Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. Most Medicaid plans in the state of Texas are provided by Managed Care Organizations (MCOs). Texas managed Medicaid for the elderly and disabled is often referred to as STAR+PLUS.
Medicaid provides health coverage to eligible low-income adults, children, pregnant women, and people who are older or who have disabilities. To find out if you might be eligible for Medicaid in Texas, visit the Your Texas Benefits website. Medicare is our country’s health insurance program for people age 65 or older.
In order to qualify for Medicaid, a single individual cannot have more than $2,000 in countable assets, and a couple cannot have more than $101,540. One example of a non-countable asset is known as a “Medicaid annuity.”
Income Eligibility Criteria A single individual, 65 years or older, must have income less than $2,382 / month. This applies to nursing home Medicaid, as well as assisted living services and in-home care in states that provide it through HCBS Waivers.
To meet the income guidelines for the program: The amount of money you earn before taxes each month must be less than $2,453. The amount of money you have, such as cash, banks and retirement accounts (countable assets) must be no more than $2,000.
Does Social Security Count as Income for Medicaid Eligibility? Most Social Security disability and retirement income does count as income for purposes of Medicaid eligibility.
Not all people with low-incomes are eligible for Medicaid. In the 15 states that have not implemented the ACA Medicaid expansion (as of April 2020), adults over 21 are generally ineligible for Medicaid no matter how low their incomes are unless they are pregnant, caring for children, elderly, or have a disability.
To be eligible for Texas Medicaid, you must be a resident of the state of Texas, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
Income requirements: For Medicaid coverage a single adult is capped $1,468 per month and families of four can make $3,013 per month. Single aged or disabled adults over 65 have an income cap of $836 and $1,195 for couples.
Texas Medicaid Dental Coverage for Adults Adults and children can also get Texas Medicaid dental coverage through MCNA Dental. MCNA covers cleanings, exams, X-rays, fluoride, sealants, fillings, extractions, root canals, and dental emergencies.
It is possible to qualify for Medicaid if you own a home, but a lien can be placed on the home if it is in your direct personal possession at the time of your passing. To prevent this, you could give the home to loved ones, but you have to act well in advance so you don’t violate the five-year look back rule.