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Michigan Medicaid

Michigan Medicaid

The Michigan Medicaid Health Care Program is a federally-sponsored health plan designed to provide healthcare coverage to low-income earners (individuals and families) with no health insurance or inadequate medical insurance. Michigan Medicaid enrollment is open to residents in need of health care/insurance assistance whose financial status falls below the low-income category. An eligible person or family must have an annual household income (before taxes) that falls below the following amounts:

Household Size Maximum Income Level (Per Year)
1 $18,075
2 $24,353
3 $30,630
4 $36,908
5 $43,186
6 $49,463
7 $55,741
8 $62,018

If you fall in any of the categories below and meet the income limit, you may apply for Medicaid in Michigan:

  • You are pregnant
  • You have a child or teenager who is 18 years old or younger, and your family's income is limited
  • You are an adult with a low income
  • You are aged 65 years old or older, blind, or disabled and do not have sufficient income and resources.
  • You are leaving welfare and need health coverage

Michigan is one of the 40 states, which has adopted the Affordable Care Act’s Medicare Expansion in 2014. This allowed more residents to qualify for coverage. In 2022, almost 3 million Michigan residents were enrolled in Medicaid plans.

As an income based health care program, Michigan Medicaid health plan provides comprehensive healthcare services to low-income adults and children. Medicaid health coverage services are offered through Medicaid Health Plans or fee-for-service. Fee-for-service refers to Medicaid-paid services not provided through a health plan, meaning that Medicaid pays for the service. Individuals under fee-for-service will use the Mihealth card to receive services.

Michigan Medicaid plans and MIChild cover healthcare services:

  • Ambulance

  • Chiropractic

  • Dental

  • Doctor visits

  • Emergency services

  • Family planning

  • Hearing and speech services

  • Home health care

  • Hospice care

  • Inpatient and outpatient hospital care

  • Lab services

  • Medical supplies

  • Medicine prescribed by a doctor

  • Mental health services

  • Non-emergency medical transportation

  • Nursing home care

  • Personal care services

  • Physical and occupational therapy

  • Podiatry (foot care)

  • Pregnancy care (prenatal, delivery, and post-partum)

  • Private duty nursing

  • Immunizations (shots)

    Substance use disorder treatment services

  • Surgery

  • Vision

  • X-ray

Medicaid enrollees in Michigan do not have to pay the full cost of covered healthcare services. However, they may be required to pay a minimal fee called a co-payment as determined by the co-pay chart. Individuals can apply online for Medicaid. Consult your Michigan-licensed health insurance agent to ask questions about Medicaid or go through the Michigan Medicaid Provider Manual. Medicaid provides eligible needy persons with low cost or sometimes, free health insurance in Michigan. You can ask your agent more questions about how to get free health insurance in Michigan or how to get cheap health insurance in Michigan.