Nevada Medicaid Eligibility


 

Qualifying for Nevada Medicaid

Medicaid in Nevada is available to a variety of residents who have a low-income and cannot otherwise afford to purchase a health insurance plan. The program is open to those who have medical needs, receive federal public assistance through cash benefits or other programs, pregnant women, and Medicare beneficiaries without the means to pay for their coverage. In order to qualify, you must be a Nevada resident, a U.S. citizen or qualified immigrant, not have group or any other type of insurance, and meet income requirements.

Medicaid is a comprehensive health plan, covering both inpatient and outpatient hospital care, doctor’s office visits, surgeries, diagnostic testing, pharmaceuticals, and more. Nevada Medicaid is divided into programs that serve specific groups, such as the Child Health Assurance Program for pregnant women and children. A separate program, Nevada Check Up, is available to uninsured children with a household income over the Medicaid limits. Below is the Medicaid eligibility criteria for residents of Nevada who can receive traditional Medical Assistance benefits.

Income Guidelines

Group                                       Income (percent of FPL)

Infant                                                    133%

Child age 1-5                                        133%

Child age 6-19                                      100%

Parent (unemployed)                            25%

Parent (employed)                                87%

Pregnant Women                                  133%

Single Aged                                             86%

Single Blind                                             87%

Single Disabled                                       75%

Couple Aged                                            89%

Couple Blind                                            114%

Couple Disabled                                      83%

 

Other Eligible Groups

  • Temporary Assistance for Needy Families (TANF) beneficiaries
  • Supplemental Security Income (SSI) recipients
  • Disabled individuals who no longer qualify for SSI benefits
  • Qualified Medicare Beneficiaries (QMB): Medicare members with income at or below the federal poverty level. Medicaid will pay your premiums, coinsurance, and deductibles.
  • Specified Low-Income Medicare Beneficiaries (SLMB): Medicaid pays your monthly premiums only if your income is below 120% FPL.
  • Medically Needy: those who have costly healthcare expenses, that when deducted from income meet Medicaid eligibility criteria.

 

Federal Poverty Level 2012

 

Resources

Nevada HHS: Medical Assistance Programs

Apply for Medicaid

Contact your local Department of Health & Human Services