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.
Group Income (percent of FPL)
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