Coverage for Pregnant Women in Florida
The Medicaid program offers the best coverage for pregnant women living in Florida. Pregnant women of varying income levels can apply for the following programs:
- Presumptive Eligibility Pregnant Women (PEPW) is a temporary Medicaid program giving pregnant women instant access to prenatal services. Those who qualify must be a pregnant resident of Florida with income that is less than or equal to 185 percent of the federal poverty line. There is no asset limit, and being a legal resident of the US is not a requirement. Coverage begins on the date the woman is approved for the program, and continues for two months afterwards while the Department of Children & Families (DCF) determines whether or not the applicant is eligible for regular Medicaid. Presumptive Eligibility is the fastest way to obtain coverage at the most crucial times of pregnancy.
- Simplified Eligibility for Pregnant Women (SEPW) offers full Medicaid to pregnant women whose household income is at or below 185 percent of the federal poverty level. Resources or assets are not counted for eligibility, nor is citizenship status of the country. As long as the pregnancy is verified and income requirements are met, the pregnant woman applying qualifies for SEPW. Benefits extend through delivery and two months after giving birth. This program applies specifically to the pregnant woman and no other members of the household or their eligibility for Medicaid.
- Medically Needy programs offer Medicaid services for a fee to pregnant women whose income exceeds 185 percent of the federal poverty level. Gross income is used to determine the exact share of costs of the applicant. Income must be verified in order to find out how much your share will be prior to Medicaid authorization. This program gives access to the same Medicaid coverage as the other two options for pregnant women.
For pregnant women who do not meet citizenship criteria for full Medicaid can receive coverage on the emergency labor and delivery of a child only. Before Medicaid can be issued, the individual must give proof from a health care professional acknowledging the emergency status of the health service received.
There is also Presumptive Eligibility for Newborns, which provides coverage for a child born to a mother who qualifies for full Medicaid on the date they were born. If the mother is eligible, the child’s Medicaid coverage will last for up to 13 months following their date of birth.
How to Apply
ACCESS provides all applications for assistance programs in the state of Florida, including Medicaid programs. Visit http://www.myflorida.com/accessflorida/ to fill out and submit an application for Medical Assistance, nutritional or cash assistance if necessary.