Medical assistance is available for low-income residents in Sun City through a section 1115 demonstration waiver called The Arizona Health Care Cost Containment System. The program offers health insurance for seniors 65 and older who don’t need nursing home care and contracts with other programs to provide long-term care services such as assisted living.
There are no monthly premiums for those who qualify. To be eligible, seniors must:
- Be an Arizona resident
- Have a social security number or have applied for one
- Be a U.S. citizen or qualified immigrant
- Not exceed the income limit, which is $16,040 a year for an individual and $21,599 for a couple
The AHCCCS has a special division for elderly and disabled residents called the Arizona Long Term Care System. This program provides long-term care at home, in adult foster care, in assisted living facilities and in nursing homes. It’s an entitlement program, so there are no enrollment caps; anyone who qualifies will receive service.
Applicants need to be 65 or older and have a qualifying disability or require assistance equivalent to nursing home care. There are asset resource caps for the program ($3000 for couples and $2000 for individuals). The applicant’s primary home is exempt from the resource cap as long as long as it’s valued under $572,000, as is their vehicle. There are also monthly income caps, but they vary depending on marital status, if the applicant’s spouse has applied for Medicaid and whether they live independently. Medicaid recipients who are accepted into ALTCS will work with a caseworker to develop a plan for long-term care that best suits their needs.
For residents who need assisted living or nursing home facilities, ALTCS will pay for medical and care related services, but not room and board because they are not considered medical services. Qualified participants will be responsible for paying these costs.
To sign up for AHCCCS you can apply online or call (866) 495-6738.