Medicaid Assistance

Eligibility depends on your household income, family size, age, disability status, citizenship/immigration status, and your state's specific rules. In Florida, you may qualify if you're a child, pregnant woman, parent/caretaker of a child, elderly (65+), or have a disability and meet income requirements. Income limits vary by category, for example, children may qualify with household income up to 200% of the federal poverty level.

Medicare is a federal program primarily for people 65+ or those with certain disabilities, regardless of income. Medicaid is for people with limited income, regardless of age. You can qualify for both (called 'dual eligibility'), which provides comprehensive coverage and help with Medicare costs. Our agents can help determine if you qualify for dual benefits.

The ACA Marketplace offers subsidized private insurance for those with income above Medicaid limits (generally 138% FPL in expansion states). Medicaid provides free or very low-cost coverage for those with the lowest incomes. When you apply on HealthCare.gov, you're automatically screened for Medicaid eligibility. We help you understand which program is right for you based on your income and circumstances.

Florida Medicaid covers a comprehensive range of services including: doctor visits, hospital care, prescription drugs, lab tests, X-rays, mental health services, substance abuse treatment, maternity care, well-child visits and immunizations, home health care, nursing facility care, and transportation to medical appointments. Some services may require prior authorization.

You can apply through ACCESS Florida (myflorida.com/accessflorida), by phone at 1-866-762-2237, in person at a Department of Children and Families (DCF) office, or by mail. You'll need to provide documentation including proof of identity, income, residency, and citizenship/immigration status. Our agents can help guide you through the application process and ensure you have all required documents.

Florida must process applications within 45 days (90 days for disability-based eligibility). Processing time depends on how complete your application is and whether additional documentation is needed. We help expedite your application by ensuring all required documentation is complete and accurate from the start.

CHIP provides low-cost health coverage for children in families with income too high for Medicaid but who can't afford private insurance. In Florida, this is called Florida KidCare and includes MediKids, Florida Healthy Kids, and Children's Medical Services. Premiums are based on family size and income, with many families paying $15-$20/month or less.

Yes! Having a job doesn't disqualify you from Medicaid. Eligibility is based on your household income level, not employment status. Many working families qualify for Medicaid, especially those with children. Florida also has programs to help people transition from Medicaid to employer coverage without losing benefits.

We provide confidential assistance with both new Medicaid applications and renewals at no cost to you. Our licensed agents help you understand eligibility requirements, gather required documentation, complete applications or renewal paperwork accurately, follow up on pending cases, and connect you with other programs you may qualify for (like SNAP or TANF). Whether you're applying for the first time or renewing your existing coverage, our service costs you nothing—we're here to help you get and keep the coverage you need.