2 April 2022 9:32

Is Staywell Medicaid?

Staywell Health Plan is a Managed Care Plan with a Florida Medicaid contract.

What is Florida’s Medicaid program called?

Medicaid in Florida is sometimes called the Statewide Medicaid Managed Care (SMMC) program.

Is Staywell the same as sunshine health?

We have good news. Your Long Term Care plan, Staywell Health Plan, is joining Sunshine Health. You get to keep the same great benefits, plus get more benefits from Sunshine Health. In most cases, your care manager and your providers will stay the same.

Does Staywell cover vision in Florida?

Additional Free Staywell Member Benefits:

Adult hearing and vision (medically necessary services only) Kids hearing and vision, plus well-child checkups. Doctor and hospital visits.

Does Florida Medicaid cover out of state emergencies?

Emergency Services Healthcare

Florida Medicaid reimburses the hospital so long as care meets one of the two following criteria: The emergency treatment is the result of an accident or illness while the recipient is out-of-state; Postponing services until returning to Florida will endanger the recipient’s health.

What are the types of Medicaid in Florida?

In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. The program has three parts: Managed Medical Assistance, Long-Term Care, and Dental.

Who is not eligible for Medicaid in Florida?

Able-bodied, non-elderly adults who don’t have dependents are not eligible for Medicaid in Florida, regardless of how low their income is. Florida’s eligibility standards are: Children up to 1 year old: 206% of the federal poverty level (FPL) Children ages 1-5: 140% of FPL.

What is not covered by Medicaid?

Although it seems that Medicaid covers practically everything someone needs, it doesn’t necessarily provide full coverage. Medicaid does not cover private nursing, for example, nor does it cover services provided by a household member. Also, things like bandages, adult diapers, and other disposables aren’t covered.

What assets are exempt from Medicaid?

What Assets are Exempt from Medicaid?

  • Home: A primary residence, up to $500,000 in equity value, may be exempted.
  • Household and personal belongings: This includes furniture, appliances, jewelry and clothing.
  • Vehicle: One vehicle can be exempted (a car, truck or van).

What assets are exempt from Medicaid in Florida?

Any income-producing property that produces income consistent with its fair market value (e.g. what you should charge for a rental property) is exempt from Florida Medicaid. This exemption includes rental property, farmland, and other personal real property (e.g. machinery) that produces income.

What is the monthly income limit for Medicaid in Florida?

Florida is an “Income Cap” state. This means that if a person’s gross income is over $2,199 per month, then that person is ineligible for ICP Medicaid benefits. The Agency only looks at the Applicant’s income, not the Applicant Spouse’s income, if married. Note that it is the GROSS income that is considered.

Who took over StayWell?

The StayWell Company, LLC (“STAYWELL”) is a subsidiary of WebMD Health Corp., an Internet Brands company.

Who bought StayWell?

WebMD Health Corp.

NEW YORK, March 12, 2020 /PRNewswire/ — WebMD Health Corp., an Internet Brands company and the leader in health information services for consumers, physicians, and other healthcare professionals, today announced that it has acquired The StayWell Company, a subsidiary of Merck, known as MSD outside the United States …

Did WellCare change their name?

Effective January 1, 2020, MeridianCare, a WellCare company, is changing its name and logo to WellCare. As a result, we are transitioning to a new website. You can continue to use this website to access 2019 plan information documents and forms.

How does share of cost Medicaid work in Florida?

Your share of cost works like a deductible on a health insurance policy. It is based on the amount of your monthly income. You must have allowable medical expenses equal to the amount of your share of cost each month before you can become eligible for Medicaid for the rest of the month.

Which state is best for Medicaid?

States with the Best Medicaid Benefit Programs

Rank State Total Spending Per Person
1 New York $12,591
2 New Hampshire $11,596
3 Wisconsin $10,090
4 Minnesota $11,633

What does Medicaid cover for adults?

Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.

Does Medicaid cover emergency room visits?

Laws require that all states’ Medicaid programs cover outpatient hospital services, including emergency room visits. Some states may exclude certain services performed in an ER from coverage and require you to pay for them out of pocket.

What is the highest income to qualify for Medicaid?

As of 2019, the FPL for a family of three is $21,330 in the 48 contiguous states plus the District of Columbia. In Alaska, this number rises to $26,600. In Hawaii, the FPL for a family of three is $24,540. For an individual, the contiguous U.S. has determined the FPL to be $12,490.

Does Medicaid cover dental for adults?

States may elect to provide dental services to their adult Medicaid-eligible population or, elect not to provide dental services at all, as part of its Medicaid program. While most states provide at least emergency dental services for adults, less than half of the states provide comprehensive dental care.

What services are covered by Medicaid?

Medicaid home health care and residential senior care coverage

  • Personal care like showering.
  • Transportation services.
  • Skilled nursing care.
  • Occupational, speech and physical therapy.
  • Managing diet and nutrition (healthy eating)
  • Home-delivered meals.
  • Home chores and housekeeping.

Does Medicaid cover wisdom teeth removal?

Medicaid will cover wisdom teeth removal in younger patients with a dentist recommendation.

Does Medicaid cover root canals NY?

Medicaid usually does not cover root canals or bridgework. Medicaid usually pays for pulling and replacing your bad tooth rather than fixing the tooth.

What does New York Medicaid cover?

New York Medicaid benefits include regular exams, immunizations, doctor and clinic visits, relevant medical supplies and equipment, lab tests and x-rays, vision, dental, nursing home services, hospital stays, emergencies, and prescriptions.

Does NY Medicaid cover braces?

Medicaid Orthodontic Benefit.

The Medicaid Orthodontic Benefit is for children under 21 years old with severe physically handicapping malocclusions (a malocclusion is imperfect positioning of the teeth when the jaws are closed). The coverage is limited to three years of treatment and one year of retention care.