Learn About Medicaid Costs and Coverage in Nevada
You may be wondering how much does Medicaid cost in Nevada if you are eligible for health care through the program. Medicaid cost estimates vary depending on your situation. Before you apply for Medicaid, it is important to make sure that you meet the monetary requirements as well as the other requirements to receive insurance. Not everyone is eligible to receive Medicaid. There are also different types of Medicaid insurance that you should be aware of before applying for insurance. Different types of Medicaid plans cover different services and have different costs associated with them. Some plans require that you pay a copayment when receiving medicine or treatment, while other plans do not. It is important to compare plans before choosing one. For more information on what services are covered by Medicaid, what does Medicaid not cover and more, refer to the sections below.
What services are covered by Medicaid in Nevada?
The services covered by Medicaid differ depending on your situation. Before you search for how much Medicaid costs in Nevada, you should first determine if Medicaid covers the services that you need. Medicaid coverage expands to a wide range of both health and long-term services. Medicaid coverage also extends to many things that are not typically covered by normal insurances such as transportation, home services as well as long-term care. The types of Medicaid insurance benefits that are available to children through this program are generally standard throughout the country, while states are given more control over the benefits that adults can receive. Download our Medicaid guide to find out which health care services are federally mandated.
Medicaid coverage typically extends to long-term health coverage for those who have severe physical or behavioral conditions as well as disabilities. This can mean cerebral palsy, Down syndrome and more. If you have a condition that falls into this category, then Medicaid coverage may also extend to transportation to and from facilities and long-term care that is community-based.
If you are wondering what services are covered by Medicaid, then you should be aware that there are certain services that Medicaid must cover by law, which are called “mandatory services.” Services covered by Medicaid include those that are medically necessary. Physician’s services and hospital services are included in the mandatory Medicaid coverage category. If you are in need of services from a rural health clinic or health center that is federally qualified, then that will also be covered. Medicaid must also cover laboratory and X-ray services as well as early screening and periodic screening for diseases. Procedures to diagnose a disease and treatment services must also be covered by Medicaid.
In the case that you are starting a family, Medicaid coverage will include some family planning services and the supplies that go along with those services. However, what Medicaid does not cover pertaining to family planning can include in vitro fertilization and other advanced reproductive treatments. Information about Medicaid coverage for infertility is assessable through your local Medicaid office. If you need to see a pediatric or family nurse practitioner, then those services are also covered by Medicaid as well as nurse-midwife services. If you are 21 years of age or older, then you can receive nursing facility services under Medicaid. Medicaid coverage also extends to home health services, durable medical equipment and transportation services.
On top of the services that are mandatorily covered by Medicaid, there are also services that are optionally covered. Information about Medicaid optional coverage is valuable to those with specific conditions. Many of the optional services cater to people with chronic conditions or disabilities as well as the elderly. Most of these services covered by Medicaid are provided in your home or in a community environment. These services are intended to lessen the burden of paying for health care and help improve your quality of life. Services that are optionally covered by Medicaid include pharmacy services and dental services if you are younger than 21 years of age except for in the case of emergencies and optometry care. In addition to the aforementioned optional services, psychological treatment and physical and occupational speech therapy are also optional.
There are some services covered by Medicaid that are only optional depending on your age. Optional Medicaid coverage includes podiatry and chiropractic services as well as skilled nursing facility care for people who are younger than 21 years of age. Additionally, intermediate care facility services are optional Medicaid coverage provided to those 65 years of age or older. In addition to these stipulations, Medicaid coverage is also optional for inpatient psychiatric services if you are younger than 21 or older than 64 years of age. These optional covered services will be approved or rejected based on the detailed provided during the Medicaid application process in Nevada.
Personal care services are also considered optional under Medicaid coverage, as well as private duty nursing and adult day health care. If you need to use a nurse anesthetist, then that may be considered optional and may not be covered by Medicaid. If you need prosthetics or orthotics, then that may also be considered optional. Medicaid coverage also optionally covers hospice care and immediate care facilities if you have an intellectual disability.
How much is Medicaid in Nevada?
The answer to the question “How much does Medicaid cost?” differs from state to state. No matter how high the Medicaid cost estimates in your area are, there are programs available to assist you in paying these costs. One such program is called the Health Insurance Premium Payment (HIPP) program. This Medicaid cost assistance program is run by the state of Nevada and is a cost-savings program. Through this Medicaid coverage program, the state will pay medical premiums for you as well as co-insurance deductibles if you meet the Medicaid eligibility requirements in Nevada.
There are certain Medicaid coverage requirements that you must meet to be eligible to participate in the HIPP program. To receive financial assistance with Medicaid coverage, you must have access to group health insurance. This is commonly known as Third-Party Liability. In addition to the aforementioned stipulations, to receive help with Medicaid costs, you must also have what is considered as a catastrophic illness in Nevada. This includes AIDS, Bell’s palsy, cerebral palsy, cystic fibrosis, muscular dystrophy, quadriplegia genetic disease and more. Your situation must also be determined to be cost-effective for the state to take over your costs.
There are certain things that will cause you to be ineligible for this type of Medicaid insurance assistance known as HIPP. If you are currently enrolled in Medicare or Nevada Check Up, then you cannot use HIPP. If you are enrolled in a Medicaid Managed Care Organization, then you will also be ineligible for HIPP. If you have COBRA or are self-employed, then HIPP will not be able to help you with health insurance costs. To learn more about Medicaid costs, download our detailed national guide.