What Does Medicaid Cover?

Benefits for Adults

Maryland Medicaid covers the following benefits and more at no cost:

• Doctor visits
  • Regular checkups
  • Visits with specialists
• Pregnancy care
• Family planning and birth control
• Prescription medicines
• Hospital and emergency services
• Primary mental health services through your doctor

 

 

Benefits for Children

Maryland Children’s Health Program (MCHP) provides health benefits for children up to age 19.

MCHP covers the following benefits:

• Doctor visits
  • Regular checkups
  • Visits when sick
• Vaccines, like flu shots
• Prescription medicines
• Hospitalizations
• Lab work and tests
• Transportation to medical appointments
• Dental care
• Vision care

Is dental care covered?

Yes, dental care is included for those enrolled in Medicaid and MCHP.

Dental care coverage includes:

• Regular checkups
• Teeth cleaning
• Fluoride treatments
• X-rays
• Fillings
• Root canals
• Crowns
• Extractions
• Anesthesia
• Denture adjustments

Dental care is an important part of overall health. Medicaid makes it possible for many Maryland residents to get dental care.

Who qualifies for Medicaid?

To qualify for Medicaid in Maryland, you must:

• Live in Maryland
• Be a U.S. citizen or qualified non-citizen (see question below about immigration statuses)
• Meet certain income limits based on household size

How to apply for Medicaid in Maryland?

Applying is the only way to know if you are eligible for Medicaid. Even if you didn’t qualify before, you might qualify now.

When can I apply?

You can apply for Medicaid at any time. Enrollment is open year-round.

If you apply and are eligible, your coverage will begin on the first day of the month you applied. For example, if you apply on Dec. 12 and are found eligible, your coverage will be considered effective Dec. 1.

How to apply for Medicaid in Maryland?

You can apply:

• online at www.marylandhealthconnection.gov
• by downloading the free mobile app, EnrollMHC
• by visiting a local connector entity, health department, or department of social service
• by calling 1-855-642-8572 (TTY: 1-855-642-8573)

What immigration statuses are eligible for Medicaid?

Qualified non-citizens are lawfully present and include:

• Lawful Permanent Resident who entered the United States after August 22, 1996
• Asylees
• Refugees
• Cuban/Haitian entrants
• Paroled into the United States for at least one year
• Conditional entry granted before 1980
• Battered noncitizens, spouses, parents, or children
• Trafficking victim and spouse, child, sibling, or parent or have a pending application for a victim of trafficking
• Granted withholding of deportation
• Member of a federally recognized Indian tribe or American Indian born in Canada
• Citizens of the Marshall Islands, Micronesia, and Palau who are living in one of the U.S. states or territories

Lawfully present includes non-citizens who are:

• In a valid nonimmigrant status
• Paroled into the United States for less than 1 year, except for a noncitizen paroled for prosecution, for deferred inspection or pending removal
• proceedings
• Granted temporary resident status
• Granted Temporary Protected Status (TPS)
• Granted employment authorization
• A Family Unity beneficiary
• Covered by Deferred Enforced Departure (DED) per a decision made by the President
• Granted deferred action, except for individuals granted Deferred Action for Childhood Arrivals

See here for more information and exceptions.

Frequently Asked Questions

Sources
https://www.marylandhealthconnection.gov/after-you-enroll/medicaid/what-medicaid-covers/
https://www.marylandhealthconnection.gov/wp-content/uploads/2019/05/MHC_Factsheet_Medicaid.pdf
https://www.marylandhealthconnection.gov/faqs/
https://health.maryland.gov/mmcp/familyplanning/Pages/Home.aspx
https://www.marylandhealthconnection.gov/wp-content/uploads/2019/04/MHC_Factsheet_Cancer.pdf