Can you have Medicare and Medicaid in PA?

Partial dual eligibles are people that have Medicare and who receive limited benefits through Medicaid (called Medical Assistance or “MA” in Pennsylvania). Often, the only benefit partial dual eligibles get is MA payment of their monthly Part B premium-known as the Medicare Savings Programs or “buy-in”.

What does PA mean in Medicaid?

Medicaid Eligibility Pennsylvania’s Medicaid program covers children, pregnant women, parents, seniors, and individuals with disabilities, as well as other adults who are eligible for federally assisted income maintenance payments.

What is the income limit for Medicare in PA?

What is the income limit? To qualify for Extra Help, your annual income must be limited to $19,320 for an individual or $26,130 for a married couple living together. Even if your annual income is higher, you may still be able to get some help.

What is the difference between Medicare vs Medicaid?

Medicare is a federal program that provides health coverage if you are 65+ or under 65 and have a disability, no matter your income. Medicaid is a state and federal program that provides health coverage if you have a very low income. They will work together to provide you with health coverage and lower your costs.

What is the maximum income to qualify for Medicaid in PA?

Who is eligible for Pennsylvania Medicaid Program?

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245

How do you qualify for both Medicare and Medicaid?

To qualify for Medicare, individuals generally need to be 65 or older or have a qualifying disability. There are several levels of assistance an individual can receive as a dual eligible beneficiary. The term “full dual eligible” refers to individuals who are enrolled in Medicare and receive full Medicaid benefits.

What is the income limit for Medicaid in PA?

PA Medicaid Eligibility Requirements for 2019. The income limit for an individual applying for a PA Medicaid waiver is $2,313 per month. If one spouse is applying for Medicaid and the other is not, only the applicant’s income counts towards the goal, following the ‘name on the check’ rule.

What are the requirements for Medicaid in Pennsylvania?

For a person to qualify for Medicaid for long-term care in Pennsylvania, they must be at least 65 years of age (or have a disability), their income must fall within 300 percent of the SSI Federal Benefit Rate, they must meet Medicaid’s resource requirements, and they must require a nursing home level of care.

How to apply for Medicaid in PA?

How to apply for Medicaid in Pennsylvania: Online: www.compass.state.pa.us By Phone: 1-866-550-4355 In-Person: See listing of local County Assistance Offices (CAOs) By Mail: Send the completed application form, PA 600 HC, and all supporting documents, to your local CAO.

How do you apply for Medicaid in Pennsylvania?

Online: www.compass.state.pa.us

  • By Phone: 1-866-550-4355
  • In-Person: See listing of local County Assistance Offices (CAOs)
  • to your local CAO.