A Sunshine Health representative may contact you regarding your inquiry. If you have an urgent medical situation please contact your doctor. If you have a life threatening emergency, please contact The Contact Us form will send your message to Sunshine Health as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Sunshine Health through email, you accept the risks associated thereof. Sunshine Health does not accept responsibility or liability for any loss or damage arising from the use of email.
To ensure the safety of your protected health information PHI , please send us a message through the Secure Member Portal or Provider Portal, or you can call us at to speak directly to a customer service representative. Contact Us. In Florida, if Medicaid had been expanded under the ACA, some , people who do not currently have coverage would gain coverage.
Democrats in the Florida legislature have been pushing for Medicaid expansion for years, but have consistently been blocked by Republicans.
The FL Medicaid eligibility income limit charts are divided by groups. Similarly, the second chart below focuses on the Medicaid income limits for adults in Florida who qualify for Medicaid. Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size. Next is the income limit for adults by category. Find the category you fall into and you will see the income limit by household size. Florida has not expanded Medicaid to include adults without dependents.
For an update on the Medicaid expansion debate and timeline in Florida, see our Florida Medicaid Expansion update below. You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.
Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.
Click here to see our step by steps process in applying for Medicaid in Florida. When you apply for Medicaid in Florida, you will be asked to provide various documents. This includes:.
If you meet the income requirements, you may be able to find out immediately if you qualify for benefits. Medicaid in Florida covers a variety of services. Here are some of the services that are covered. For a full list of services covered, click here. You can contact your local Florida Department of Children and Families office for help with your Medicaid application or benefits. You can search by county. In addition, local community partner agencies help the Department of Children and Families provide access to public assistance services.
To find a partner agency in your area, click here to search by county or zip code. Your Florida Medicaid identification number is not listed on your gold card.
Your Florida Medicaid number is kept in your Florida Medicaid file. Co-payments and co-insurance are amounts of money you pay directly to the provider for the service you receive. Medicaid beneficiaries are required to pay a co-payment and co-insurance for certain services, unless they are exempted. If you suspect Medicaid fraud or abuse in the state of Florida, please call the toll-free number An applicant is not eligible for Florida Long Term Care Medicaid unless he or she meets certain asset and income limitations.
For pregnant women who do not meet the citizenship requirements for Medicaid, there is Emergency Medical Assistance for Non-Citizens. During the temporary coverage period, while you are on PEPW, you will have to submit an application to determine if you can continue to receive Medicaid benefits during your pregnancy.
Additionally, women with family income over the limit for Medicaid may qualify for the Medically Needy Program. If you have any questions about Medicaid in the state of Florida, you can ask us in the comments section below.
Help us spread the word! Be sure to check out our other articles about Medicaid. Medicaid Nerd is not associated with a government agency. We are a privately-owned website that provides information about Medicaid health benefits. This website and its contents are for informational purposes only. We do not claim responsibility for its accuracy. Skip to content Search for:.
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