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Alabama Medicaid Benefits

Alabama Medicaid is a health insurance program for certain low-income and needy people paid with federal, state, and county dollars.

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


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

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