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All about Medicaid eligibility for Atlanta residents

When it comes to healthcare, there have been many changes in the past half-decade. What was once private insurance has become government-regulated and the effect on all people's healthcare has been enormous. Inherently, government-backed programs have been affected too. Medicaid eligibility thresholds determine who can apply and be approved for Medicaid benefits.

Medicaid is a federally mandated, state-administered health care program for low-income U.S. residents. Funding comes from both state and federal sources to help low-income people pay for health-care. Those approved for Medicaid benefits would have basic health care costs, including doctor visits, hospital stays, and nursing home care paid for, albeit, a small fee may be incurred, nothing close to the full cost of the care. Income is the number one threshold for determining Medicaid eligibility.

To determine a single person's or a family's ability to be awarded Medicaid, income is determined by calculating the modified adjusted gross income (also known as MAGI) of an individual or household. MAGI is a calculation of adjusted gross income plus any untaxed foreign income, Social Security benefits, or tax-exempt interest. Income-based eligibility is then measured against the federal poverty level. Each state has different criteria for Medicaid eligibility, sorted into different groups (such as children, pregnant women, and adults). The thresholds are often different for certain groups of people or conditions of people (like pregnancy).

Other government programs, such as SSI, can impact Medicaid so it's important to consider all in the process. If denied Medicaid, a person has the right to appeal the decision, much like with Social Security disability. Each state contributes to Medicaid in some portion. For this reason, Georgia health benefits under Medicaid can vary from other states.

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