medicaid?
By signing into your account at Portal, you can see the progress of your Nebraska Medicaid application.
