Medicaid benefits guide

What Are My Medicaid Benefits?

Medicaid benefits guide

Medicaid members, are you using all the benefits you receive? To know what you could be missing, you have to first know your Medicaid benefits.

Knowing your benefits is important because it can benefit your health and in the process, could help you save money.

Medicaid coverage varies by state and plan type, so your benefits will be different depending on your location. Luckily, we’re here to help you figure it out.


What Are My Medicaid Benefits?

While Medicaid benefits vary by state, there are some benefits that all Medicaid plans are required to cover. To know if your plan covers these benefits, call the number on your Medicaid card. If you have a Medicaid plan, you have coverage for the following:

  • Inpatient hospital services
  • Outpatient hospital services
  • EPSDT: Early and Periodic Screening, Diagnostic, and Treatment Services
  • Nursing Facility Services
  • Home health services
  • Physician services
  • Rural health clinic services
  • Federally qualified health center services
  • Laboratory and X-ray services
  • Family planning services
  • Nurse Midwife services
  • Certified Pediatric and Family Nurse Practitioner services
  • Freestanding Birth Center services 
  • Transportation to medical care
  • Tobacco cessation counseling for pregnant women

For more information, check out the official Medicaid Benefits page.


Optional Medicaid Benefits

Optional Medicaid benefits are benefits that individual states can choose to cover, but are not required to cover by the federal government. Here’s a list of those benefits:

  • Medical supplies
  • Prescription Drugs
  • Clinic services
  • Physical therapy
  • Occupational therapy
  • Speech, hearing and language disorder services
  • Respiratory care services
  • Other diagnostic, screening, preventive and rehabilitative services
  • Podiatry services
  • Optometry services
  • Dental Services
  • Dentures
  • Eyeglasses
  • Chiropractic services
  • Other practitioner services
  • Private duty nursing services
  • Personal Care
  • Hospice
  • Case management
  • Services for Individuals Age 65 or Older in an Institution for Mental Disease (IMD)
  • Services in an intermediate care facility for Individuals with Intellectual Disability
  • Prosthetics
  • State Plan Home and Community Based Services
  • Self-Directed Personal Assistance Services
  • Community First Choice Option
  • TB Related Services
  • Inpatient psychiatric services for individuals under age 21
  • Health Homes for Enrollees with Chronic Conditions

NOTE: Medicaid plans may also provide additional benefits not listed on this page. Read more about Medicaid benefits for seniors and the elderly, and Medicaid benefits for adults with Alzheimer’s and Dementia.

Medical Supplies Covered by Medicaid

Medicaid coves the cost of medical supplies. This can include products like:

Incontinence Suppliesmedicaid benefits incontinence – Adult diapers, bladder control pads, and pull-on underwear

Urology Suppliesmedicaid benefits urology – Catheters, collection bags, insertion kits, and lubricant

Wound Caremedicaid benefits wound care – Bandages, gauze, tapes, foams, alginates, and hydrogels

Ostomy Suppliesmedicaid benefits ostomy – Barrier wafers, pouches and drainage bags

Diabetes Suppliesmedicaid benefits diabetes – Blood glucose monitors, lancets, test strips, and control solution

Breast Pumpsmedicaid benefits breast pumps – Manual and electric models

Using Medicaid Benefits to Get Medical Supplies

The best way to get supplies through your Medicaid benefits is to call a medical supplier like us. We can explain your supply coverage and set you up with monthly product deliveries covered by your plan. The process is simple:

  1. You provide us with some basic information
  2. We verify your insurance and contact your doctor to collect the necessary paperwork
  3. You get fast, reliable deliveries of supplies each month covered by your Medicaid plan

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  • No credit card required
  • We handle all the paperwork
  • Reliable delivery that’s always on time
  • 98% customer satisfaction

It only takes about 10 minutes to sign up, and it could save you money each month!

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