Medicaid Eligibility Calculators
All states must cover hospital and doctor care, lab tests, nursing facility care, home health, family planning, transportation to care and children's EPSDT services. Dental, eyeglasses and other optional benefits depend on your state.
Mandatory Medicaid benefits
- Inpatient and outpatient hospital care
- Doctor, nurse midwife and certain nurse practitioner services
- Lab tests and X-rays
- Nursing facility services
- Home health services
- Rural health clinic and community health center services
- Family planning
- Medication-assisted treatment
- Transportation to medical care
- EPSDT for children and teens under 21
Optional Medicaid benefits
- Prescription medications, which all states currently cover
- Dental care for people 21 and older and dentures
- Eyeglasses
- Physical, occupational and speech therapy
- Prosthetics
- Personal care and case management
- Hospice
- Home and community-based services
What Medicaid usually doesn't cover
Medicaid is for health care. It doesn't usually pay for household items, electronics, store memberships or care it doesn't consider medically necessary. Our guides explain what's possible for tablets, diapers and memberships.
Check your own benefits
- Read your member handbook.
- Call the number on your card.
- Ask whether approval is needed before care.
- Choose in-network providers.
- Appeal in writing if something is denied.
Want a quick estimate?
Try the free Medicaid eligibility calculator.
Try the free Medicaid eligibility calculator.
