What Does La Medicaid Take Charge Plus Cover

La Medicaid Take Charge Plus is a health insurance program for people in Louisiana who have low incomes, disabilities, or special healthcare needs. The program covers a wide range of services, like doctor visits, hospital stays, prescription drugs, vision care, dental care, and more. To be eligible for Take Charge Plus, you must be a U.S. citizen or legal permanent resident, and you must live in Louisiana. Your income and assets must also meet certain limits. Depending on your income, you may have to pay a small monthly premium for your coverage.

Understanding Medicaid Programs

Medicaid is a government-sponsored health insurance program designed to provide coverage for low-income individuals and families. It is a joint federal and state program, with each state setting its own eligibility criteria and benefits. While the basic benefits package is determined at the federal level, states have the flexibility to add additional benefits as well.

Medicaid Take Charge Plus

Medicaid Take Charge Plus is a Medicaid expansion program in Louisiana that provides comprehensive coverage for low-income adults aged 19-64. This program was created in 2016 as part of the state’s efforts to expand access to healthcare under the Affordable Care Act (ACA). Take Charge Plus offers a wide range of benefits, including:

  • Preventive care
  • Primary care visits
  • Hospitalization
  • Emergency services
  • Prescription drugs
  • Mental health and substance abuse treatment
  • Dental and vision care
  • Transportation to medical appointments

Eligibility

To be eligible for Medicaid Take Charge Plus, individuals must meet certain income and citizenship requirements. Generally, applicants must have an income at or below 138% of the federal poverty level and be a U.S. citizen or a qualified non-citizen. Additionally, individuals must meet certain residency requirements.

Application Process

Individuals who wish to apply for Medicaid Take Charge Plus can do so online, by mail, or in person at their local Department of Health and Hospitals (DHH) office. The application process typically involves providing personal information, income information, and proof of citizenship or lawful presence in the United States.

Benefits

Medicaid Take Charge Plus provides a comprehensive range of benefits, including:

BenefitCoverage
Preventive careImmunizations, screenings, and other preventive services
Primary care visitsVisits to a doctor or other primary care provider
HospitalizationInpatient hospital stays
Emergency servicesEmergency room visits and ambulance transportation
Prescription drugsCovered prescription drugs
Mental health and substance abuse treatmentInpatient and outpatient treatment
Dental and vision careRoutine dental and vision exams and treatments
Transportation to medical appointmentsTransportation to and from medical appointments

LA Medicaid: An Overview

Medicaid, jointly funded by state and federal governments, provides healthcare coverage to low-income individuals and families. It is guided by federal rules while states handle the administration and implementation. This article delves into the details of LA Medicaid’s Take Charge Plus program, highlighting the services it covers and the eligibility criteria for enrollment.

Eligibility

Individuals and families in Louisiana can qualify for Take Charge Plus if they meet certain income and asset limits, and if they are in specific qualifying groups, such as pregnant women, children, and people with disabilities. The program also considers resources like checking accounts, vehicles, and real estate when assessing eligibility.

Services Covered

Take Charge Plus offers a comprehensive range of services to ensure that enrollees receive proper healthcare.

  • Medical Care: Covers routine checkups, doctor visits, prescription medications, hospitalizations, and surgeries.
  • Dental Care: Includes preventive care, fillings, root canals, and dentures.
  • Vision Care: It encompasses eye exams, eyeglasses, and contacts as needed.
  • Mental Health Services: Offers counseling, therapy, and medication management for mental health conditions.
  • Substance Abuse Treatment: Covers detoxification, counseling, and prescription drugs for substance abuse issues.
  • Rehabilitation Services: Provides physical therapy, occupational therapy, and speech therapy for individuals recovering from injuries or disabilities.
  • Long-Term Care: Includes skilled nursing facility care, home health care, and hospice services for individuals requiring ongoing care.
ServiceDescription
Routine CheckupsRegular visits to a healthcare provider for preventive care and screening.
Prescription MedicationsCovers a wide range of medications prescribed by a healthcare provider.
HospitalizationsCovers inpatient hospital stays and associated medical services.
Vision CareIncludes eye exams, eyeglasses, and contact lenses as needed.

It’s essential to note that the specific services covered under Take Charge Plus may be subject to change based on policy updates and modifications.

Application Process

Individuals interested in enrolling in Take Charge Plus can apply online through the Louisiana Department of Health website or visit their local Medicaid office. The application process involves submitting personal and financial information, including proof of income, assets, and household size. Once the application is reviewed and processed, individuals will receive a determination regarding their eligibility for the program.

Conclusion

LA Medicaid’s Take Charge Plus program offers comprehensive healthcare coverage to eligible individuals and families in Louisiana. It encompasses a wide range of services, including medical, dental, vision, mental health, substance abuse treatment, rehabilitation services, and long-term care. The application process is straightforward and can be done online or at local Medicaid offices. Take Charge Plus plays a vital role in ensuring that low-income residents of Louisiana have access to quality healthcare services.

Benefits Covered Under Take Charge Plus

Take Charge Plus is a Medicaid managed care program that provides comprehensive health coverage to low-income individuals and families in Louisiana. The program covers a wide range of benefits, including:

  • Doctor visits
  • Hospital stays
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Dental care
  • Vision care
  • Transportation to medical appointments
  • Home health care
  • Nursing home care

Take Charge Plus also offers a number of optional benefits, such as:

  • Gym memberships
  • Smoking cessation programs
  • Weight loss programs
  • Acupuncture
  • Chiropractic care
  • Massage therapy

The cost of Take Charge Plus varies depending on the individual’s or family’s income and the plan that they choose. However, most people will pay little or no monthly premium. Take Charge Plus also has a low copay for most services, which means that members will only have to pay a small amount out of pocket for their care. For people with low incomes, Take Charge Plus can be a great way to get access to quality health care.

Copay Amounts for Take Charge Plus
ServiceCopay
Doctor visits$0
Hospital stays$0
Prescription drugs$4
Mental health services$0
Substance abuse treatment$0

Hey there, folks! Thanks a bunch for taking the time to learn all about what La Medicaid Take Charge Plus covers. Remember, this program is here to help eligible Louisiana residents get access to important health care services. If you’ve got questions, feel free to check out the Louisiana Department of Health website. And if you’re wondering about how you might qualify for Take Charge Plus, don’t hesitate to reach out to your local Medicaid office. Stay well, y’all! We’ll be here with more helpful information next time, so be sure to come back and visit again soon!