What Does Magi Medicaid Cover in Nm

Magi Medicaid in New Mexico provides comprehensive health insurance coverage to low-income individuals and families. It covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, mental health services, and substance abuse treatment. The program also offers preventive care, such as checkups, screenings, and immunizations. To be eligible, individuals must meet certain income and citizenship requirements. Magi Medicaid is a valuable resource for those who need health insurance but cannot afford it. It provides access to quality care and helps people stay healthy.

Eligibility for Magi Medicaid in New Mexico

Magi Medicaid is an expanded Medicaid program that extends coverage to adults who meet certain income and non-financial eligibility requirements. In New Mexico, adults who are 19 to 64 years old, have income at or below 138% of the federal poverty level (FPL) (this was approximately $17,774 for a single person and $36,584 for a family of four in 2023), and meet US citizenship or qualified non-citizen status requirements are generally eligible for Magi Medicaid. You may be eligible even if you do not have children.

To apply for Magi Medicaid in New Mexico, you can visit the state’s Health Care Program website at https://www.yes.state.nm.us/ or contact the New Mexico Medicaid Customer Service Center at 1-855-439-4286. You can also apply in person at your local Human Services Department office.

Additional Eligibility Factors

  • Residency: You must be a resident of New Mexico.
  • Immigration Status: You must be a US citizen or a qualified non-citizen. This includes lawful permanent residents, refugees, and asylees.
  • Disability: You may be eligible for Medicaid if you are disabled or blind, even if your income is higher than the Medicaid income limit.
  • Pregnancy: Pregnant women are eligible for Medicaid regardless of their income.

Table of Income Limits for Magi Medicaid Eligibility in New Mexico

Household Size138% of the Federal Poverty Level (FPL)
1$17,774
2$23,826
3$29,878
4$36,584
5$42,432
6$48,280
7$54,128
8$59,976

Covered Services Under Magi Medicaid in Nm

Magi Medicaid is a Medicaid expansion program that provides health insurance coverage to low-income adults in New Mexico. The program covers a wide range of services, including:

  • Doctor’s visits
  • Hospital care
  • Prescription drugs
  • Dental care
  • Vision care
  • Mental health care
  • Substance abuse treatment

Magi Medicaid also covers a number of preventive services, such as:

  • Cancer screenings
  • Well-child visits
  • Immunizations
  • Family planning services

The following table provides a more detailed list of the services covered by Magi Medicaid in Nm:

ServiceCovered
Doctor’s visitsYes
Hospital careYes
Prescription drugsYes
Dental careYes
Vision careYes
Mental health careYes
Substance abuse treatmentYes
Cancer screeningsYes
Well-child visitsYes
ImmunizationsYes
Family planning servicesYes

To be eligible for Magi Medicaid in Nm, you must meet the following requirements:

  • Be a New Mexico resident
  • Be between the ages of 19 and 64
  • Have an income below 138% of the federal poverty level

If you meet these requirements, you can apply for Magi Medicaid online or by mail. For more information about Magi Medicaid in Nm, please visit the New Mexico Human Services Department website.

New Mexico Magi Medicaid Coverage

New Mexico expanded Medicaid eligibility to adults with incomes up to 138% of the federal poverty level (FPL) under the Affordable Care Act (ACA). This expansion is known as “Magi Medicaid.” Magi Medicaid covers a wide range of health care services. However, some services are limited or excluded from coverage.

Limits and Exclusions of Magi Medicaid Coverage in New Mexico

Magi Medicaid coverage in New Mexico has some limits and exclusions. These include:

  • Income Limits: To qualify for Magi Medicaid, you must have an income at or below 138% of the FPL. If your income is above this limit, you may not be eligible for coverage.
  • Asset Limits: Magi Medicaid also has asset limits. You can have no more than $2,000 in countable assets if you are single or $3,000 in countable assets if you are married. Countable assets include things like cash, bank accounts, stocks, and bonds.
  • Services Not Covered: Some services are not covered by Magi Medicaid in New Mexico. These include:
ServiceCovered
Dental ServicesLimited to emergency services
Vision ServicesLimited to eye exams and eyeglasses for children
Long-Term CareNot covered
Mental Health ServicesLimited to outpatient services
Substance Abuse TreatmentLimited to outpatient services

If you are unsure whether a particular service is covered by Magi Medicaid, you can contact the New Mexico Human Services Department at 1-800-432-4993.

Magi Medicaid in New Mexico: Coverage and Application

Magi Medicaid is a health insurance program that provides coverage to low-income individuals and families in New Mexico. It is part of the Affordable Care Act (ACA), also known as Obamacare. Magi Medicaid is a Medicaid expansion program, meaning it covers individuals who would not have been eligible for Medicaid before the ACA was passed.

What Does Magi Medicaid Cover in New Mexico?

  • Doctor visits
  • Hospital care
  • Prescription drugs
  • Mental health and substance use disorder treatment
  • Pregnancy and childbirth care
  • Pediatric care
  • Dental care
  • Vision care
  • Hearing aids
  • Durable medical equipment

Magi Medicaid also covers some long-term care services, such as nursing home care and home health care.

Eligibility for Magi Medicaid in New Mexico

To be eligible for Magi Medicaid in New Mexico, you must meet the following criteria:

  • Be a New Mexico resident
  • Be a U.S. citizen or a qualified immigrant
  • Have a household income at or below 138% of the federal poverty level
  • Not be eligible for other health insurance, such as Medicare or employer-sponsored insurance

Application Process for Magi Medicaid in New Mexico

To apply for Magi Medicaid in New Mexico, you can:

  • Apply online at the New Mexico Human Services Department website
  • Call the New Mexico Human Services Department at 1-800-432-4570
  • Visit a local Human Services Department office

You will need to provide the following information when you apply:

  • Your name, address, and date of birth
  • Your Social Security number
  • Your income and asset information
  • Proof of your U.S. citizenship or qualified immigrant status

You may also be asked to provide additional information, such as proof of your pregnancy or your child’s age.

Well, folks, that’s all you need to know about what Magi Medicaid covers in New Mexico. I hope you found this article helpful. If you have any more questions, feel free to reach out to us. Thanks for reading, and we hope to see you again soon! In the meantime, take care and stay healthy, friends.