What is Medicaid eligibility?

Medicaid eligibility is the criteria used by the South Carolina Department of Health and Human Services (SCDHHS) to determine whether someone qualifies for Medicaid coverage. Medicaid is an assistance program funded by both the state and federal government to help seniors and other vulnerable populations pay for medical costs. To be eligible for Medicaid in South Carolina, an individual must meet certain financial requirements, which include income and resource limits. Income limits vary depending on household size and may be adjusted annually. Currently, an individual cannot earn more than $2,349 a month to qualify for Medicaid. Those with higher incomes may be eligible for the South Carolina Health Benefits Plan, which serves as a bridge from insurance to Medicaid eligibility. Resource limits also apply. Resource limits refer to the countable assets a person has in their name, such as cash, bank accounts, stocks, bonds, land, and vehicles. Currently, an individual must have less than $2,000 in countable assets to qualify for Medicaid in South Carolina. Other eligibility requirements may also apply, such as citizenship and legal residency status, age, disabilities, and need for nursing home care. It is important to note that these eligibility requirements may change over time, so it is important to check with the SCDHHS for the most up-to-date information.

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