Lifebridge Health Medicaid managed care plans provide comprehensive health coverage for qualifying individuals and families — at little or no cost. We help you navigate eligibility, enrollment, and care coordination every step of the way.
Medicaid eligibility is based primarily on income and household size. The following groups are most commonly eligible under state and federal guidelines.
Adults aged 19–64 with household income at or below 138% of the Federal Poverty Level (FPL) may qualify in states that have expanded Medicaid under the Affordable Care Act.
Children in families with low to moderate incomes may qualify for Medicaid or the Children's Health Insurance Program (CHIP). Coverage includes routine check-ups, immunizations, dental, and vision.
Pregnant women with income up to 138–200% FPL (varies by state) qualify for Medicaid coverage that includes prenatal care, labor and delivery, and postpartum care for up to 12 months.
Individuals who receive Supplemental Security Income (SSI) automatically qualify for Medicaid in most states. Others with qualifying disabilities may also be eligible based on income and functional need.
Individuals who qualify for both Medicare and Medicaid are called "dual eligibles." Lifebridge Health offers Dual Special Needs Plans (D-SNP) that coordinate both programs to minimize out-of-pocket costs.
Young adults who aged out of foster care are eligible for Medicaid coverage up to age 26 regardless of income in most states, ensuring continuity of care during the transition to adulthood.
Lifebridge Health Medicaid managed care plans cover a wide range of services to keep you and your family healthy.
Primary care and specialist visits with $0 copay for most services. Includes preventive screenings, annual wellness exams, and chronic disease management.
Inpatient and outpatient hospital services, emergency room care, and surgery — all covered with no cost-sharing for eligible members.
Broad formulary covering thousands of generic and brand-name medications. Most prescriptions are available at $0 or very low copays at preferred pharmacies.
Routine dental exams, cleanings, and fillings plus annual eye exams and eyeglass allowances are included in most Lifebridge Medicaid plans.
Behavioral health services including therapy, counseling, psychiatric care, and substance use disorder treatment — covered at parity with medical benefits.
Nursing facility care, home and community-based services (HCBS), personal care assistance, and adult day health services for members who need ongoing support.
Applying for Medicaid is free and can be done online, by phone, or in person. Lifebridge Health enrollment specialists are available to guide you through every step.
Check your eligibility using our online screening tool or call our enrollment hotline at 1-800-524-2273.
Complete your application with proof of income, residency, and identity. Our specialists can help you gather the required documents.
Your state Medicaid agency reviews your application. Most decisions are made within 45 days (90 days for disability-based applications).
Once approved, choose Lifebridge Health as your managed care plan and receive your member ID card within 7–10 business days.