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 |
| 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
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