We are privately owned and not affiliated or endorsed by any government agency.

Take the Benefits Quiz

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

Benefits.com Advisors

With expertise spanning local, state, and federal benefit programs, our team is dedicated to guiding individuals towards the perfect program tailored to their unique circumstances.

Rise to the top with Peak Benefits!

Join our Peak Benefits Newsletter for the latest news, resources, and offers on all things government benefits.

Related Articles

District of Columbia Medicaid

Maryland Medicaid

How Delaware Medicaid Benefits Work

Georgia’s Medicaid Benefits

Maine Medicaid (MaineCare)

x