Iowa Health Insurance Coverage...
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  What Type of Financial Assistance is Available in the State of Iowa to help with Health Care Insurance Coverage Costs?


  • Financial Assistance Summary.
       Help is available to certain low-income residents of Iowa. Medicaid, hawk-i, HIPP, and AIDS/HIV HIPP, offer free or subsidized health insurance coverage, direct medical services or other help.
  • The Medicaid Program.
       Medicaid is a program that provides health coverage to some low-income Iowa residents. Medicaid covers families with children and pregnant women, medically needy persons, the elderly, persons with disabilities, and persons with breast or cervical cancer. Legal residents who are not U.S. citizens may be eligible for Medicaid however, questions concerning immigration status and eligibility should be directed to the Iowa Department of Human Services.
  • Eligibility depends on financial factors, such as income resources.
       However, in Iowa, family resources in most cases, are ignored when determining eligibility for children. In addition, people must meet certain other criteria, such as blindness, disability, or age, or the need to support a dependent child.
  • The following are ways a person may be eligible for Medicaid in Iowa:
  • The Family Medical Assistance Program (FMAP) provides Medicaid to children and their parents or other specified relatives who meet financial and non-financial eligibility requirements.
       Parents or specified relatives must have a dependent child under age 19 in their care to be eligible. Parents who receive Medicaid under FMAP should also know that when you get a job and your Medicaid benefits end, you generally can stay on Medicaid for a 12-month transitional period. In addition, your children may qualify for Medicaid if your family’s income meets certain income standards.
  • The Child Medical Assistance Program (CMAP) provides Medicaid to children under age 21 who meet all of the FMAP eligibility requirements except for age and living with a specified relative.
  • Medicaid is available through the Mothers and Children (MAC) program to pregnant women and to children who have not reached age 19.
  • In Iowa you may be eligible for Medicaid if you are an individual, a child, a parent of a child, or pregnant, and your family income meets the Medicaid income standards.
       Income eligibility levels for these categories are described below. Your assets and some expenses also may be taken into account, so you should contact the Iowa Department of Human Services for more information.
  • Low income persons eligible for Medicaid in Iowa:

    Category            Income Eligibility (as percent of federal poverty level)

    Infant                 200% (monthly income of $2,504 for a family of 3)
    Child 1-18           133% (monthly income of $1,665 for a family of 3)
    Parent                34% (monthly income of $ 426 for a family of 3)
    Pregnant women   200% (monthly income of $2,504 for a family of 3)

  • People who are aged, blind or disabled may be eligible for Medicaid under the Supplemental Security Income (SSI)-related programs.
       Eligibility is determined by following the general policies of the Supplemental Security Income (SSI) program. Disabled individuals should know that if your income earned from a job increases so that you no longer qualify for SSI, you may be able to continue your Medicaid coverage at least for a limited time.
  • Persons who are disabled but employed and have higher income levels may be eligible for Medicaid benefits under the Medicaid For Employed People With Disabilities (MEPD) program.
       To qualify for MEPD, you must be employed, disabled and under the age of 65 with a family income of less than or equal to 250% of the poverty level. MEPD enrollees with income levels over 150% of the federal poverty level must pay a premium based on income level.
  • The Medically Needy program provides Medicaid coverage to people who have too much income or too many resources to qualify for SSI or other Medicaid coverage groups but not enough income for medical care.
       This coverage group includes aged, blind, or disabled people, members of families with children, pregnant women, and children under age 21. The Medically Needy program does not have income limits. When income is above the Medically Needy Income Level, the person has a spend down (which is like a deductible) to meet. The amount of the spenddown will depend on the person’s income.


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