In New York State, nearly 5.9 million people are enrolled in Medicaid. This government-run health insurance program helps low-income people access the medical care they need. Children, pregnant women and seniors are some of the groups covered by Medicaid.
New Yorkers receive a variety of health services through the state’s Medicaid plan. Covered services may be provided for free or at a low cost and can include:
- Inpatient and outpatient hospital services
- Laboratory services
- Preventive health care
- Nursing home care
- Treatment in psychiatric hospitals
- Medical equipment and appliances
- Emergency ambulance transportation
- Nonemergency medical transportation
People aged 65 years and older may qualify for Medicaid if they meet the program’s
income and resource limits. Single seniors are limited to $859 in monthly income and $15,450 in total assets. For couples, the monthly income limit is $1,267 and the asset cap is $22,800. Some assets don’t count toward the cap, such as a home and one car.
Seniors with incomes above the Medicaid limit may qualify through the
Excess Income program, which provides coverage after an applicant’s out-of-pocket medical costs reach a predetermined threshold.
Assisted Living Waiver The
Assisted Living program is a Medicaid waiver designed to help seniors avoid nursing home placement. Services covered by the waiver include personal care, home health aides, physical therapy, medical supplies and case management. The AL waiver is unique in that it also covers room and board costs in assisted living facilities.
Seniors may qualify for ALP waiver services if they’re medically eligible for nursing home placement but can safely live in an assisted living facility. Only 4,200 people can participate in the ALP waiver at any given time, so there may be a waiting list.
Applications for Medicaid can be submitted through
New York’s Health Plan Marketplace. Application assistance is available through the Medicaid Helpline at (800) 541-2831. For information and help applying for the ALP or Excess Income program, contact the
Erie County Department of Social Services at (716) 858-8000.