MO HealthNet (Medicaid)

MO HealthNet is the Medicaid program for Missouri. MO HealthNet provides health insurance coverage for those with very low incomes and assets. There are several different types of MO HealthNet, and this information is about "Programs for the Aged, Blind and Disabled." This Medicaid works in coordination with Medicare, and can also give coverage for those who do not yet qualify for Medicare benefits but who have been declared disabled by the Social Security Administration or the State of Missouri.

If you already have Medicare, MO HealthNet acts as a secondary insurance to Medicare. MO HealthNet will pay the costs left by Medicare as long as you use both Medicare and MO HealthNet providers. It’s important to check with your provider before receiving services to see if they accept MO HealthNet.

People with both Medicare and Medicaid are sometimes called “full dual-eligibles” or "full duals."

A person who is dual-eligible qualifies for other programs as well. This includes automatically qualifying for the greatest amount of assistance from Extra Help, which pays for prescription medications. Medicare will pay the premiums for a basic prescription drug plan, and pay for most covered medication costs except for very small co-pays. There is not a gap in coverage (like the "donut hole"), and Medicare pays for all covered prescriptions after the out-of-pocket maximum.

Eligibility for MO HealthNet benefits are:

MO HealthNet Eligibility

 

Individuals

Couples

Income

$847/month

$1,134/month

Resources

$999.99

$2,000

(These numbers are accurate as of April 2014.)

To apply for MO HealthNet, an application must be completed and submitted to your local Family Support Division Office. The MO HealthNet application is available online here. If you have questions about your benefits, contact your local Family Support Division Office.

The official MO HealthNet Web page is http://www.dss.mo.gov/mhd/.

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