You may qualify for Health First Colorado or CHP+ if you fall under one of the following categories and meet the income guidelines : Children ages 0-18 with household income under 260% Federal Poverty Level (FPL) Pregnant women, over the age of 19, whose household income is under 260% FPL.
Who is eligible for Colorado Medicaid?
|Household Size*||Maximum Income Level (Per Year)|
If you apply online through PEAK you may find out if you qualify immediately. If you apply by mail, it may take up to 45 days to find out if you qualify.
For the most part, to be eligible for Medicaid you must be one of the following: Be age 65 or older. Have a permanent disability as that term is defined by the Social Security Administration. Be blind.
All types of Social Security income , whether taxable or not, received by a tax filer counts toward household income for eligibility purposes for both Medicaid and Marketplace financial assistance.
The study found that 8 percent of Colorado households meet the federal poverty definition, which for a family of two is around $16,460 and below, regardless of the county.
If you’re unemployed you may be able to get an affordable health insurance plan through the Marketplace, with savings based on your income and household size. You may also qualify for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP).
Created in 1965, Medicaid is a public insurance program that provides health coverage to low-income families and individuals, including children, parents, pregnant women, seniors, and people with disabilities; it is funded jointly by the federal government and the states.
For more information and to apply for Medicaid coverage for nursing home services, you can seek assistance from the state’s Health First Colorado web page or call Health First Colorado at (800) 221-3943. Typically, your nursing care facility can assist you with the Medicaid application process.
In Colorado , Long-term Care Medicaid allows some of the Medicaid applicant’s resources to be exempt including applicant’s home, household property , one vehicle and a pre-paid burial plan. The State can also recover all payments made by Medicaid for medical assistance paid on behalf of an institutionalized recipient.
Federal poverty levels are used to determine your eligibility for certain programs and benefits. The 2018 Federal Poverty Level for an individual is $16,147 in yearly income and $33,383 for a family of four.
Adult Dental care is a benefit for Colorado Medicaid recipients. Adult dental services consist of diagnostic procedures, preventive procedures, restorative procedures, periodontal care, endodontic treatment, removable prosthetic services and oral surgery. Providers must be enrolled with Colorado Medicaid .
For adults, the medical conditions that qualify for SSDI or SSI include: Musculoskeletal problems, such as back conditions and other dysfunctions of the joints and bones. Senses and speech issues, such as vision and hearing loss . Respiratory illnesses, such as asthma and cystic fibrosis.
Have countable income less than 250% of the Federal Poverty Level ($2,658 per month for individuals and $3,592 for couples).
In most States, if you are an SSI recipient, you may be automatically eligible for Medicaid ; an SSI application is also an application for Medicaid . In other States, you must apply for and establish your eligibility for Medicaid with another agency.