Who qualifies for Medicaid?
Medicaid and Maryland Children’s Health Program offer free or low-cost health insurance coverage to more Marylanders than ever before. Medicaid now covers more adults, so you may qualify, even if you didn’t in the past. Your children or other members of your household also may qualify even if you don’t.
Check the chart below to see if you may qualify, based on your income and family size. If you’re pregnant, or if you have children, you may still qualify even if your income is higher.
When can I enroll? When does my coverage begin?
You can apply for Medicaid at any time. Enrollment is open year-round. If you are eligible for Medicaid, MCHP or MCHP Premium (low-cost coverage for higher-income children), coverage begins on the first day of the month that you applied.
You will renew your Medicaid or MCHP coverage once a year. You’ll be contacted when it is time to renew.
If you’re applying for Medicaid on the basis of being aged, blind, disabled or medically needy, or applying for the Qualified Medicare Beneficiary Program (QMB) or Specified Low-Income Medicare Beneficiary Program (SLMB), contact your local Department of Social Services for more information. You can apply for these benefits online at mydhrbenefits.dhr.state.md.us.
How do I apply for Medicaid?
- Apply online at MarylandHealthConnection.gov
- Visit your local Department of Social Services
- Call 1-855-642-8572 (TTY: 1-855-642-8573)
- Find free, in-person help near you at MarylandHealthConnection.gov/help
What benefits are covered through Medicaid?
Your managed care organization through Medicaid covers the following benefits and more, at no cost:
- Visits to the doctor, including regular checkups and specialists
- Pregnancy care
- Family planning and birth control
- Prescription drugs
- Hospital and emergency services
- Primary mental health services through your doctor
Maryland Children’s Health Program (MCHP) covers full health benefits for children up to age 19. Benefits for children include these and more:
- Doctor visits including regular checkups and visits when sick
- Immunizations like flu shots
- Hospitalizations, including lab work and tests
- Dental care
- Vision care
Is dental care covered?
Dental care is free for children and pregnant women enrolled in Medicaid and MCHP. Adults may have limited dental coverage through their Managed Care Organization. You also can buy a standalone dental plan through Maryland Health Connection during the annual Open Enrollment period each fall.
What immigration statuses are eligible for Medicaid?
Under most immigration statuses, you must be lawfully present in the U.S. for five years (“the five-year bar”) before you are eligible for Medicaid. However, lawfully residing pregnant women and children under 21 (regardless of type of status) are not subject to the five-year requirement.
Regardless of immigration status, if you have had a recent medical emergency, you may be able to apply for emergency medical services, including labor and delivery. For more information, visit your local Department of Social Services.
To learn more about Medicaid benefits and basics, please click here: https://www.marylandhealthconnection.gov/shop-and-compare/medicaid-basics-and-benefits.
About Maryland Health Connection
Maryland Health Connection is Maryland’s official health insurance marketplace for individuals and families to compare plans and enroll in health and dental coverage. It’s the only place to get financial help with health insurance. See if you qualify for financial help like tax credits or Medicaid/MCHP to make health insurance more affordable.