Benefits Under Florida Medicaid

Florida Medicaid is the state and federal partnership that provides health coverage for selected categories of people in Florida with low incomes. Its purpose is to improve the health of people who might otherwise go without medical care for themselves and their children.

Program Name	Florida Medicaid
Expanded Medicaid	No
Website	flmedicaidmanagedcare.com
Email	Contact Form
Phone	877-711-3662
Apply Online	ACCESS Florida
Appeal a Denial	Medicaid Fair Hearings
Find a Local Office	ACCESS Locations

Eligibility Requirements

To be eligible for Florida Medicaid, you must be a resident of the state of Florida, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:

• Pregnant
• Be responsible for a child 18 years of age or younger
• Blind
• Have a disability or a family member in your household with a disability
• Be 65 years of age or older

Annual Household Income Limits (before taxes)

Household Size*	Maximum Income Level (Per Year)
1	$17,131
2	$23,169
3	$29,207
4	$35,245
5	$41,284
6	$47,322
7	$53,360
8	$59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Assistive care services	Hospital services
Behavioral services	Laboratory services
Birth center and midwife services	Neurology
Cardiovascular services	Orthopedic services
Chiropractic services	Pain management services
Dental services	Podiatry services
Dialysis services	Prescribed drug services
Durable medical equipment and supplies	Radiology  services
Family planning services	Therapy services
Hearing services	Transplant services
Home health services	Transportation services
Hospice services	Visual care services

Copayments

Hospital outpatient services	$3 for each hospital outpatient visit
Physician services	$2 for each visit
Prescription drugs	2.5% of Medicaid cost (max $7.50 each)

Copays are not charged for the following:

• Children under age 21
• Pregnant women up to 6 weeks after delivery
• Any individual who is enrolled in a Medicaid prepaid health plan or HMO