What Does Fbde Medicaid Cover

Fbde Medicaid offers a wide range of services to help people in Florida with their health needs. These services include doctor and hospital visits, prescription drugs, mental health counseling, substance abuse treatment, and long-term care. Additionally, Fbde Medicaid also offers preventive care services, such as dental checkups, eye exams, and immunizations. To be eligible for these services, individuals must meet certain income and asset requirements and be a resident of Florida. Fbde Medicaid also provides coverage for pregnant women and children, regardless of their income or assets. The program is funded through a combination of state and federal funds and is administered by the Florida Department of Children and Families.

FBDE Medicaid Coverage: Understanding Eligibility and Services

Florida’s Budget for Economic Self-Sufficiency (FBDE) Medicaid program provides health insurance coverage to low-income families and individuals who meet specific eligibility criteria. It offers a range of essential medical services, including preventive care, hospitalizations, doctor visits, and prescription drugs, ensuring access to quality healthcare for those in need.

Eligibility Criteria for FBDE Medicaid

  • Income: To qualify for FBDE Medicaid, individuals and families must meet specific income requirements. These limits vary based on household size and composition but generally fall below the federal poverty level.
  • Age: FBDE Medicaid coverage is available to children under 19 years of age, pregnant women, and adults aged 65 and older.
  • Disability: Individuals with disabilities and their families may also be eligible for FBDE Medicaid regardless of their income or age.
  • Residency: To qualify for FBDE Medicaid, individuals must be residents of the state of Florida.
  • Citizenship: FBDE Medicaid is available to U.S. citizens, lawful permanent residents, and certain qualified non-citizens.

FBDE Medicaid Covered Services

FBDE Medicaid offers a comprehensive range of medical services to its eligible members. These services include:

  • Preventive Care: FBDE Medicaid covers preventive care services such as regular checkups, screenings, and immunizations to help maintain good health and prevent illnesses.
  • Doctor Visits: FBDE Medicaid covers visits to healthcare providers, including primary care physicians, specialists, and dentists, for routine examinations, consultations, and treatments.
  • Hospitalizations: FBDE Medicaid covers hospital stays for both inpatient and outpatient procedures, including surgeries, diagnostic tests, and emergency care.
  • Prescription Drugs: FBDE Medicaid covers a wide range of prescription medications, ensuring access to essential treatments for various health conditions.
  • Behavioral Health Services: FBDE Medicaid covers mental health services such as counseling, therapy, and medication management, as well as substance abuse treatment programs.
  • Long-Term Care Services: FBDE Medicaid provides coverage for long-term care needs, including nursing home care, assisted living facilities, and home health services.

FBDE Medicaid Services by Category

Preventive CareRegular checkups, screenings, immunizations
Doctor VisitsVisits to healthcare providers, consultations, treatments
HospitalizationsInpatient and outpatient procedures, surgeries, diagnostic tests, emergency care
Prescription DrugsWide range of essential medications
Behavioral Health ServicesCounseling, therapy, medication management, substance abuse treatment
Long-Term Care ServicesNursing home care, assisted living facilities, home health services


FBDE Medicaid plays a crucial role in providing access to affordable and quality healthcare for low-income individuals and families in Florida. Through its comprehensive coverage of essential medical services, FBDE Medicaid helps ensure that eligible residents can receive the care they need to stay healthy and manage their health conditions.

FBDE Medicaid Covered Services

FBDE Medicaid (Family-Based Developmentally Disabled Eligibility) is a Medicaid program that provides health coverage to children and adults with developmental disabilities. The program covers a wide range of services, including medical, dental, vision, and behavioral health services.

