Connecticut Health Insurance

Connecticut Medicaid:

The Medicaid program provides for remedial, preventive, and long term medical care for income eligible aged, blind or disabled individuals, and families with children. Payment is made directly to health care providers, by the department, for services delivered to eligible individuals. The program complies with federal Medicaid law (Title XIX of the Social Security Act) and regulations in order to receive 50% reimbursement from the federal government.

Individuals may meet Medicaid eligibility requirements in a number of ways. Individuals or families who meet the income and asset eligibility criteria in effect for Aid To Families with Dependent Children (AFDC) on July 16, 1996 or the State Supplement program are eligible for Medicaid. In addition, individuals who meet all the eligibility requirements, with the exception of income, may be eligible if the amount of medical expenses owed is greater than the amount by which their income exceeds the established income standards. Children born after Sept. 30, 1980 whose family income is less than 185% of the poverty level, and pregnant women whose income is less than 185% of the poverty level are also eligible.

The Medicaid program objectives are supported by certain key services provided to recipients: HealthTrack provides education regarding access to health care for Medicaid recipients under 21 eligible for Medicaid. “Home and community-based care” waivers allow for the provision of certain non-medical services in order to avoid more costly institutionalization of individuals. The department is also working with schools to expand the availability and accessibility of school-based medical care for Medicaid eligible students

Connecticut’s new Medicaid for Low-Income Adults

Connecticut is the first state to receive federal approval to expand Medicaid under the Affordable Care Act (national health care reform legislation).

New Medicaid coverage is replacing the State-Administered General Assistance (SAGA) medical program.

Medicaid for Low-Income Adults is open to Connecticut residents aged 19 through 64, who do not receive federal Supplemental Security Income or Medicare and who are not pregnant.

Provides full Medicaid health coverage/benefits package, including long-term care/skilled nursing facility, home health care and non-emergency medical transportation.

The income-eligibility limit for single adults and married couples is 56% of the federal poverty level.

However, single adults and married couples who live in Region A (mostly southwestern Connecticut) receive an additional deduction equal to 12% of the federal poverty level. This effectively makes the income limit equal to 68% of the federal poverty level in Region A.

1-866-409-8430 (in-state, toll-free)

o 1-860-269-2031 (local to Farmington, CT)