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Table of Contents>>Medicaid Deductible

Medicaid for the Elderly, Blind or Disabled

Medicaid Deductible

Income Test: If your counted income is higher than the Medicaid Standard Plan income limit, your Medicaid Deductible is calculated for a six-month period based on the difference between your monthly counted income and $591.67.

Your deductible amount will be listed on the letter of decision you get after your application is processed.

Calculating your Deductible
$               Counted income
-   $   591.67 Monthly Income Limit
=                     Monthly amount over income limit
X      6            Six Month period
=                    Deductible Amount

You can use the cost of unpaid and recently paid bills for medical or remedial expenses to meet your deductible. You will need to provide proof of the expenses to your local agency. Once your deductible has been met, Medicaid will pay for covered services until the end of the six-month period.

Examples of medical costs include:

  • Health insurance premiums, and

  • The portion of medical bills you must pay for yourself, your spouse or your minor children after Medicare and private insurance has paid.

Once you have met your deductible, you will have a copay for certain Medicaid covered services. See the “Covered Services and Copays” section for more information about covered services.

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Next — Institutional Medicaid

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Last Revised: February 07, 2013