Americans who can’t afford health insurance may be eligible for coverage through Medicaid. This national health care program provides coverage to over 65 million low-income families with children, pregnant women, the elderly and adults with disabilities.
Close to 4.5 million Texans are enrolled in the state program, including over 1 million blind and disabled individuals and the elderly. Enrollees receive health care services via managed care plans that provide a wide range of benefits, including:
- Doctor and specialist care
- Hospital services
- Emergency treatment
- Prescription medications
- Lab tests and X-rays
- Ambulance and nonemergency medical transportation
- Long-term nursing home care
Qualifying for Texas Medicaid for Long-Term Care American citizens and legal immigrants residing in Mesquite who meet the Medicaid eligibility guidelines can receive help covering the cost of long-term care. They must be aged 65 or older or have a disability enduring one year or longer if aged 64 or younger. Individuals who qualify for
Supplemental Security Income benefits receive Texas Medicaid coverage automatically, but other applicants must have:
- No more than $2,313 of income per month if single or $4,626 if married and applying jointly
- Up to $2,000 in countable resources as an individual or $3,000 in combined resources as a couple
While Medicaid considers income from all sources, it disregards certain assets, such as one automobile, personal and household effects, a primary home worth up to $585,000 and irrevocable burial trusts.
Ways to Qualify When Over the Limits The state offers a couple of options for those who meet most eligibility requirements but exceed the income or asset limits:
- Seniors can establish a Qualified Income Trust to deposit excess monthly income. Once funds are placed in the trust, they no longer count for eligibility purposes. Money in the account may only be removed to pay Medicaid-approved medical and long-term care related expenses.
- Married seniors whose spouse isn’t applying may reach the eligibility thresholds when their income and assets are reduced to provide spousal living and resource allowances. These federally mandated amounts may be as high as $3,160.50 in monthly income and $126,420 in joint assets.
Residents of Mesquite can complete a Medicaid
application online or call
Your Texas Benefits at (877) 541-7905 to apply by phone.
STAR+PLUS Waiver The
STAR+PLUS waiver program gives Medicaid-eligible seniors an alternative to receiving comprehensive medical and long-term care services in the community, such as an assisted living facility, instead of a nursing home.
To qualify for the waiver, applicants must be assessed as needing the level of care provided in a nursing home and meet other program requirements. Once enrolled, seniors receive care coordination and supports and services through their choice of Dallas County managed care providers. Depending on a person’s needs, these services may include:
- Transitional aid to return to the community
- Assisted living services
- Help with personal care and daily living activities
- Occupational, physical and speech therapy
- Nursing care
- Medical supplies
- Adaptive aids
To learn more about the STAR+PLUS waiver program or apply, Mesquite residents can contact the
Dallas Area Agency on Aging at (214) 871-5065.