What Medical Services Does Medicaid Cover?

2 answers | Last updated: Jun 27, 2011
Caring.com User - Joseph L.  Matthews
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Joseph L. Matthews is a Caring.com senior editor, an attorney, and the author of Long-Term Care: How to Plan & Pay for It...
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Every state's Medicaid program covers basic medical care, to the same extent that Medicare Part A and Medicare Part B do. This includes:

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  • Inpatient hospital care

  • Inpatient short-term skilled nursing- or rehabilitation-facility care

  • Doctor services

  • Outpatient hospital or clinic care

  • Laboratory and X-ray services

  • Short-term home healthcare (provided by a home healthcare agency)

  • Ambulance service

  • Prescription drugs for people not covered by Medicare

For these basic services, Medicaid pays the Medicare deductibles and co-payments for people who are enrolled in both programs. Also, neither Medicaid nor the healthcare provider can charge the patient any co-payment above what Medicaid pays.

In some states, Medicaid coverage for medical care is even broader than what Medicare covers, with certain extra medical services. If a state Medicaid program covers an extra medical service, it can charge the patient a small co-payment for it. The extra coverage offered, and the co-payments for each extra service, vary from state to state but may include:

  • Eye examinations and glasses

  • Hearing tests and hearing aids

  • Dental care

  • Preventive screenings

  • Physical therapy (beyond what's offered under Medicare)

  • Nonemergency transportation to and from medical treatment

  • Some non-Medicare-covered prescription drugs and some nonprescription drugs, including certain vitamins

  • Chiropractic

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An anonymous caregiver said...

This answer was not helpful because it doesn't specifically state the answer that is needed to the questions of "Does Medicaid cover Essure Removal?", and "Does Medicaid cover the IVF procedure if Essure has caused damage to my body?"

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