Medicaid Costs and Coverage in Kansas

If you are wondering, “How much is Medicaid in Kansas?” it is important for you to review the program’s costs and the coverage options it provides throughout the state before completing the Medicaid application process. There are several different types of Medicaid insurance, as well as three different Managed Care Organizations (MCOs). These organizations are designed to help bring down the cost of health care coverage while also increasing its quality. Medicaid coverage, along with Medicaid cost estimates, may vary depending on type of Medicaid and chosen MCO. Therefore, it is important to be prepared in order to receive coverage that is right for you. For more on what services are covered by Medicaid and the program’s expected costs, review the sections that have been provided below.

How much does Medicaid cost in Kansas?

It is commonly asked, “How much is Medicaid in Kansas?” which is a valid question, considering that the costs for enrollees may vary depending on certain factors. KS Medicaid cost estimates are determined in large part by the income level of the individual or family who receives Medicaid benefits. Some individuals and families may receive Medicaid benefits without a monthly premium or copayment expectation, but that is not always the case. Those asking, “How much does Medicaid cost?” should know that their costs will actually be detailed in their acceptance letters. There are many households and individuals who are expected to pay a small monthly premium or copayments. Learn more about these costs by downloading our comprehensive Medicaid guide.

The Types of Medicaid Insurance in Kansas

There are several types of Medicaid insurance in Kansas for applicants who meet the program’s eligibility requirements. While general coverage through Medicaid is usually the same, the finer details relating to care and cost may differ slightly. KanCare is the name of the Kansas Medicaid program, which is considered the largest health care program within the state. KanCare provides Medicaid coverage to low-income families, children, pregnant women, disabled individuals and senior citizens. If a child is not eligible to receive Medicaid due to income, she or he may be eligible for the Children’s Health Insurance Program (CHIP). When considering how much Medicaid costs, it is important to know that CHIP almost always has a small premium that parents are expected to pay and that this premium is based upon income levels. Finally, MediKan is a program for disabled individuals and provides coverage to low-income individuals who are trying to obtain Social Security disability benefits.

In addition to the types of Medicaid insurance, there are three different Managed Care Organizations (MCOs) that are available through the Medicaid program. While all mental, physical and substance abuse coverages are the same with each MCO, all three MCOs have extra services that they offer.

What services are covered by Medicaid in Kansas for Families?

While it is important to know Medicaid costs in Kansas, it is equally important to know what health care services are covered under Medicaid. When considering what services are covered by Medicaid, it is important to know that KanCare provides medical services for office visits, regular checkups, hospital services, immunizations, laboratory services, X-ray services, prescription drugs, hearing services, home health services, speech therapy, physical therapy and more. Women who are pregnant receive additional Medicaid coverage such as prenatal care, delivery and postpartum care. Learn more about covered services by downloading our in-depth Medicaid guide.

All types of Medicaid insurance provide both inpatient and outpatient substance abuse, behavioral and mental health services. Some dental services are also available. Children receive checkups, cleanings, sealants, fillings and X-ray dental services.

Kansas Medicaid Coverage for Senior Citizens and Disabled Individuals

While Medicaid coverage in Kansas for senior citizens and disabled individuals includes the same coverage that is provided to families, additional benefits are provided to individuals who are also on Medicare. If you meet the eligibility requirements for Medicaid and Medicare, you will receive help paying Medicare premiums, deductibles, co-insurance and copayments.

What does Medicaid not cover in Kansas?

If you are wondering, “How much is Medicaid in Kansas?” you will need to consider any out-of-pocket costs that you may be expected to pay. Medicaid coverage does not include every medical procedure, so it is important to understand what is not covered by Medicaid. For adults, Medicaid will not cover any dental procedures beyond a yearly checkup and cleaning. Any root canals, emergency procedures and fillings will not be covered through KanCare. Additionally, cosmetic procedures of any kind will not receive coverage. KS Medicare coverage also requires that, in some cases, a procedure be reported to KanCare prior to being completed in order for coverage to be authorized.

Additional Kansas Medicaid Coverage Benefits

When considering Kansas Medicaid cost estimates, you should also consider the additional benefits and coverage options that Medicaid provides. Every KanCare health plan covers transportation to and from doctor appointments and other health care provider appointments. The number for requesting transportation can be obtained from your chosen MCO. Each MCO also contains its own healthy rewards program where you can earn prepaid debit cards and other incentives when you:

  • Complete maternal health checkups.
  • Get a flu shot.
  • Complete diabetic screenings.
  • Refill medications that treat asthma or schizophrenia.

Two MCOs also provide Kansas Medicaid coverage for weight loss by offering enrollees Weight Watcher Vouchers that cover initial program fees and a predetermined number of meetings. All three MCOs provide free cell phone benefits that will aid you in being able to contact your doctor, receive appointment reminders and even health and weight loss tips. Additional KanCare Coverage includes, but is not limited to:

  • Incontinence supplies
  • Smoking cessation options
  • Online health management
  • Asthma care options
  • And community membership options

It is recommended that you review the additional Medicaid coverage options that each Managed Care Organization (MHO) has to offer after you are first accepted by KanCare. You are only given the ability to choose or change your MHO within the first 90 days of approval. Should you miss this window, you will be given the option to change plans the following year, unless you have good cause for requesting a change.