Alabama Medicaid Benefits

Alabama Medicaid is a health insurance program for certain low-income and needy people paid with federal, state, and county dollars. It is the largest program providing medical and health-related services to Alabama's poorest people – including children, the aged, blind, and/or disabled, and people who are eligible to receive federally assisted income maintenance payments.

Program Name	Alabama Medicaid
Expanded Medicaid	No
Website	medicaid.alabama.gov
Email	medicaid.alabama.gov/Contact.aspx
Phone	334-242-5000
Apply Online	https://insurealabama.adph.state.al.us
Appeal a Denial	https://medicaid.alabama.gov/Contact.aspx
Find a Local Office	Medicaid Office Locations

Eligibility Requirements

To be eligible for this Medicaid program, you must be a resident of the state of Alabama, 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:

Ambulance services	Maternity services
Dental services (for children)	Mental health services
Doctor services	Nurse midwife services
Eye care services	Nursing home care services
Family planning services	Out-of-state services
Hearing services (for children)	Prescription drugs
Home health services	Renal dialysis services
Hospice services	Transplant services
Hospital services	Transportation services
Laboratory and X-ray services	Well-child checkup program

Copayments

Doctor visits	$1.30 to $3.90 for each visit
Optometric (eye care) services	$1.30 to $3.90 for each visit
Certified nurse practitioner visits	$1.30 to $3.90 for each visit
Health care center visits	$3.90 for each visit
Rural health clinic visits	$3.90 for each visit
Inpatient hospital	$50 for each admission
Outpatient hospital	$3.90 for each visit
Prescription drugs	65¢ to $3.90 for each prescription
Medical equipment	$1.30 to $3.90 for each item
Supplies and appliances	65¢ to $3.90 for each item
Ambulatory surgical centers	$3.90 for each visit

You do not have to pay a copayment if you are a Medicaid recipient who is:

• In a nursing home
• Under 18 years of age
• Receiving pregnancy-related services
• Receiving family planning services
• A Native American Indian with an active user letter from Indian Health Services (IHS)
• The following services do not require a copayment:
• Birth control (family planning) services
• Case management services
• Chemotherapy
• Dental services for children under 21 years of age
• Doctor fees if surgery was done in the doctor’s office
• Doctor visits if you are in a hospital or a nursing home
• Emergencies
• Home and community services for people who are intellectually
• Disabled, or the elderly and physically disabled
• Home health care services
• Mental health and substance abuse treatment services
• Preventive health education services
• Physical therapy in a hospital outpatient setting
• Radiation treatments
• Renal dialysis treatments