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What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant...

What are the eligibility requirements and coverage of Medicaid for the categories of low-income adults, pregnant women, and the aging/blind/disabled in the state where you live? Do you consider the eligibility requirements reasonable or restrictive? Do you consider the coverage reasonable or liberal? What are the benefits and drawbacks to keeping these populations insured through Medicaid?

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Expert Solution

Medicaid is a federal-state matching funds program that includes the health insurance plans for people with low-income and also include the disabled, elderly people, pregnant women, blind people and all others that are eligible for TANF (Temporary Assistance for Needy Families). The eligibility criteria for Medicaid vary across the states. According to the Barack Obama’s health care law, all the citizens of America, who make up less than 133% of the poverty line could qualify for Medicaid. However, the general rule of thumb for being eligible for Medicaid programs is, having less than 100% to 200% of the federal poverty level (FPL). Elderly individuals, disabled people, pregnant women, guardians of children or a child is eligible for the Medicaid program. These regulations are reasonable and liberal because it enables the actual people in need to receive the medical assistance.

The benefits of Medicaid insurance is, it enables the aged and disabled individuals to receive the medical services at a reasonable price. The drawback of Medicare insurance is, it provides lower reimbursement for practitioners than what they actually charge.


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