Covered Services

  • Medical Services:
  • Doctor’s visits
  • Hospitalization
  • Emergency room visits
  • Lab tests
  • X-rays
  • Prescription drugs
  • Medical supplies
  • Durable medical equipment
  • Dental Services:
  • Exams
  • Cleanings
  • Fillings
  • Extractions
  • Dentures
  • Orthodontics
  • Vision Services:
  • Exams
  • Eyeglasses
  • Contact lenses
  • Behavioral Health Services:
  • Therapy
  • Counseling
  • Medication
  • Case management
  • Supportive services
Medical ServicesYes
Dental ServicesYes
Vision ServicesYes
Behavioral Health ServicesYes
Other ServicesNo

FBDE Medicaid Coverage

FBDE Medicaid, also known as Family Based Dental Emergency, provides dental care services to eligible children and pregnant women who qualify for Medicaid. FBDE Medicaid covers a range of dental services necessary to alleviate pain and restore oral health.

FBDE Medicaid Covered Services

  • Diagnostic services: X-rays, exams, and consultations
  • Basic preventive services: fluoride treatments, cleanings, and sealants
  • Restorative services: fillings, crowns, and root canals
  • Oral surgery: extractions, implants, and bone grafts
  • Orthodontics: braces, retainers, and aligners
  • Prosthodontics: dentures, bridges, and crowns
  • Other covered services: medications, anesthesia, and laboratory tests

FBDE Medicaid Limitations and Exclusions

FBDE Medicaid does not cover all dental services. Some limitations and exclusions include:

  • Cosmetic procedures: teeth whitening, veneers, and cosmetic bonding
  • Elective procedures: orthodontics for purely aesthetic reasons
  • Experimental procedures: treatments that are not FDA-approved
  • Services not deemed medically necessary by a dentist
  • Services provided by out-of-network providers
  • Services not covered by the state Medicaid plan

It is important to check with your state Medicaid office or dental provider to determine the specific services covered under FBDE Medicaid in your area.

FBDE Medicaid: What It Covers and How to Apply

Medicaid, a state- and federally-funded health insurance program, offers coverage to low-income individuals and families. The Family Based Disability Extension (FBDE) Medicaid program specifically targets families with children who are disabled.

FBDE Medicaid Coverage

FBDE Medicaid typically offers comprehensive health coverage. It may vary from state to state, but the majority of FBDE Medicaid plans include:

  • Regular checkups and preventive care
  • Hospitalization and surgery
  • Doctor visits and specialist care
  • Emergency services
  • Prescription drug coverage
  • Mental health and substance abuse treatment
  • Home health and nursing home care

To learn more about the Medicaid services available in your state, visit the Medicaid website.

How to Apply for FBDE Medicaid

The eligibility criteria and the application process for FBDE Medicaid vary by state. In general, you need to demonstrate financial need and prove that your child meets the disability requirements for the program.

To apply for FBDE Medicaid:

  1. Check your state’s Medicaid website. Each state has its own website where you can find information about Medicaid eligibility, benefits, and the application process.
  2. Gather the required documents. You will need to prove your income, assets, and your child’s disability. The documents required may vary from state to state, but generally include:
    • Birth certificates for all family members
    • Social Security numbers for all family members
    • Proof of income, such as pay stubs or tax returns
    • Proof of assets, such as bank statements or deeds
    • Medical records and documentation of your child’s disability
  3. Submit your application. You can submit your application online, by mail, or in person at your local Medicaid office.

Once you have submitted your application, it will be reviewed by a state Medicaid agency. You will be notified of the decision by mail.

Additional Information

If you are in need of immediate medical attention, you should go to the emergency room. FBDE Medicaid will cover the cost of emergency care, regardless of whether you are approved for the program.

If you have any questions about FBDE Medicaid, you can contact your state Medicaid office or visit the Medicaid website.

FBDE Medicaid Coverage: A Summary

Regular checkups and preventive careYes
Hospitalization and surgeryYes
Doctor visits and specialist careYes
Emergency servicesYes
Prescription drug coverageYes
Mental health and substance abuse treatmentYes
Home health and nursing home careYes

Thanks for taking the time to learn more about what Fbde Medicaid covers. I hope this article has been helpful in answering some of your questions. If you still have questions, please don’t hesitate to reach out to your local Medicaid office. And be sure to check back later for more updates on Fbde Medicaid coverage. In the meantime, stay healthy and take care!