Medically Needy Program
Florida
The Medically Needy program can help pay for Medicaid-covered services. Individuals enrolled in the Medically Needy Program have income or assets that exceed the limits for regular Medicaid. A certain amount of medical bills must be incurred each month before Medicaid is approved. This is your "share of cost."
Contact Information
1-(866) 762-2237 186676ACCESS (phone)
1-(866) 762-2237 186676ACCESS (phone)
How to Apply:
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
Select one of the links below to download the application or go to the program site for more information on how to apply. Once you fill out your application, send it to the address on the application. Do NOT send it to RxResource.
- Click here to visit the program's web site.
Eligibility:
Your "share of cost" is the amount of medical bills that you must have before Medicaid can pay any of your other incurred medical bills for you. Your "share of cost" works like a deductible on a health insurance policy. Your "share of cost" is based on your family's monthly income. Your "share of cost" may be "estimated" based on your statement of your family's monthly income. You must incur medical expenses equal to the amount of your "share of cost" each month before you can become eligible for Medicaid for the rest of the month.
Your "share of cost" is the amount of medical bills that you must have before Medicaid can pay any of your other incurred medical bills for you. Your "share of cost" works like a deductible on a health insurance policy. Your "share of cost" is based on your family's monthly income. Your "share of cost" may be "estimated" based on your statement of your family's monthly income. You must incur medical expenses equal to the amount of your "share of cost" each month before you can become eligible for Medicaid for the rest of the month.
Other Information:
How Does it Work? Each month certain medical expenses, called "allowable medical expenses" which you owe or have paid during the month are counted toward your "share of cost". When your allowable medical expenses are equal to your "share of cost" you may be eligible for Medicaid for the rest of that month. If your "share of cost" was estimated, your family's income must be verified before Medicaid can pay any bills. Before using any medical services, you must be sure the provider is willing to accept Medicaid as payment.The following example is how "share of cost" works. If your "share of cost" is $800 and you go to the hospital on May 10thand receive a bill for $1000, you have met the "share of cost" and are Medicaid eligible from May 10ththrough May 31st. If the bill from May 10this a Medicaid covered service received from a Medicaid provider, Medicaid will pay the bill. This is only an example.
How Does it Work? Each month certain medical expenses, called "allowable medical expenses" which you owe or have paid during the month are counted toward your "share of cost". When your allowable medical expenses are equal to your "share of cost" you may be eligible for Medicaid for the rest of that month. If your "share of cost" was estimated, your family's income must be verified before Medicaid can pay any bills. Before using any medical services, you must be sure the provider is willing to accept Medicaid as payment.The following example is how "share of cost" works. If your "share of cost" is $800 and you go to the hospital on May 10thand receive a bill for $1000, you have met the "share of cost" and are Medicaid eligible from May 10ththrough May 31st. If the bill from May 10this a Medicaid covered service received from a Medicaid provider, Medicaid will pay the bill. This is only an example.
